510(k) Report

510(k) · Cleared

Recalled · Class I · 2021

OXY-1 System

K200109510(k) TraditionalCleared Oct 23, 2020280-day reviewClass II21 CFR 870.4350Recalls 1 (1 Class I)

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

Abiomed, Inc. · DTZ Oxygenator, Cardiopulmonary Bypass

Cleared on Oct 23, 2020 as substantially equivalent to K191029 (Medtronic, Inc., 2019) and 2 other predicates after a 280-day review. Its family tree reaches back 6 generations to 1993. 1 of the 20 devices in its family, counting itself, has a Class I recall. 2 later devices descend from it. It has been recalled once, including a Class I recall.

Decided
Oct 23, 2020
Review
280 days
Class
Class II
Product code
DTZ
Recalls
1 (1 Class I)
Predicates
3

Its longest line of descent runs back 6 generations to K932252 (1993). 17 ancestors in all, the oldest K771692 (1977). 2 later devices descend from it, 2 citing it directly. 1 of the 20 devices in this family, counting this one, has a Class I recall.

  1. Root · 6 generations backK932252 Affinity Hollow Fiber OxygenatorAvecor Cardiovascular, Inc. · 1993
  2. 5 generations backK992559 Hollow Fiber Membrane Oygenator Quadrox Hmo 1010Jostra Bentley · 1999
  3. 4 generations backK030264 Quandrox Safeline Hollow Fiber Membrane Oxygenator, Model Hmo 2030Jostra AG · 2003
  4. 3 generations backK061628 Jostra Quadrox D Safeline Diffusion Membrane Oxygenator, Model Hmod…Maquet Cardiopulmonary, AG · 2006
  5. 2 generations backK071774 Jostra Quadrox D Diffusion Membrane Oxygenator with Bioline Coating…Maquet Cardiopulmonary, AG · 2008
  6. 1 generation backK080592 HLM Tubing Set with Bioline CoatingMaquet Cardiopulmonary, AG · 2008 · Recalled
  7. This deviceK200109 OXY-1 SystemAbiomed, Inc. · 2020
  8. Descendant · cites it directly · 0 of its ownK223161 OXY-1 SystemAbiomed, Inc. · 2023
  9. Descendant · cites it directly · 0 of its ownK222297 CentriMag Pre-connected PackAbbott · 2022

Most influential descendants

Showing 2 of 2 · See all
  • K223161OXY-1 SystemAbiomed, Inc. · 2023 · cites it directly0descendants
  • K222297CentriMag Pre-connected PackAbbott · 2022 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K932252Affinity Hollow Fiber OxygenatorAvecor Cardiovascular, Inc.1993—
−5K992559Hollow Fiber Membrane Oygenator Quadrox Hmo 1010Jostra Bentley1999—
−4K030264Quandrox Safeline Hollow Fiber Membrane Oxygenator, Model Hmo 2030Jostra AG2003—
−3K061628Jostra Quadrox D Safeline Diffusion Membrane Oxygenator, Model Hmod 2030Maquet Cardiopulmonary, AG2006—
−2K071774Jostra Quadrox D Diffusion Membrane Oxygenator with Bioline Coating, Model…Maquet Cardiopulmonary, AG2008—
−1K080592HLM Tubing Set with Bioline CoatingMaquet Cardiopulmonary, AG2008221
0 (this device)K200109OXY-1 SystemAbiomed, Inc.2020—
+1K223161OXY-1 SystemAbiomed, Inc.2023—
+1K222297CentriMag Pre-connected PackAbbott2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197710
198010
198310
198810
198910
200010
200220
200410
200510
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202310
FIG. 1 — Lineage of K200109, 1993–2023Source: 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.

1 device in this family has a Class I recall. 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
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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
*K191029Affinity NTTM Oxygenator (Model 511), Affinity® NT Hollow Fiber Oxygenator with Plasma…
Summary page 4
…ary Bypass DWF – Catheter, Cannula and Tubing, Vascular, Cardiopulmonary Bypass III. PREDICATE DEVICE(S) Medtronic Affinity NT (Model 511) Oxygenator (K191029) Maquet, Rotaflow Pump (K991864) Maquet, Rotaflow Console (K991864) Maquet, HLM Tubing Set with Bioline coating (K080592) IV. DE…
Medtronic, Inc.2019—
*K991864Rotaflow Centrifugal Pump System
Summary page 4
…– Catheter, Cannula and Tubing, Vascular, Cardiopulmonary Bypass III. PREDICATE DEVICE(S) Medtronic Affinity NT (Model 511) Oxygenator (K191029) Maquet, Rotaflow Pump (K991864) Maquet, Rotaflow Console (K991864) Maquet, HLM Tubing Set with Bioline coating (K080592) IV. DEVICE DESCRIPTION The Breethe® O…
Jostra Medizintechnik AG20002
*K080592HLM Tubing Set with Bioline Coating
Summary page 4
…) Medtronic Affinity NT (Model 511) Oxygenator (K191029) Maquet, Rotaflow Pump (K991864) Maquet, Rotaflow Console (K991864) Maquet, HLM Tubing Set with Bioline coating (K080592) IV. DEVICE DESCRIPTION The Breethe® OXY-1 System provides extracorporeal circulation for full or partial cardiopulmonary bypas…
Maquet Cardiopulmonary, AG2008221

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K223161OXY-1 SystemAbiomed, Inc.20230
K222297CentriMag Pre-connected PackAbbott20220

Has anything in its family been recalled? (1 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Dec 14, 2021Class IZ-0550-2022Software design (manufacturing process)The firm has received complaints of the OXY-1 System Console experiencing a power interruption while in use, which disrupts therapy delivered to a patient on support. Disruption of therapy could lead to prolonged hypoxia.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 27 years and passes through 5 companies; a new generation was cleared every 3.5 years on median.
  • 6 of the 17 ancestors have a recall of any class.
  • Of its descendants, K223161 (Abiomed, Inc., 2023) has gone furthest, with 0 descendants of its own.

How does its category compare?

All DTZ devices

DTZ Oxygenator, Cardiopulmonary Bypass: FDA decisions, review times, recalls and adverse event reports over 20 years. 2020, 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?

The OXY-1 System is intended to be used for extracorporeal circulation. The OXY-1 System pumps, oxygenates and removes carbon dioxide from blood during cardiopulmonary bypass up to 6 hours in duration

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K200109: OXY-1 System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K200109

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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