K Number
K052395
Device Name
STERILE EQUIPMENT COVERS
Date Cleared
2005-12-01

(92 days)

Product Code
Regulation Number
878.4370
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Sterile Equipment Covers are intended to be used to cover medical equipment in order to maintain the sterile field. These covers are not intended to be used as patient drapes and have no patient contact.
Device Description
Sterile Equipment Covers
More Information

Not Found

No
The summary describes sterile equipment covers, a physical product, and the performance studies focus on sterilization validation, not software or algorithmic performance. There is no mention of AI, ML, image processing, or data sets.

No.
The device's intended use is to cover medical equipment to maintain a sterile field, not to treat or diagnose a medical condition.

No
The document describes sterile equipment covers used to maintain a sterile field, which are not used for diagnosis.

No

The device description and intended use clearly indicate a physical product (Sterile Equipment Covers) used to cover medical equipment, not a software application.

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

Here's why:

  • Intended Use: The intended use is to cover medical equipment to maintain a sterile field. This is a physical barrier function, not a diagnostic test performed on samples from the human body.
  • No Patient Contact: The description explicitly states the covers have "no patient contact." IVDs are used to test samples from patients (blood, urine, tissue, etc.).
  • Device Description: "Sterile Equipment Covers" clearly indicates a physical covering, not a diagnostic reagent or instrument.
  • Lack of Diagnostic Information: There is no mention of analyzing samples, detecting biomarkers, or providing diagnostic information about a patient's health status.
  • Performance Studies: The performance study mentioned is sterilization validation, which is relevant to maintaining sterility, not diagnostic accuracy.

In summary, the function of this device is to maintain a sterile environment for medical equipment, which is a crucial aspect of medical procedures but is entirely separate from the diagnostic process.

N/A

Intended Use / Indications for Use

The Sterile Equipment Covers are intended to be used to cover medical equipment in order to maintain the sterile field. These covers are not intended to be used as patient drapes and have no patient contact.

Product codes

KKX

Device Description

Sterile Equipment Covers

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

Sterilization validation testing was performed according to ANSI/AAMI/ISO 11135:1994. All requirements were met.

Key Metrics

Not Found

Predicate Device(s)

K050322, K032065, K961699

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4370 Surgical drape and drape accessories.

(a)
Identification. A surgical drape and drape accessories is a device made of natural or synthetic materials intended to be used as a protective patient covering, such as to isolate a site of surgical incision from microbial and other contamination. The device includes a plastic wound protector that may adhere to the skin around a surgical incision or be placed in a wound to cover its exposed edges, and a latex drape with a self-retaining finger cot that is intended to allow repeated insertion of the surgeon's finger into the rectum during performance of a transurethral prostatectomy.(b)
Classification. Class II (special controls). The device, when it is an ear, nose, and throat surgical drape, a latex sheet drape with self-retaining finger cot, a disposable urological drape, a Kelly pad, an ophthalmic patient drape, an ophthalmic microscope drape, an internal drape retention ring (wound protector), or a surgical drape that does not include an antimicrobial agent, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.

0

Submitter: Volcano Corp.

2005 DEC 1

Sterile Equipment Covers 510(k) Premarket Notification

510 (k) Summary Sterile Equipment Covers

Date Prepared:August 30, 2005
Submitted by:Volcano Corp.
2870 Kilgore Rd.
Rancho Cordova, CA 95670
Contact person:Michelle J. Badal, RAC
Regulatory Affairs Manager
Phone number:
Facsimile number:(916) 861-0287 or (800) 228-4728 ext. 287
(916) 638-8112
Device Name:Sterile Equipment Covers

Classification name:

878.4370 Surgical drape and drape accessories

Class II

Predicate Device:

The Sterile Equipment Covers are substantially equivalent to the MicroTek Equipment Drapes cleared under K050322 on May 17, 2005, Medline Band Bags and Equipment Covers cleared under K032065 on September 22, 2003, and United States Surgical Corporation cleared under K961699 on August 23, 1996. The Volcano Sterife Equipment Covers have the same Intended Use and utilizes the same fundamental scientific technology as that of the predicate devices.

Device Description:

Sterile Equipment Covers

Intended Use:

The Sterile Equipment Covers are intended to be used to cover medical equipment in order to maintain the sterile field. These covers are not intended to be used as patient drapes and have no patient contact.

Device Technological Characteristics and Comparison to Predicate Device:

The Sterile Equipment Covers uses the same fundamental scientific technology and has the same intended use and clinical applications as that of the predicate device.

Performance Data:

Sterilization validation testing was performed according to ANSI/AAMI/ISO 11135:1994. All requirements were met.

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC I 2005

Ms. Michelle J. Badal, RAC Manager, Regulatory Volcano Corporation 2870 Kilgore Road Rancho Cordova, California 95670

Re: K052395

Trade/Device Name: Sterile Equipment Covers Regulation Number: 878.4370 Regulation Name: Surgical Drape and Drape Accessories Regulatory Class: II Product Code: KKX Dated: November 23, 2005 Received: November 28, 2005

Dear Ms. Badal:

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 rortions 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 appear and 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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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.

2

Page 2 - Ms. Badal

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 Incall that I DA mas made a assossions administered by other Federal agencies. of the Act of ally I ouchar backs requirements, including, but not limited to: registration 1 od interest comply with and 807); labeling (21 CFR Part 801); good manufacturing practice and fisting (21 er reverts 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.

This letter will allow you to begin marketing your device as described in your Section 510(k) This letter will anon you to began finding of substantial equivalence of your device to a premarket notified bevice 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 Compliance 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 of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours,

Sarette Y. Michael Oms

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

3

Indications for Use

510(k) Number (if known): K052395

Sterile Equipment Covers Device Name:

Indications For Use:

The Sterile Equipment Covers are intended to be used to cover medical

equipment in order to maintain the sterile field. These covers are not

intended to be used as patient drapes and have no patient contact.

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

Over-The-Counter Use ________(Part 21

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hale P. Murphy, MD 11/30/05

Sign-Off)
ision of Anesthesiology, General Hospital,
ection Control, Dental Devices
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  • Number: K 052 593