K Number
K141606
Device Name
SURGICAL GOWN
Date Cleared
2014-11-17

(154 days)

Product Code
Regulation Number
878.4040
Reference & Predicate Devices
N/A
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Surgical Gowns are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material.

Device Description

Not Found

AI/ML Overview

This document explicitly states that the submission is for a "Surgical Gown" and is a 510(k) premarket notification. This type of submission relies on demonstrating substantial equivalence to a legally marketed predicate device, rather than requiring formal clinical studies with acceptance criteria and ground truth in the way medical imaging or diagnostic AI devices do.

Therefore, the provided text does not contain information about:

  1. A table of acceptance criteria and the reported device performance: This is not applicable to a 510(k) for a surgical gown in the context of clinical performance metrics. The relevant acceptance criteria for a surgical gown would typically involve performance standards outlined in recognized standards (e.g., AAMI PB70 for liquid barrier performance or ASTM F1670 for synthetic blood penetration), and these results would be presented in a different format than a clinical study's performance table.
  2. Sample size used for the test set and the data provenance: Not applicable for this type of device and submission. Performance tests for gowns would involve material samples, not patient data.
  3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth as typically defined for algorithm performance (e.g., expert consensus on medical images) is not relevant here. Performance is measured against physical standards.
  4. Adjudication method for the test set: Not applicable.
  5. If a multi reader multi case (MRMC) comparative effectiveness study was done: Not applicable. MRMC studies are for assessing diagnostic performance with and without AI assistance, which is outside the scope of a surgical gown.
  6. If a standalone (i.e., algorithm only without human-in-the loop performance) was done: Not applicable. This is not an AI/algorithm device.
  7. The type of ground truth used: Not applicable in the context of clinical/diagnostic ground truth; performance is measured against physical material standards.
  8. The sample size for the training set: Not applicable. This is not a machine learning or AI device.
  9. How the ground truth for the training set was established: Not applicable.

The "study" in this context refers to the testing performed against recognized standards to demonstrate the physical performance characteristics of the surgical gown, such as barrier effectiveness, strength, and breathability. The provided document is simply the FDA's clearance letter and the "Indications for Use" statement, not the detailed testing report itself.

To answer your request, if this were an AI device, the FDA submission would contain a separate section detailing the clinical performance study, including the elements you listed. Since this is a surgical gown, the "performance" discussed in such a 510(k) would be related to how well the gown meets established material and barrier standards, and the "study" would be the associated lab testing.

{0}------------------------------------------------

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

November 17,2014

Cobes Industries Company Limited C/O Ms. Lynn Fu Shenzhen Rendermed Consulting Company Limited 23 Dengliang Road, Hanking Center 7E-011 Shenzhen, Gguangdong 518052 CHINA

Re: K141606

Trade/Device Name: Surgical Gown Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: II Product Code: FYA Dated: October 11, 2014 Received: October 17, 2014

Dear Ms. Fu:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

{1}------------------------------------------------

Page 2 - Ms. Fu

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Susan Runno DDS, MA

Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

{2}------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K141606

Device Name

Surgical Gown

Indications for Use (Describe)

Surgical Gowns are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material.

Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D) Over-The-Counter Use (21 CFR 801 Subpart C)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services

Food and Drug Administration

Office of Chief Information Officer

Paperwork Reduction Act (PRA) Staff

PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

Product Models are provided below:

Model CategoryModelSizeReinforced methodMaterial
21Series21001LargeSMS-35gsm
21002X-LargeNon-Reinforced
21003XX-Large
21004XXX-Large
21101LargeFabric Reinforced
21102X-Large
21103XX-Large
21201LargePoly-Reinforced
21202X-Large
21203XX-Large
21204XXX-Large
21205XXXX-Large
21206XXXXX-Large
21301LargePoly-Reinforced,Breathable Trilaminate Sleeves
21302X-Large
21303XX-Large
21304XXX-Large
22Series22001LargeSMS-47gsm
22002X-LargeNon-Reinforced
22003XX-Large
22004XXX-Large
22005XXXX-Large
22101LargeFabric Reinforced
22102X-Large
22103XX-Large
22201LargePoly-Reinforced
22202X-Large
22203XX-Large
22204XXX-Large
22205XXXX-Large
22301LargePoly-Reinforced,Breathable Trilaminate Sleeves
22302X-Large
22303XX-Large
23Series23001LargeSMS-47gsm soft
23002X-LargeNon-Reinforced
23003XX-Large
23004XXX-Large
23101LargeFabric Reinforced
23102X-Large
23103XX-Large
23201LargePoly-Reinforced
23202X-Large
23203XX-Large
23204XXX-Large
23205XXXX-Large
23206XXXXX-Large
23301LargePoly-Reinforced,Breathable Trilaminate Sleeves
23302X-Large
23303XX-Large
ModelCategoryModelSizeReinforced methodMaterial
24Series24001LargeBreathable Trilaminate SleevesSFS-68gsm
24002X-Large
24003XX-Large
24004XXX-Large
24005XXXX-Large
24006XXXXX-Large

{4}------------------------------------------------

First code:Second codeThird codeFourth~Fifth code
2-Surgical Gown1- SMS-35gsm0- Non-Reinforced01-Large
2-Surgical Gown2- SMS-47gsm1- Fabric Reinforced02-X-Large
2-Surgical Gown3-SMS-47gsm Soft2- Poly-Reinforced03- XX-Large
2-Surgical Gown4- SFS-68gsm3-Poly-Reinforced, Breathable Trilaminate Sleeves04- XXX-Large
2-Surgical Gown4- SFS-68gsm4- Non-Reinforced, Breathable Viral Barrier05-XXXX-Large
2-Surgical Gown4- SFS-68gsm4- Non-Reinforced, Breathable Viral Barrier06-XXXXX-Large

§ 878.4040 Surgical apparel.

(a)
Identification. Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.(b)
Classification. (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible.
(ii) Analysis and nonclinical testing must:
(A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and
(B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device.
(iii) NIOSH approved under its regulation.
(2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.