MODIFICATION OF: STERRAD BI TEST PACK

K991675 · Advanced Sterilization Products · FRC · Jun 15, 1999 · General Hospital

Device Facts

Record IDK991675
Device NameMODIFICATION OF: STERRAD BI TEST PACK
ApplicantAdvanced Sterilization Products
Product CodeFRC · General Hospital
Decision DateJun 15, 1999
DecisionSESE
Submission TypeSpecial
Regulation21 CFR 880.2800
Device ClassClass 2

Intended Use

The STERRAD® BI Test Pack is intended to be used as a standard method for frequent monitoring of the STERRAD® 100 Sterilizer cycle*. It functions as a routine test pack with both a biological sterilization process indicator and a chemical process indicator. Catalase Reagent is added to the Tryptic Soy Broth (TSB) medium, to neutralize the residual hydrogen peroxide on the biological indictor strip after sterilization. * See precautionary statement in Instructions For Use concerning the use of this product with the STERRAD 50 Sterilizer which reads in part as follows: PRECAUTION: The Certificate of Performance that accompanies these BI Test Packs contains data from the STERRAD® 100 Sterilizer. This information is unique to the STERRAD® 100 Sterilizer. The initial validation data submitted, based upon varying hydrogen peroxide concentration in the STERRAD® 50 Sterilizer, indicate that the BI Test Pack is acceptable for use with the STERRAD® 50 Sterilizer. The final performance data (D-value and Survival/Kill times) are not yet complete. Updated performance data for the BI Test Pack in the STERRAD® 50 Sterilizer will be provided by ASP as soon as it is available.

Device Story

STERRAD BI Test Pack monitors sterilization cycle efficacy in STERRAD 100 and 50 sterilizers. Device consists of plastic tray, Bacillus subtilis var. niger spore strip (10^6 spores), chemical indicator strip, and latex tubing. Tubing and narrow channels create diffusion-restricted environment to challenge sterilization process. Post-cycle, spore strip is incubated in Tryptic Soy Broth (TSB) with added catalase reagent to neutralize residual hydrogen peroxide. Chemical indicator provides visual red-to-yellow color change. Used by healthcare personnel in clinical settings to confirm sterilization success; results inform equipment release for patient use. Modification reduces incubation time to 48 hours and introduces pre-packaged catalase reagent vials for user convenience.

Clinical Evidence

Bench testing only. Validation performed per CDRH 1986 Guidance for Validation of Biological Indicator Incubation Time. Testing used three spore lots from three crops across different media lots. Results showed >=97% growth in 48 hours. Catalase concentration stability confirmed at 4°C, 25°C, and 40°C. Bacteriostasis testing confirmed excess catalase does not inhibit spore growth.

Technological Characteristics

Components: plastic tray, Tyvek/Mylar peel pouches, latex tubing, Bacillus subtilis var. niger spores (10^6), chemical indicator strip (red-to-yellow), catalase reagent. Sensing principle: biological indicator (spore kill) and chemical process indicator. Connectivity: none. Sterilization: intended for use in STERRAD hydrogen peroxide gas plasma sterilizers.

Indications for Use

Indicated for frequent monitoring of STERRAD 100 and STERRAD 50 sterilization cycles using biological and chemical indicators to verify sterilization efficacy.

Regulatory Classification

Identification

Biological sterilization process indicator: A device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor adequacy of sterilization. The device consists of a known number of microorganisms, of known resistance to the mode of sterilization, in or on a carrier and enclosed in a protective package. Subsequent growth or failure of the microorganisms to grow under suitable conditions indicates the adequacy of sterilization. Physical/chemical sterilization process indicator: A device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor one or more parameters of the sterilization process. The adequacy of the sterilization conditions as measured by these parameters is indicated by a visible change in the device.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ JUN 1 5 1999 ### ADVANCED STERILIZATION PRODUCTS® a Johnson Johnson compan REGULATORY AFFAIRS DEPARTMENT # 510(k) Summary -- K991675 # Applicant's Name, Address, Telephone, FAX, Contact Person Advanced Sterilization Products A Division of Johnson & Johnson Medical, Inc. 33 Technology Drive Irvine, CA 92618 ### Contact Person Kevin Corrigan, R.A.C. Manager of Regulatory Affairs Tel: (949) 453-6410 Fax: (949) 789-3900 Submission Date May 14, 1999 Trade Name STERRAD® BI Test Pack ### Common Name Biological Indicator (Challenge Pack) #### Classification Name Class II # Legally Marketed Equivalent Device Name(s) STERRAD® BI Test Pack, K921909, October 1, 1993. DIVISION OF ETHICON, INC. . 33 TECHNOLOGY DRIVE . IRVINE, CA 92618 . (949) 581-5799 . FAX (949) 789-3900 (Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices 510(k) Number _ {1}------------------------------------------------ AGG 1675 ## Description of Device The STERRAD® BI Test Pack (BI Test Pack) consists of a plastic tray with a clear top which contains a STERRAD® Biological Indicator paper strip containing 106 Bacillus subtilis var. niger spores, a STERRAD® BI Test Pack Indicator Strip and a length of latex tubing. The BI spore strip is packaged in a Tyvek/Mylar peel pouch to protect the spore strip during handling. The narrow opening and channels leading to the interior of the BI Test Pack and the absorptive properties of the latex tubing provide a diffusion restrictive environment which contributes to the effective resistance of the indicator organism. Included with the BI Test Pack are individual BI spore strips in Tyvek/Mylar peel pouches to serve as positive controls in the microbiological testing. The STERRAD® BI Test Pack Chemical Indicator Strip included in the Test Pack serves as a chemical process indicator (Class A per EN867-1) for the STERRAD® Sterilizer cycle, Exposure of the chemical indicator strip to the STERRAD® Sterilizer cycle results in a recognizable color change from red to yellow. #### Statement of Intended Use The STERRAD® BI Test Pack is intended to be used as a standard method for frequent monitoring of the STERRAD® 100 Sterilizer cycle*. It finctions as a routine test pack with both a biological sterilization process indicator and a chemical process indicator. Catalase Reagent is added to the Tryptic Sov Broth (TSB) medium, to neutralize the residual hydrogen peroxide on the biological indictor strip after sterilization. * See precautionary statement in Instructions For Use concerning the use of this product with the STERRAD 50 Sterilizer which reads in part as follows: PRECAUTION: The Certificate of Performance that accompanies these BI Test Packs contains data from the STERRAD® 100 Sterilizer. This information is unique to the STERRAD® 100 Sterilizer. The initial validation data submitted, based upon varying hydrogen peroxide concentration in the STERRAD® 50 Sterilizer, indicate that the BI Test Pack is acceptable for use with the STERRAD® 50 Sterilizer. The final performance data (D-value and Survival/Kill times) are not yet complete. Updated performance data for the BI Test Pack in the STERRAD® S0 Sterilizer will be provided by ASP as soon as it is available. {2}------------------------------------------------ XGG1675 # Description of Modification The recommended incubation time for the STERRAD® BI Test Pack is being reduced to 48 hours based upon validation using The Center for Devices and Radiological Health, FDA Guide for Validation of Biological Indicator Incubation Time (1986). For customer convenience, ASP now offers a catalase reagent for use with the STERRAD® BI Test Pack. Catalase has always been required for use with the STERRAD® BI Test pack. Previously, instructions were included for the user to make a catalase reagent. The reagent is supplied in single use dropper vials. The catalase reagent is sold in boxes of 50 vials. ### Summary of Nonclinical Tests Testing was conducted using the CDRH Guidance Document Guide For Validation Of Biological Indicator Incubation Time (1986). Partial sterilization cycles were based on decrease in diffusion and plasma time. Three different spore lots, from three different spore crops, were used for this validation. Each test was performed using a different lot of media. All valid tests showed at least 97% growth in 48 hours, Catalase concentration was confirmed at end of shelf life by a stability study conducted at 4°C, 25°C and 40°C. Aseptic fill of the catalase vials was confirmed by process validation. Excess catalase was shown to not effect the growth of spores by a Bacteriostasis test. #### Substantial Equivalence The modified STERRAD® BI Test Packs have the following similarities to those which previously received 510(k) clearance: - have the same indicated use, ● - use the same operating principle, - . incorporate the same design - . incorporate the same materials - have the same shelf life, and � - . are packaged using the same materials and processes. In summary, the STERRAD® BI Test Pack described in this submission is substantially equivalent to the predicate device {3}------------------------------------------------ Image /page/3/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three swooping lines forming its body and wings. The eagle faces to the left. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement. Public Health Service Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 JUN 15 1999 Mr. Kevin Corrigan Manager of Regulatory Affairs Advanced Sterilization Products® 33 Technology Drive Irvine, California 92618 K991675 Re : Modification of: STERRAD® BI Test Pack Trade Name: Requlatory Class: II Product Code: FRC Dated: May 14, 1999 Received: May 17, 1999 #### Dear Mr. Corrigan: We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions The general controls provisions of the Act of the Act. include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions aqainst misbranding and adulteration. If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major requlations affecting your device can be found in the Code of Federal Requlations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. {4}------------------------------------------------ Page 2 - Mr. Corrigan this response to your premarket notification Please note: submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations. This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market. If you desire specific advice for your device on our labeling requlation (21 CFR Part 801 and additionally 809.10 for in vitro diaqnostic devices), please contact the Office of Compliance at (301) 594-4692. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the requlation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda/gov/cdrh/dsmamain.html". Sincerely yours Timothy A. Ulatowski Directbr Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {5}------------------------------------------------ ADVANCED STERILIZATION PRODUCTS® a Johnson John on company REGULATORY AFFAIR5 DEPARTMENT #### Indications for Use | 510(k) Number: | K991675 - Special 510(k) - Device Modification | |----------------|------------------------------------------------| | Device Name | STERRAD® BI Test Pack | Indications For Use: The STERRAD® BI Test Pack is intended to be used as a standard method for frequent monitoring of the STERRAD® 100 Sterilizer cycle*, It functions as a routine test pack with both a biological sterilization process indicator and a chemical process indicator. Catalase Reagent is added to the Tryptic Soy Broth (TSB) medium, to neutralize the residual hydrogen peroxide on the biological indictor strip after sterilization. * See precautionary statement in Instructions For Use concerning the use of this product with the STERRAD 50 Sterilizer which reads in part as follows: NOTE: The Certificate of Performance that accompanies these BI Test Packs contains data from the STERRAD® 100 Sterilizer. This information is unique to the STERRAD® 100 Sterilizer. The initial validation data submitted, based upon varying hydrogen peroxide concentration in the STERRAD® 50 Sterilizer, indicate that the BI Test Pack is acceptable for use with the STERRAD® 50 Sterilizer. The final performance data (D-value and Survival/Kill times) are not yet complete. Updated performance data for the BI Test Pack in the STERRAD® 50 Sterilizer will be provided by ASP as soon as it is available. | Concurrence of CDRH, Office of Device Evaluation (ODE) | |--------------------------------------------------------| |--------------------------------------------------------| | Prescription Use | OR | Over-the-Counter Use | |------------------|----|--------------------------| | | | (Optional Format 1-2-96) | DIVISION OF ETHICON, INC. - 33 TECHNOLOGY DRIVE - IRVINE, CA 92618 - (949) 581-5799 FAX (949) 789-3900 (Division Sign-Off) Division of Dental, Infection Control, and General Hospital Devices | 510(k) Number | K991675 | |---------------|---------| |---------------|---------|
Innolitics
510(k) Summary
Decision Summary
Classification Order
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