510(k) Report

510(k) · Cleared

Cleared

Affinity Pixie™ Arterial Filter with Balance™ Biosurface; Affinity® Pediatric Arterial Blood Filter

K251744510(k) SpecialCleared Jan 16, 2026224-day reviewClass II21 CFR 870.4260

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

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

Cleared on Jan 16, 2026 as substantially equivalent to K100646 (Medtronic, Inc., 2010) and 1 other predicate after a 224-day review. Its family tree reaches back 2 generations to 1995.

Decided
Jan 16, 2026
Review
224 days
Class
Class II
Product code
DTM
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K943917 (1995). 5 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors K071253 · Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda Bioactive Surface, Model CB4014 · Medtronic Vascular · 2007 · recalledK943917 · Capiox Arterial Filter · Terumo Medical Corp. · 19950
  1. Root · 2 generations backK943917 Capiox Arterial FilterTerumo Medical Corp. · 1995
  2. 1 generation backK071253 Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda…Medtronic Vascular · 2007 · Recalled
  3. This deviceK251744 Affinity Pixie™ Arterial Filter with Balance™ Biosurface; Affinity®…Medtronic · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K943917Capiox Arterial FilterTerumo Medical Corp.1995—
−1K071253Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda Bioactive…Medtronic Vascular20072
0 (this device)K251744Affinity Pixie™ Arterial Filter with Balance™ Biosurface; Affinity® Pediatric…Medtronic2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199510
200010
201010
FIG. 1 — Lineage of K251744, 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 K242953 KIDS Arterial Filtersscore 9.4 · 4 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? (2)

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
*K100646Affinity Pixie Arterial Filter with Balance Biosurface
Summary page 7
…rterial Filter with BB4014 Balance™ Biosurface K100646 M942233A001 Affinity Pixie™ Arterial Filter with (non-sterile BB4014) Balance™ Biosurface, non-ster…
Medtronic, Inc.2010—
*K071253Affinity Pediatric Arterial Filter, Model S4014 and with Carmeda Bioactive Surface…
Summary page 7
…ediatric Arterial Blood S4014 Filter K071253 M929334A001 Affinity® Pediatric Arterial Blood (non-sterile S4014) Filter, non-sterile K17…
Medtronic Vascular20072
†K171979Tubing PackMedtronic, Inc.201725

Also cleared against K100646: 2 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 31 years and passes through 3 companies; a new generation was cleared every 18.5 years on median.
  • 2 of the 5 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K100646.

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. 2026, 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?

The Affinity® Pediatric Arterial Blood Filter is indicated for use in cardiopulmonary bypass procedures up to 6 hours in

duration for the removal of particulate and gaseous microemboli.

The Affinity Pixie™ 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. “K251744: Affinity Pixie™ Arterial Filter with Balance™ Biosurface; Affinity® Pediatric Arterial Blood Filter.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K251744

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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