K Number
K042116
Device Name
STERRAD NX STERILIZER
Date Cleared
2005-04-22

(260 days)

Product Code
Regulation Number
880.6860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The STERRAD® NX Sterilizer is designed for sterilization of both metal and nonmetal medical devices at low temperatures. The STERRAD sterilization process is a multiphase sterilization process that utilizes a combination of exposure to hydrogen peroxide vapor and plasma to affect sterilization. The STERRAD® NX Sterilizer can sterilize instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors. Medical devices with the following materials and dimensions can be processed in the STERRAD® NX Sterilizer Standard cycle: Single channel stainless steel lumens with - An inside diameter of 1 mm or larger and a length of 150 mm or shorter - An inside diameter of 2 mm or larger and a length of 400 mm or shorter Medical devices, including most flexible endoscopes, with the following materials and dimensions can be processed in the STERRAD® NX Sterilizer Advanced cycle: Single channel stainless steel lumens with - An inside diameter of 1 mm or larger and a length of 500 mm or shorter Single channel polyethylene and Teflon (polytetrafluoroethylene) flexible endoscope with - An inside diameter of 1 mm or larger and length of 850 mm or shorter
Device Description
The STERRAD® NX Sterilizer is a self-contained stand-alone system of hardware and software designed to sterilize medical instruments and devices using a patented hydrogen peroxide gas plasma process. Hydrogen peroxide vapor is generated by injecting aqueous hydrogen peroxide into the vaporizer where the solution is heated and vaporized, introducing the vapor into the chamber under sub-ambient pressure and transforming the vapor into a gas-plasma using electrical energy. The STERRAD® NX Sterilizer has two different sterilization cycles, the Standard cycle and the Advanced cycle. The hardware for the STERRAD® NX Sterilizer consists of a sterilization chamber and a variety of instruments and components which are housed in a covered frame. The sterilizer system also uses accessories such as a disposable sterilant cassette, reusable instrument system and an optional movable cart. The STERRAD® NX Sterilizer can be placed directly on a table, counter top, or on the movable cart.
More Information

Not Found

No
The summary describes a hardware and software system for sterilization using a chemical process. There is no mention of AI or ML in the intended use, device description, or performance studies. The "Not Found" entries for AI/ML mentions and training/test data descriptions further support this conclusion.

No
The device is a sterilizer for medical instruments, not a device used for therapy.

No
The device is described as a sterilizer designed for sterilizing medical instruments and devices, not for diagnosing medical conditions.

No

The device description explicitly states that the STERRAD® NX Sterilizer is a "self-contained stand-alone system of hardware and software" and details the hardware components, including a sterilization chamber, instruments, and accessories.

Based on the provided text, the STERRAD® NX Sterilizer is not an In Vitro Diagnostic (IVD) device.

Here's why:

  • Intended Use: The intended use is clearly stated as "sterilization of both metal and nonmetal medical devices at low temperatures." This is a process applied to medical devices before they are used on or in a patient, not a test performed on biological samples from a patient.
  • Device Description: The description details a system for sterilizing instruments using hydrogen peroxide vapor and plasma. This aligns with a sterilization process, not an in vitro diagnostic test.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or treatment decisions based on biological sample analysis.

The STERRAD® NX Sterilizer is a device used to prepare medical instruments for use, ensuring they are free from harmful microorganisms. This falls under the category of a medical device used in the healthcare setting, but not an IVD.

N/A

Intended Use / Indications for Use

The STERRAD® NX Sterilizer is designed for sterilization of both metal and nonmetal medical devices at low temperatures. The STERRAD sterilization process is a multiphase sterilization process that utilizes a combination of exposure to hydrogen peroxide vapor and plasma to affect sterilization. The STERRAD® NX Sterilizer can sterilize instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors.

Medical devices with the following materials and dimensions can be processed in the STERRAD® NX Sterilizer Standard cycle:

Single channel stainless steel lumens with

  • An inside diameter of 1 mm or larger and a length of 150 mm or shorter
  • An inside diameter of 2 mm or larger and a length of 400 mm or shorter

Medical devices, including most flexible endoscopes, with the following materials and dimensions can be processed in the STERRAD® NX Sterilizer Advanced cycle:

Single channel stainless steel lumens with

  • An inside diameter of 1 mm or larger and a length of 500 mm or shorter.
    Single channel polyethylene and Teflon (polytetrafluoroethylene) flexible endoscope with
  • An inside diameter of 1 mm or larger and length of 850 mm or shorter.
    Note: With the exception of the 1 x 850mm flexible endoscopes, the validation studies were performed using a validation load consisting of one instrument tray weighing 10.7 lbs. The 1 x 850mm flexible endoscope was validated without any additional load.

Product codes

MLR

Device Description

The STERRAD® NX Sterilizer is a self-contained stand-alone system of hardware and software designed to sterilize medical instruments and devices using a patented hydrogen peroxide gas plasma process. Hydrogen peroxide vapor is generated by injecting aqueous hydrogen peroxide into the vaporizer where the solution is heated and vaporized, introducing the vapor into the chamber under sub-ambient pressure and transforming the vapor into a gas-plasma using electrical energy. The STERRAD® NX Sterilizer has two different sterilization cycles, the Standard cycle and the Advanced cycle.

The hardware for the STERRAD® NX Sterilizer consists of a sterilization chamber and a variety of instruments and components which are housed in a covered frame. The sterilizer system also uses accessories such as a disposable sterilant cassette, reusable instrument system and an optional movable cart. The STERRAD® NX Sterilizer can be placed directly on a table, counter top, or on the movable cart.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

Nonclinical studies demonstrate that the STERRAD® NX Sterilizer is safe and effective for sterilization of medical devices within the indications for use for the sterilizer and establish equivalence of the STERRAD® NX Sterilizer to the predicate devices, the STERRAD® 50, 100S and 200 Sterilizers.

Validation studies performed:

  • Dose Response with 1 x 500mm Stainless Steel Lumens - Passed
  • Surface Sterilization - Passed
  • Mated Surface Sterilization - Passed
  • 1 x 500mm Stainless Steel Lumen Validation - Passed
  • 1 x 150 Stainless Steel Lumen Validation - Passed
  • 2 x 400mm Stainless Steel Lumen Validation - Passed
  • 1 x 850mm Flexible Endoscope Validation - Passed
  • Pouched 1 x 500mm Stainless Steel Lumen Validation - Passed
  • Bacteriostasis Testing in Standard and Advanced Cycles - Passed
  • Sporicidal Testing - Passed
  • In Use Testing - Passed
  • Bacteriostasis/Fungistasis Testing - Passed
  • Simulated Use Testing - Passed
  • Toxicity Testing of Materials - Passed
  • Chemical Indicator Functionality - Passed
  • Biological Indicator Functionality - Passed
  • Bacteriostasis Testing of CycleSure Biological Indicator - Passed
  • Device Functionality and Material Compatibility - Passed
  • Process Reproducibility - Passed

Key Metrics

Not Found

Predicate Device(s)

STERRAD® 50, 100S and 200 Sterilization Systems

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.6860 Ethylene oxide gas sterilizer.

(a)
Identification. An ethylene gas sterilizer is a nonportable device intended for use by a health care provider that uses ethylene oxide (ETO) to sterilize medical products.(b)
Classification. Class II (performance standards).

0

K 042116

APR 2 2 2005

510(k) Summary

Applicant's Name, Address, Telephone, FAX, Contact Person

Advanced Sterilization Products Division of Ethicon, Inc. 33 Technology Drive Irvine, CA 92618

Contact Person

Natalie Bennington Regulatory Affairs Project Manager Tel: (949) 453-6482 Fax: (949) 789-3900

April 1, 2005

·

CLASSIFICATION, COMMON OR USUAL NAME, DEVICE NAME 1.0

Classification Name: Sterilizer, Class II Common/Usual Name: Hydrogen Peroxide Gas Plasma Sterilization System Product Classification: Sterilizer, Class II Proprietary Name: STERRAD® NX Sterilizer

PREDICATE DEVICES 2.0

STERRAD® 50, 100S and 200 Sterilization Systems

INDICATIONS FOR USE 3.0

The STERRAD® NX Sterilizer is designed for sterilization of both metal and nonmetal medical devices at low temperatures. The STERRAD sterilization process is a multiphase sterilization process that utilizes a combination of exposure to hydrogen peroxide vapor and plasma to affect sterilization. The STERRAD® NX Sterilizer can sterilize instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors.

Medical devices with the following materials and dimensions can be processed in the STERRAD® NX Sterilizer Standard cycle:

Single channel stainless steel lumens with

  • · An inside diameter of 1 mm or larger and a length of 150 mm or shorter1
  • · An inside diameter of 2 mm or larger and a length of 400 mm or shorter1

Medical devices, including most flexible endoscopes, with the following materials and dimensions can be processed in the STERRAD® NX Sterilizer Advanced cycle:

1

Single channel stainless steel lumens with

  • An inside diameter of 1 mm or larger and a length of 500 mm or shorter*
    Single channel polyethylene and Teflon (polytetrafluoroethylene) flexible endoscope with

  • · An inside diameter of 1 mm or larger and length of 850 mm or shorter*

  • Note: With the exception of the 1 x 850mm flexible endoscopes, the validation studies were performed using a validation load consisting of one instrument tray weighing 10.7 lbs. The 1 x 850mm flexible endoscope was validated without any additional load.

DESCRIPTION OF DEVICE 4.0

The STERRAD® NX Sterilizer is a self-contained stand-alone system of hardware and software designed to sterilize medical instruments and devices using a patented hydrogen peroxide gas plasma process. Hydrogen peroxide vapor is generated by injecting aqueous hydrogen peroxide into the vaporizer where the solution is heated and vaporized, introducing the vapor into the chamber under sub-ambient pressure and transforming the vapor into a gas-plasma using electrical energy. The STERRAD® NX Sterilizer has two different sterilization cycles, the Standard cycle and the Advanced cycle.

The hardware for the STERRAD® NX Sterilizer consists of a sterilization chamber and a variety of instruments and components which are housed in a covered frame. The sterilizer system also uses accessories such as a disposable sterilant cassette, reusable instrument system and an optional movable cart. The STERRAD® NX Sterilizer can be placed directly on a table, counter top, or on the movable cart.

  • The validation testing for this lumen size was conducted using a maximum of 10 lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing.

*Only one flexible endoscope can be processed per sterilization cycle with or without a silicone mat. No additional load.

2

SUMMARY OF NONCLINICAL TESTS 5.0

Validation Testing 5.1

Testing was performed using the "overkill" approach utilizing G. stearothermophilus spores. Table 8-1 on the following page identifies the validation studies performed and the results obtained.

Table 8-1: Validation Studies------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
StudyResults
Dose Response with 1 x 500mm Stainless Steel LumensPassed
Surface SterilizationPassed
Mated Surface SterilizationPassed
1 x 500mm Stainless Steel Lumen ValidationPassed
1 x 150 Stainless Steel Lumen ValidationPassed
2 x 400mm Stainless Steel Lumen ValidationPassed
1 x 850mm Flexible Endoscope ValidationPassed
Pouched 1 x 500mm Stainless Steel Lumen ValidationPassed
Bacteriostasis Testing in Standard and Advanced CyclesPassed
Sporicidal TestingPassed
In Use TestingPassed
Bacteriostasis/Fungistasis TestingPassed
Simulated Use TestingPassed
Toxicity Testing of MaterialsPassed
Chemical Indicator FunctionalityPassed
Biological Indicator FunctionalityPassed
Bacteriostasis Testing of CycleSure Biological IndicatorPassed
Device Functionality and Material CompatibilityPassed
Process ReproducibilityPassed

OVERALL PERFORMANCE CONCLUSIONS 6.0

.

The nonclinical studies demonstrate that the STERRAD® NX Sterilizer is safe and effective for sterilization of medical devices within the indications for use for the sterilizer and establish equivalence of the STERRAD® NX Sterilizer to the predicate devices, the STERRAD® 50, 100S and 200 Sterilizers.

3

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three stripes forming its body and wings. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. The text is in all capital letters and is arranged in a circular fashion to match the shape of the logo.

APR 2 2 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Advanced Sterilization Products Ms. Natalie Bennington Regulatory Affairs Project Manager ETHICON, Incorporated 33 Technology Drive Irvine, California 92618

Re: K042116

K042110
Trade/Device Name: STERRAD® NX Sterilizer Regulation Number: 880.6860 Regulation Name: Ethylene Oxide Gas Sterilizer Regulatory Class: II Product Code: MLR Dated: April 1, 2005 Received: April 4, 2005

Dear Ms. Bennington:

We have reviewed your Section 510(k) premarket notification of intent to market the device We liave reviewed your Section of the device is substantially equivalent (for the referenced above and have determined to tegally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device interstate collinered proct to may 20, 1978, as a sectance with the provisions of Amendinens, of to devices that here obct (Act) that do not require approval of a premarket the Federal Pood, Drug, und Communey, therefore, market the device, subject to the general approval application (1 Mill). 1 over al controls provisions of the Act include confors provisions of the rea. "The girling of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III If your device is classified (see ass 10) into controls. Existing major regulations affecting (PMA), if may be subject to such adatin for a Regulations, Title 21, Parts 800 to 898. In your device can be found in the South no nouncements concerning your device in the Federal Register.

4

Page 2 - Ms. Bennington

Please be advised that FDA's issuance of a substantial equivalence determination does not Please be advised that PDA 3 issualled of a baseauxines with other requirements mean that FDA nas made a decommans in the many of ther Federal agencies. of the Act of any rederal statues and reguirements, including, but not limited to: registration You must comply with an the Act 5 requirements and 801); good manufacturing practices
and listing (21 CFR Part 807); labeling (21 CFR Part 801); gDD manufacturing practice and ifiling (21 CFR Part 607), laceling (21 cess (QS) regulation (21 CFR Part 820); and if requirements as set form in the quality Systems (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter whi anow you to begin mational equivalence of your device to a premarket notification. The PDA midning of bassification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), If you desire specific auvree for your do at (240) 276-0115. Also, please note the regulation please contact the Office or Comphanes ar (210) = 11 = 1 = 1 = 1 may obtain other general information on your responsibilities under the Act from the may obtain other general miormation on the mational and Consumer Assistance at its toll-free Division of Binasa 2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Quitte y. Michau Ond.

Chiu Lin, Ph.D. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): K042116

STERRAD® NX Sterilizer Device Name:

Indications-For-Use:

Indieations-For-Use:
The STERRAD® NX Sterilizer is designed for sterilization process that utilizes a combination of The STERRAD® NX Sterilization process is a miliphas sterlization process that utilizes a combination of emperatures. The STERRAD stor and plasma o affect sterilization process and U.S. STERRAD® NY Sterlizer can sterilize exposure to hydrogen peroxide vapor and plasma to arrest stormation of forceps and scissors.
instruments which have diffusion-restricted spaces, such as the hinged portion of

Medical devices with the following materials and dimensions can be processed in the STERRAD® NX Sterilizer Standard cycle:

Single channel stainless steel lumens with

  • . . An inside diameter of 1 mm or larger and a length of 150 mm or shorter"
  • · An inside diameter of 2 mm or larger and a length of 400 mm or shorter]

Medical devices, including most flexible endoscopes, with the following matcrials and dimensions can be processed Medical devices, molading with Sterilizer Advanced cycle:

Single channel stainless steel lumcns with

  • An inside diameter of I mm or larger and a length of 500 mm or shorter] .
    Single channel polyethylene and Teflon (polytetrafluoroethylene) flexible endoscope with

An inside diameter of 1 mm or larger and length of 850 mm or shorter* .

  • The validation testing for this lumen size was conducted using a maximum of 10 lumens per load. Hospital loads and I he validation testing for this famon bize of lumens validated by this testing.

should not exceed the maximum number of lumens vanuated by the testing.
*Only one flexible endoscope can be processed per sterilization cycle with or without a silicone mat. load.

Note: With the exception of the 1 x 850mm flexible endoscopes, the validation studies were performed using a Note: With the exception of the 1 X 850mm fiexible chooseopes, the valuation comments of the readoscope was validated without any additional load.

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use V (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Shula F. Murphy KB

on Sian-Off) ision of Anesthesiology, General Hospital, maction Control, Dental Devices

Number: K042116

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