K Number
K050786
Device Name
BARRIER SURGICAL GOWNS
Date Cleared
2005-05-09

(42 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
BARRIER® surgical gowns are intended for single use to be worn by the Surgical Team Members in the operating room during surgical procedures to protect both the patient and the operating room personnel from the transfer of microorganisms, body fluids and particulate material.
Device Description
The BARRIER® Surgical Gowns have been designed with an assortment of fabrics and have been on the market for a number of years cleared under predicate 510(k) notifications. BARRIER surgical gowns have been developed for general surgical procedures and for procedures which represent possible exposure to bloodborne pathogens and other potentially infectious materials which require increased levels of protection.
More Information

Not Found

No
The device is a surgical gown, and the description focuses on its barrier properties and materials, with no mention of AI or ML.

No
The device is a surgical gown intended for protection, not for treating or diagnosing a disease or condition.

No

The device description indicates that BARRIER® surgical gowns are intended for single use by surgical team members during procedures to protect against the transfer of microorganisms, body fluids, and particulate material. This describes a protective barrier, not a device used to diagnose medical conditions.

No

The device is a physical surgical gown, not a software application. The description focuses on fabric properties and barrier performance, not software functionality.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that the surgical gowns are for protecting surgical team members and patients from the transfer of microorganisms, body fluids, and particulate material during surgical procedures. This is a barrier function, not a diagnostic one.
  • Device Description: The description focuses on the materials and design of the gowns for protection, not for analyzing samples or providing diagnostic information.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), using reagents, or providing any kind of diagnostic result.
  • Performance Studies: The performance studies mentioned relate to liquid barrier performance, which is relevant to protective apparel, not diagnostics.

IVD devices are specifically designed to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This surgical gown does not fit that description.

N/A

Intended Use / Indications for Use

BARRIER® surgical gowns are intended for single use to be worn by the Surgical Team Members in the operating room during surgical procedures to protect both the patient and the operating room personnel from the transfer of microorganisms, body fluids and particulate material.

Product codes (comma separated list FDA assigned to the subject device)

FYA

Device Description

The BARRIER® Surgical Gowns have been designed with an assortment of fabrics and have been on the market for a number of years cleared under predicate 510(k) notifications. BARRIER surgical gowns have been developed for general surgical procedures and for procedures which represent possible exposure to bloodborne pathogens and other potentially infectious materials which require increased levels of protection.

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

Surgical Team Members in the operating room

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

BARRIER® Surgical Gowns have been evaluated using the ANSI/AAMI PB-70:2003 Standard. (Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities)

The chart represents the AAMI levels claimed for each gown family:
BARRIER® Standard and Standard Fabric Reinforced Surgical Gowns: Level 2
BARRIER® Extra and Ultra Protection Gowns: Level 3
BARRIER® Extra and Ultra Protection Plus Surgical Gowns: Level 4
BARRIER® Surgical Gown II and BARRIER® Surgical Gown II , Fabric Reinforced: Level 3
BARRIER® Fluid Protection Plus Surgical Gowns: Level 3
BARRIER® Urology Gown: Level 4

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K760903, K932731, K920996, K990395

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 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.

0

510(k) SUMMARY

K030786

| Applicant: | Mölnlycke Health Care
826 Newtown Yardley Rd.
Newtown, PA 18940 |
|--------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | John Clay
Regulatory Affairs Officer |
| Tel.: | 267-685-2078 |
| Fax: | 267-685-2010 |
| Device Name: | |
| Proprietary Name: | Barrier® Surgical Gowns |
| Common/Usual Name: | Surgical Gowns |
| Device Classification: | Class II - 21 CFR 878.4040 |
| Substantial Equivalence: | For the purpose of Section 510(k) of the Federal Food, Drug and
Cosmetic Act, Mölnlycke Health Care considers the BARRIER®
Surgical Gowns are substantially equivalent in composition,
function and intended use to the previously marketed BARRIER®
Surgical Gowns. |
| Intended Use: | BARRIER® surgical gowns are intended for single use to be worn
by the Surgical Team Members in the operating room during
surgical procedures to protect both the patient and the operating
room personnel from the transfer of microorganisms, body fluids
and particulate material. |
| Description: | The BARRIER® Surgical Gowns have been designed with an
assortment of fabrics and have been on the market for a number of
years cleared under predicate 510(k) notifications. BARRIER
surgical gowns have been developed for general surgical
procedures and for procedures which represent possible exposure
to bloodborne pathogens and other potentially infectious materials
which require increased levels of protection. |

1

BARRIER 510(k) Summary, Page 2

The following chart highlights the current BARRIER surgical gown families and the predicate 510(k) notifications under which they are currently marketed.

DescriptionPredicate 510(k)
BARRIER® Standard and Standard
Fabric Reinforced Surgical GownsK760903
BARRIER® Extra and Ultra Protection
GownsK760903
BARRIER® Extra and Ultra Protection
Plus Surgical GownsK932731
BARRIER® Surgical Gown II and
BARRIER® Surgical Gown II , Fabric
ReinforcedK920996
BARRIER® Fluid Protection Plus
Surgical GownsK990395
BARRIER® Urology GownK760903

Summary of

Testing:

BARRIER® Surgical Gowns have been evaluated using the ANSI/AAMI PB-70:2003 Standard. (Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities) The chart represents the AAMI levels claimed for each gown family.

DescriptionLevel of Protection according to AAMI
BARRIER® Standard and Standard
Fabric Reinforced Surgical GownsLevel 2
BARRIER® Extra and Ultra Protection
GownsLevel 3
BARRIER® Extra and Ultra Protection
Plus Surgical GownsLevel 4
BARRIER® Surgical Gown II and
BARRIER® Surgical Gown II , Fabric
ReinforcedLevel 3
BARRIER® Fluid Protection Plus
Surgical GownsLevel 3
BARRIER® Urology GownLevel 4

2

Image /page/2/Picture/1 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 lines representing its body and wings. The text "DEPARTMENT OF HEALTH AND HUMAN SERVICES . USA" is arranged in a circular pattern around the eagle.

MAY - 9 2005

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. John Clay Regulatory Affairs & Quality Officer-US Mölnlycke Health Care 826 Newtown-Yardley Road, Suite 300 Newtown, Pennsylvania 18940

Re: K050786

Trade/Device Name: BARRIER® Surgical Gowns Regulation Number: 878.4040 Regulation Name: Surgical Apparel Regulatory Class: II Product Code: FYA Dated: April 19, 2005 Received: April 22, 2005

Dear Mr. Clay:

We have reviewed your Section 510(k) premarket notification of intent to market the device we have ro rowed your and have determined the device is substantially equivalent (for the relerenced above and nave attermclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device mendments, or to devices that have been reclassified in accordance with the provisions of Ameliuments, or to act roos that nortic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general approvisions of the Act. The general controls provisions of the Act include controls providents or annual registration, listing 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 to such additional controls. Existing major regulations affecting (I MA), it may be subject to back of Federal Regulations, Title 21, Parts 800 to 898. In your device can be found in the reannouncements concerning your device in the Federal Register.

3

Please be advised that FDA's issuance of a substantial equivalence determination does not I least to advisod that 1 Da determination that your device complies with other requirements Incall that I D'I may Federal statutes and regulations administered by other Federal agencies. of the Act of any I oderal statuse and submitted to: but not limited to: registration 1 ou must comply with and 1); labeling (21 CFR Part 801); good manufacturing practice and listing (21 CF RP art 867), laceling (QS) regulation (21 CFR Part 820); and if requirements as bet ferm nroduct radiation control provisions (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) This letter will anow yourse bogan made of substantial equivalence of your device to a premarket notified.com - The PDF 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 regulation (21 CFR Part 801), If you desire specific at not 100 your at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the may obtain other generational and Consumer Assistance at its toll-free Divisor (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Clair Lin, Ph.D.

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

4

Indications for Use

510(k) Number (if known): K050786

Device Name: BARRIER® Surgical Gowns

Indications for Use:

BARRIER® surgical gowns are intended for single use to be worn by the Surgical Team Members in the operating room during surgical procedures to protect both the patient and the operating room personnel from the transfer of microorganisms, body fluids and particulate material.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Shula H. Murphy, MD

of Anesthesiology, General Hospital, n Control, Dental Devices

Number: K050 786

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