K Number
K052567
Device Name
ONE TRAY SEALED STERILIZATION CONTAINER
Date Cleared
2006-03-13

(175 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
ONE TRAY® Sealed Sterilization Containers are intended to be used to hold temperature tolerant medical devices, surgical supplies, single instruments or an instruments or an instrument set for immediate use following flash sterilization. This includes sterilization of lumens 3 mm in diameter or larger with lengths of up to 400 mm. After sterilization, ONE TRAY provides for the safe transport and assured delivery for immediate use of the enclosed devices in a sealed container with tamper evident security and load record documentation according to AAMI and AORN guidelines.
Device Description
ONE TRAY® is a sealed rigid container with a rectangular patterned group of perforations forming vented areas in the lid and base. Dispossable hydrophobic SMS filters cover each vented area and are held firmly in place by a perforated stainless steel filters cover. This assembly permits the penetration of steam during the sterilization process and serves as a bacterial and fluid barrier at the conclusion of the sterilization cycle.
More Information

No
The device description and performance studies focus on the physical properties and sterilization capabilities of a sealed container, with no mention of AI or ML.

No
The device is a sterilization container for holding medical devices and surgical supplies, not for treating a disease or condition.

No
The device, ONE TRAY, is described as a sealed sterilization container used to hold medical devices for sterilization and transport. Its function is to facilitate the sterilization process and ensure the safe delivery of instruments, not to diagnose medical conditions or provide medical information about a patient.

No

The device description clearly outlines a physical, rigid container with filters and covers, indicating it is a hardware device for sterilization and transport. There is no mention of software as the primary or sole component.

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 device is used to hold and sterilize medical devices and supplies for immediate use. It is a container for sterilization and transport.
  • Device Description: The description details the physical components of a sterilization container, focusing on its ability to allow steam penetration and act as a barrier.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes.

IVD devices are specifically designed to perform tests on biological samples (like blood, urine, tissue) to diagnose conditions, monitor health, or determine compatibility. This device's function is entirely related to the sterilization and handling of medical instruments.

N/A

Intended Use / Indications for Use

The ONE TRAY® Sealed Sterilization Containers are intended to be used for rapid sterilization of instruments or instrument sets in flash cycles. The containers are intended to be used to hold medical devices during steam sterilization. The complete line of ONE TRAY® Sealed Sterilization Containers can be processed in both flash steam pre-vacuum and gravity cycles.

After sterilization, ONE TRAY® provides for the safe transport and assured delivery of the enclosed devices in a sealed container with tamper evident protection according to AAMI and AORN guidelines.

ONE TRAY® Sealed Sterilization Containers are intended to be used to hold temperature tolerant medical devices, surgical supplies, single instruments or an instruments or an instrument set for immediate use following flash sterilization. This includes sterilization of lumens 3 mm in diameter or larger with lengths of up to 400 mm.

After sterilization, ONE TRAY provides for the safe transport and assured delivery for immediate use of the enclosed devices in a sealed container with tamper evident security and load record documentation according to AAMI and AORN guidelines.

The performance and intended use of ONE TRAY Sealed Sterilization Containers should comply at all times with the methods of use and flash sterilization guidelines as recommended by the manufacturer of the devices being sterilized, AAMI (Association for the Advance of Medical Instrumentation), AORN (Association of periOperative Nurses), ASHCSP (American Society of Healthcare Central Service Professionals), NIHSPO (National Institute for the Certification of Healthcare Sterile Processing and Distribution Personnel) and IAHCSMM (International Association of Healthcare Central Service Materiel Management)

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

80FRG, KCT

Device Description

ONE TRAY® is a sealed rigid container with a rectangular patterned group of perforations forming vented areas in the lid and base. Dispossable hydrophobic SMS filters cover each vented area and are held firmly in place by a perforated stainless steel filters cover. This assembly permits the penetration of steam during the sterilization process and serves as a bacterial and fluid barrier at the conclusion of the sterilization cycle.

The ONE TRAY® design is rectangular in shape and has vents in the lid and floor. The ONE TRAY® design/performance concept takes advantage of the thermodynamic behavior of steam to facilitate the expeditious and complete introduction of the sterilant throughout the container. This is accomplished by incorporating a specific number of proportionate size vents in strategic locations in both the lid and base. As the sterilizing media (steam) fills up the chamber of the sterilizer, it is introduced into the container through the dedicated entry vent in the lid of ONE TRAY®. This dedicated entry port provides for displacement of the atmosphere within the container from the top to the bottom.

The vents located in the extreme lateral portions of the floor provide two dedicated exit ports that offer twice the vapor exchange capacity of the single entry vent in the lid. This relationship facilitates the complete, consistent and expeditious displacement of the atmosphere by the sterilant throughout the ONE TRAY® container,

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

Testing was performed in order to determine the functional equivalency between the ONE TRAY® and the predicate device. Performance testing of the ONE TRAY® included, steam penetration, half cycle validation, package integrity, shelf life, material compatibility and biocompatibility studies. Based on the results of laboratory tests; the ONE TRAY® is substantially equivalent to the predicate container.

The ONE TRAY® components listed in the preceding table have been validated in all of the various size configurations listed in the following table to process a twenty five pound (25 lb) gross weight load (single container plus contents) in a steam pre-vacuum cycle at 132°C for 4 minutes exposure time; or in a steam gravity cycle at 132°C for 34 minutes exposure time.

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.

K960738, K022978

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.

K833343, K871202

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

§ 880.6850 Sterilization wrap.

(a)
Identification. A sterilization wrap (pack, sterilization wrapper, bag, or accessories, is a device intended to be used to enclose another medical device that is to be sterilized by a health care provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.(b)
Classification. Class II (performance standards).

0

510(k) Summary of

K052567

Safety and Effectiveness

Submitter: Sterile Containment Technology, LLC 1301 Quarry Court Suit 204 Point Richmond, CA 94801 510-412-6383 (phone) 510-588-4699 (fax)

◆ Establishment FDA Registration No .: 3003793526

. Date Summary was prepared August 30th, 2005

Percival Banks Printed name of person submitting for 510(k)

Signature of person submitting for 510(k)

President Title of person submitting for 510(k)

Device Name and Classification

Trade Name:ONE TRAY® Sealed Sterilization Container
Classification Name:Sterilization Wrap
Common Name:Sterilization, Rigid Reusable Case
Device Classification:General Hospital, Class II, Regulation No. 880.6850
Product Code:80FRG

Predicate Device

.

Case Medical SteriTite® K960738 and K022978

Additional Predicate Devices

Medin K833343 and FlashPak K871202

Device Description

ONE TRAY® is a sealed rigid container with a rectangular patterned group of perforations forming vented areas in the lid and base. Dispossable hydrophobic SMS filters cover each vented area and are held firmly in place by a perforated stainless steel filters cover. This assembly permits the penetration of steam during the sterilization process and serves as a bacterial and fluid barrier at the conclusion of the sterilization cycle.

1

Intended Use

The ONE TRAY® Sealed Sterilization Containers are intended to be used for rapid sterilization of instruments or instrument sets in flash cycles. The containers are intended to be used to hold medical devices during steam sterilization. The complete line of ONE TRAY® Sealed Sterilization Containers can be processed in both flash steam pre-vacuum and gravity cycles.

After sterilization, ONE TRAY® provides for the safe transport and assured delivery of the enclosed devices in a sealed container with tamper evident protection according to AAMI and AORN guidelines.

Technical Characteristics

The ONE TRAY® design is rectangular in shape and has vents in the lid and floor. The ONE TRAY® design/performance concept takes advantage of the thermodynamic behavior of steam to facilitate the expeditious and complete introduction of the sterilant throughout the container. This is accomplished by incorporating a specific number of proportionate size vents in strategic locations in both the lid and base. As the sterilizing media (steam) fills up the chamber of the sterilizer, it is introduced into the container through the dedicated entry vent in the lid of ONE TRAY®. This dedicated entry port provides for displacement of the atmosphere within the container from the top to the bottom.

The vents located in the extreme lateral portions of the floor provide two dedicated exit ports that offer twice the vapor exchange capacity of the single entry vent in the lid. This relationship facilitates the complete, consistent and expeditious displacement of the atmosphere by the sterilant throughout the ONE TRAY® container,

Performance Testing

Testing was performed in order to determine the functional equivalency between the ONE TRAY® and the predicate device. Performance testing of the ONE TRAY® included, steam penetration, half cycle validation, package integrity, shelf life, material compatibility and biocompatibility studies. Based on the results of laboratory tests; the ONE TRAY® is substantially equivalent to the predicate container.

Conclusion

Supportive data has demonstrated that the ONE TRAY® is substantially equivalent to the predicate device in that they have the same intended uses and the performance attributes are the same. The use of the ONE TRAY® raises no issues related to its safety or effectiveness and therefore the ONE TRAY® should be allowed for market in the United States.

2

Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized eagle with three heads, representing health, human services, and well-being. The words "DEPARTMENT OF HEALTH AND HUMAN SERVICES. USA" are arranged in a circular pattern around the eagle.

MAR 1 3 2006

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Gage Garman Sterile Containment Technology, Limited Liability Company 1301 Quarry Court, Suite 204 Point Richmond, California 94801

Re: K052567

Trade/Device Name: ONE TRAY® Sealed Sterilization Container Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: II Product Code: KCT Dated: February 11, 2006 Received: February 16, 2006

Dear Mr. Garman:

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.

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.

3

Page 2 - Mr. Gage Garman

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); good manufacturing practice requirements as set forth in the quality systems (OS) 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) 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 regulation (21 CFR Part 801). please contact the Office of Compliance at (301) 594-4618. 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 Division 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/dsma/dsmamain.html

Sincerely yours,

Saith y. Michael Oond.

Chíu 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: K052567

Device Name: ONE TRAY® Sealed Sterilization Container

Indications For Use:

ONE TRAY® Sealed Sterilization Containers are intended to be used to hold temperature tolerant medical devices, surgical supplies, single instruments or an instruments or an instrument set for immediate use following flash sterilization. This includes sterilization of lumens 3 mm in diameter or larger with lengths of up to 400 mm.

ONE TRAY® Sealed Sterilization Containers are available in the following sizes:

ONE TRAY System Components
Product No.Product NameDescription
ONE 20 Model
OTS-MB2000ONE 20ML BaseONE 20ML Base - 20" Low Profile Base (Metal, Blue, 11.5"x20.5"x3")
OTS-MB2001ONE 20MH BaseONE 20MH Base - 20" High Profile Base (Metal, Blue, 11.5"x20.5"x5")
OTS-MB2010ONE 20ML CoverONE 20ML Cover - 20" Low Profile Cover (Metal, Blue, 11.5"x20.5"x1")
OTS-MB2011ONE 20MH CoverONE 20MH Cover - 20" High Profile Cover (Metal, Blue, 11.5"x20.5"x2.5")
OTS-MB2020ONE 20M DeckONE 20M Deck -20" Deck Plate (Metal, Blue, 11.5"x20.5")
ONE 23 Model
OTS-MB2300ONE 23ML BaseONE 23ML Base - 23" Low Profile Base (Metal, Blue, 11.5"x23.5"x3")
OTS-MB2301ONE 23MH BaseONE 23MH Base - 23" High Profile Base (Metal, Blue, 11.5"x23.5"x5")
OTS-MB2310ONE 23ML CoverONE 23ML Cover - 23" Low Profile Cover (Metal, Blue, 11.5"x23.5"x1")
OTS-MB2311ONE 23MH CoverONE 23MH Cover - 23" High Profile Cover (Metal, Blue, 11.5"x23.5"x2.5")
OTS-MB2320ONE 23M DeckONE 23M Deck -23" Deck Plate (Metal, Blue, 11.5"x23.5)

The ONE TRAY® components listed in the preceding table have been validated in all of the various size configurations listed in the following table to process a twenty five pound (25 lb) gross weight load (single container plus contents) in a steam pre-vacuum cycle at 132°C for 4 minutes exposure time; or in a steam gravity cycle at 132°C for 34 minutes exposure time.

Shule A. Murgheigh, 13/4/06
Page 1 of 2

ing, Genere

Lakes
Koszta

5

ONE 20 ModelONE 23 Model
NameDescriptionProduct No.NameDescriptionProduct No.
ONE 20MHHigh Profile BaseOTS-MB2001ONE 23MHHigh Profile BaseOTS-MB2301
High Profile CoverOTS-MB2011High Profile CoverOTS-MB2311
Deck PlateOTS-MB2020Deck PlateOTS-MB2320
ONE 20MHLHigh Profile BaseOTS-MB2001ONE 23MHLHigh Profile BaseOTS-MB2301
Low CoverOTS-MB2010Low CoverOTS-MB2310
Deck PlateOTS-MB2020Deck PlateOTS-MB2320
ONE 20MLHLow Profile BaseOTS-MB2000ONE 23MLHLow Profile BaseOTS-MB2300
High Profile CoverOTS-MB2011High Profile CoverOTS-MB2311
Deck PlateOTS-MB2020Deck PlateOTS-MB2320
ONE 20MLLow Profile BaseOTS-MB2000ONE 23MLLow Profile BaseOTS-MB2300
Low Profile CoverOTS-MB2010Low Profile CoverOTS-MB2310
Deck PlateOTS-MB2020Deck PlateOTS-MB2320

After sterilization, ONE TRAY provides for the safe transport and assured delivery for immediate use of the enclosed devices in a sealed container with tamper evident security and load record documentation according to AAMI and AORN guidelines.

The performance and intended use of ONE TRAY Sealed Sterilization Containers should comply at all times with the methods of use and flash sterilization guidelines as recommended by the manufacturer of the devices being sterilized, AAMI (Association for the Advance of Medical Instrumentation), AORN (Association of periOperative Nurses), ASHCSP (American Society of Healthcare Central Service Professionals), NIHSPO (National Institute for the Certification of Healthcare Sterile Processing and Distribution Personnel) and IAHCSMM (International Association of Healthcare Central Service Materiel Management)

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

Over-The-Counter Use ___X (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 2 of 2

Shiela P. Murphy, A 3/9/04

General Hos,
Dental Devices