510(k) Report

510(k) · Cleared

Cleared

Affinity Pixie Oxygenation System with Carmeda Bioactive Surface or Balance Biosurface

K100645510(k) TraditionalCleared Sep 14, 2012924-day reviewClass II21 CFR 870.4350

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

Medtronic, Inc. · DTZ Oxygenator, Cardiopulmonary Bypass

Cleared on Sep 14, 2012 as substantially equivalent to K000430 (Medtronic Vascular, 2000) and 5 other predicates after a 924-day review. Its family tree reaches back 2 generations to 1994. 4 later devices descend from it.

Decided
Sep 14, 2012
Review
924 days
Class
Class II
Product code
DTZ
Recalls
None
Predicates
7

Its longest line of descent runs back 2 generations to K936003 (1994). 7 ancestors in all, the oldest K831528 (1983). 4 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2000: 1 other ancestor1998: 1 other ancestor1994: 1 other ancestor1991: 1 other ancestor1983: 1 other ancestor2012: 1 descendant cleared2014: 1 descendant cleared2017: 1 descendant cleared2016: 1 descendant clearedK936003 · Affinity CVR · Avecor Cardiovascular, Inc. · 1994 · recalledK021287 · Trillium Affinity NT Cardiotomy Venous Reservoir, Models 540T, 541TT · Medtronic Perfusion Systems · 2002 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 5 other ancestors 1 generation forward: 4 descendants K021287 · Trillium Affinity NT Cardiotomy Venous Reservoir, Models 540T, 541TT · Medtronic Perfusion Systems · 2002 · recalledK936003 · Affinity CVR · Avecor Cardiovascular, Inc. · 1994 · recalled0
  1. Root · 2 generations backK936003 Affinity CVRAvecor Cardiovascular, Inc. · 1994 · Recalled
  2. 1 generation backK021287 Trillium Affinity NT Cardiotomy Venous Reservoir, Models 540T, 541TTMedtronic Perfusion Systems · 2002 · Recalled
  3. This deviceK100645 Affinity Pixie Oxygenation System with Carmeda Bioactive Surface or…Medtronic, Inc. · 2012
  4. Descendant · cites it directly · 1 of its ownK141233 Affinity Pixie Oxygenation System with; Carmeda Bioactive Surface…Medtronic, Inc. · 2014
  5. Descendant · cites it directly · 0 of its ownK172984 Affinity Pixie Oxygenator with Balance Biosurface, Affinity Pixie…Medtronic, Inc. · 2017
  6. Descendant · cites it directly · 0 of its ownK160091 Temperature Probe, Affinity Temperature ProbeMedtronic, Inc. · 2016
  7. Descendant · cites it directly · 0 of its ownK123448 Affinity Flexible Luer Lock Adapter with Balance Biosurface…Medtronic, Inc. · 2012

Most influential descendants

Showing 4 of 4 · See all
  • K141233Affinity Pixie Oxygenation System with; Carmeda Bioactive Surface, Balance BiosufaceMedtronic, Inc. · 2014 · cites it directly1descendant
  • K172984Affinity Pixie Oxygenator with Balance Biosurface, Affinity Pixie Oxygenator with…Medtronic, Inc. · 2017 · cites it directly0descendants
  • K160091Temperature Probe, Affinity Temperature ProbeMedtronic, Inc. · 2016 · cites it directly0descendants
  • K123448Affinity Flexible Luer Lock Adapter with Balance Biosurface, Affinity Flexible Luer Lock…Medtronic, Inc. · 2012 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K936003Affinity CVRAvecor Cardiovascular, Inc.19943
−1K021287Trillium Affinity NT Cardiotomy Venous Reservoir, Models 540T, 541TTMedtronic Perfusion Systems20021
0 (this device)K100645Affinity Pixie Oxygenation System with Carmeda Bioactive Surface or Balance…Medtronic, Inc.2012—
+1K141233Affinity Pixie Oxygenation System with; Carmeda Bioactive Surface, Balance…Medtronic, Inc.2014—
+1K172984Affinity Pixie Oxygenator with Balance Biosurface, Affinity Pixie Oxygenator…Medtronic, Inc.2017—
+1K160091Temperature Probe, Affinity Temperature ProbeMedtronic, Inc.2016—
+1K123448Affinity Flexible Luer Lock Adapter with Balance Biosurface, Affinity Flexible…Medtronic, Inc.2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
199110
199410
199810
200010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201410
201610
201710
FIG. 1 — Lineage of K100645, 1994–2017Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 DTZ? 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 DTZ device

  1. #1 K240934 Quantum Perfusion Blood Oxygenator ECC…score 14.3 · 12 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? (7)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K000430Affinity NT Hollow Fiber Oxygenator with Plasma Resistant Fiber with Carmeda Bioactive…
Summary page 1
…, DTP FLL Classification: Class 11 Class II Class 11 Predicate Devices Medtronic AFFINITY NT® Oxygenator with Carmeda (K000430) Medltronic AFFINITY NT Oxygenator with Trillium (14973760) Medtronic Minimaxe Plus Oxygenator with Carmeda (14933586) Medtronic…
Medtronic Vascular20001
*K973760Affinity Hollow Fiber Oxygenator with Trillium Biopassive Surface
Summary page 1
…Class II Class 11 Predicate Devices Medtronic AFFINITY NT® Oxygenator with Carmeda (K000430) Medltronic AFFINITY NT Oxygenator with Trillium (14973760) Medtronic Minimaxe Plus Oxygenator with Carmeda (14933586) Medtronic AFFINITY NT Cardiotomy/Venous Reservoir with Trillium (K02…
Avecor Cardiovascular, Inc.19982
*K933586Minimax Plus Hollow Fiber Oxygenator (with or Without Medtronic/Carmeda Bioactive Surface
Summary page 1
…es Medtronic AFFINITY NT® Oxygenator with Carmeda (K000430) Medltronic AFFINITY NT Oxygenator with Trillium (14973760) Medtronic Minimaxe Plus Oxygenator with Carmeda (14933586) Medtronic AFFINITY NT Cardiotomy/Venous Reservoir with Trillium (K02 1287) Medtronic Minimax Cardiotomy/Venous Reservoir (149117…
Medtronic Vascular1994—
*K021287Trillium Affinity NT Cardiotomy Venous Reservoir, Models 540T, 541TT
Summary page 1
…FINITY NT Oxygenator with Trillium (14973760) Medtronic Minimaxe Plus Oxygenator with Carmeda (14933586) Medtronic AFFINITY NT Cardiotomy/Venous Reservoir with Trillium (K02 1287) Medtronic Minimax Cardiotomy/Venous Reservoir (14911789) Medtronic Thermistor Probe (K83 1528) Terumo Capiox RX05 Oxygenator wit…
Medtronic Perfusion Systems20021
*K911789Minimax (TM) Hardshell Venous Res W/Inte Card Filt
Summary page 1
…imaxe Plus Oxygenator with Carmeda (14933586) Medtronic AFFINITY NT Cardiotomy/Venous Reservoir with Trillium (K02 1287) Medtronic Minimax Cardiotomy/Venous Reservoir (14911789) Medtronic Thermistor Probe (K83 1528) Terumo Capiox RX05 Oxygenator with and without Reservoir (K4022115) Device Description Th…
Medtronic Vascular1991—
*K831528Model TP Thermistor Probe
Summary page 1
…14933586) Medtronic AFFINITY NT Cardiotomy/Venous Reservoir with Trillium (K02 1287) Medtronic Minimax Cardiotomy/Venous Reservoir (14911789) Medtronic Thermistor Probe (K83 1528) Terumo Capiox RX05 Oxygenator with and without Reservoir (K4022115) Device Description The Affinity Pixie Oxygenation System wi…
Scimed Life Systems, Inc.1983—
Kept off the family treeK042115Terumo Capiox RX05 Oxygenator with and without Reservoir
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree

Also cleared against K000430: 4 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K141233Affinity Pixie Oxygenation System with; Carmeda Bioactive Surface, Balance BiosufaceMedtronic, Inc.20141
K172984Affinity Pixie Oxygenator with Balance Biosurface, Affinity Pixie Oxygenator with…Medtronic, Inc.20170
K160091Temperature Probe, Affinity Temperature ProbeMedtronic, Inc.20160
K123448Affinity Flexible Luer Lock Adapter with Balance Biosurface, Affinity Flexible Luer Lock…Medtronic, Inc.20120

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?

  • The line of descent spans 18 years and passes through 3 companies; a new generation was cleared every 10.4 years on median.
  • 4 of the 7 ancestors have a recall of any class.
  • Of its descendants, K141233 (Medtronic, Inc., 2014) has gone furthest, with 1 descendant of its own.
  • 4 other devices also cite its predicate K000430.

How does its category compare?

All DTZ devices

DTZ Oxygenator, Cardiopulmonary Bypass: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · DTZ

2in 2025

2007: 42008: 32009: 92010: 22011: 42012: 92013: 92014: 52015: 92016: 32017: 22018: 32019: 52020: 52021: 52022: 22023: 52024: 32025: 22026 (partial year): 3
2007high 9 (2009) · low 2 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · DTZ

124in 2024

2007: 55 days median2008: 88 days median2009: 210 days median2011: 160 days median2012: 90 days median2013: 28 days median2014: 28 days median2015: 134 days median2016: 62 days median2018: 72 days median2019: 90 days median2020: 93 days median2021: 336 days median2023: 145 days median2024: 124 days median2026 (partial year): 137 days median
2007high 336 (2021) · low 28 (2013)2026

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

Recalls per year · DTZ

1in 2025

2007: 72008: 52010: 12011: 132012: 142014: 22016: 12018: 2, 2 Class I2019: 12020: 32021: 1, 1 Class I2022: 62025: 1
2007high 14 (2012) · low 0 (2009)2026

Class I (3 since 2007) Class II/III not classified

Adverse event reports per year · DTZ

976in 2025

2007: 1342008: 1052009: 522010: 1192011: 1902012: 2152013: 3462014: 7642015: 6582016: 4432017: 3882018: 3202019: 4892020: 4422021: 5952022: 5592023: 7382024: 5352025: 976
2007high 976 (2025) · low 52 (2009)2025

MAUDE reports naming product code DTZ, 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
20074557134
20083885105
20099210052
20102—1119
2011416013190
201299014215
20139280346
20145282764
201591340658
20163621443
20172—0388
20183722 (2)320
20195901489
20205933442
202153361 (1)595
20222—6559
202351450738
202431240535
20252—1976
202631370—

What is it indicated for?

Oxygenator: The Affinity Pixie Hollow Fiber Oxygenator with Carmeda BioActive Surface or Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration. Cardiotomy Venous Reservoir: The Affinity Pixie Cardiotomy/Venous Reservoir with Carmeda BioActive Surface or Balance Biosurface…

Read the full statement (160 words)

Oxygenator: The Affinity Pixie Hollow Fiber Oxygenator with Carmeda BioActive Surface or Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to oxygenate and remove carbon dioxide from the blood and to cool or warm the blood during routine cardiopulmonary bypass procedures up to 6 hours in duration.

Cardiotomy Venous Reservoir: The Affinity Pixie Cardiotomy/Venous Reservoir with Carmeda BioActive Surface or Balance Biosurface is intended to be used in an extracorporeal perfusion circuit to collect venous and cardiotomy suctioned blood during routine cardiopulmonary procedures up to 6 hours in duration. The CVR is also intended for use during vacuum assisted venous drainage (VAVD) procedures.

Temperature Probe: The Affinity Temperature Probe is intended for use for continuous blood temperature monitoring as measured at a temperature monitoring adapter located within a Medtronic extracorporeal circulation device as specified in the device's Instructions for Use. The Temperature Probe is designed for use with a Y5jTM Tele-thermometer to monitor and display temperature.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K100645: Affinity Pixie Oxygenation System with Carmeda Bioactive Surface or Balance Biosurface.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K100645

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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