K Number
K060618
Device Name
CIDEX ACTIVATED DIALDEHYDE SOLUTION
Date Cleared
2006-04-12

(35 days)

Product Code
Regulation Number
880.6885
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
CIDEX® Activated Dialdehyde Solution is a liquid chemical sterilant and a high level disinfectant for reprocessing heat sensitive medical/dental devices such as endoscopes, respiratory therapy equipment and ultrasonic transducers. Sterilant: CIDEX Solution is a sterilant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25°C (77°) with an immersion time of at least 10 hours with a reuse period not to exceed 14 days. High Level Disinfectant: CIDEX Solution is a high level disinfectant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25°C (77°) with an immersion time of at least 45 minutes with a reuse period not to exceed 14 days. CIDEX Solution is intended for use in manual systems as well as in automated endoscope reprocessors.
Device Description
CIDEX Solution is a liquid chemical sterilant/high level disinfectant used for sterilization/high-level disinfection of heat sensitive semi-critical medical devices that cannot be processed by another process. The active ingredient is not specified in the provided text. The modification to the device incorporates an anti-oxidant and solubilizing agent to increase the shelf life of the product beyond the current 2 years.
More Information

Not Found

No
The document describes a chemical sterilant/disinfectant and its performance in microbiological and stability studies. There is no mention of AI or ML technology in the intended use, device description, or performance studies.

No.
This device is a chemical sterilant and high-level disinfectant used for reprocessing medical/dental devices, not a device used for medical treatment or diagnosis.

No

This device is a chemical sterilant and high-level disinfectant used for reprocessing heat-sensitive medical devices, not for diagnosing medical conditions. Its function is to kill microorganisms on instruments, not to detect or identify conditions in patients.

No

The device is a liquid chemical sterilant/high level disinfectant, which is a physical substance, not software.

Based on the provided information, the CIDEX® Activated Dialdehyde Solution is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for reprocessing heat-sensitive medical/dental devices (sterilization and high-level disinfection). This is a process applied to medical devices themselves, not a test performed on biological samples to diagnose a condition or provide information about a patient's health.
  • Device Description: It's described as a liquid chemical sterilant/high level disinfectant used for processing medical devices.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Providing diagnostic information about a patient
    • Measuring analytes or markers in a sample
    • Being used in a laboratory setting for patient testing

The CIDEX® Solution is a chemical agent used to clean and disinfect medical equipment, which falls under the category of a medical device itself, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

CIDEX® Activated Dialdehyde Solution is a liquid chemical sterilant and a high level disinfectant for reprocessing heat sensitive medical/dental devices such as endoscopes, respiratory therapy equipment and ultrasonic transducers.

Sterilant:
CIDEX Solution is a sterilant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25℃ (77°) with an immersion time of at least 10 hours with a reuse period not to exceed 14 days.

High Level Disinfectant:
CIDEX Solution is a high level disinfectant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25℃ (77°) with an immersion time of at least 45 minutes with a reuse period not to exceed 14 days.

CIDEX Solution is intended for use in manual systems as well as in automated endoscope reprocessors.

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

MED

Device Description

CIDEX Solution is a liquid chemical sterilant/high level disinfectant used for sterilization/high-level disinfection of heat sensitive semi-critical medical devices that cannot be processed by another process. The active ingredient

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)

Microbiological activity of the Modified Device was evaluated using the required standard test methods. The sterilization claim and high level disinfection claim for the Modified Device was confirmed to be the same as the Predicate Device.

Simulated use studies were conducted to validate the sterilization and high-level disinfection claim. The external surface and internal lumens of three types of endoscopes were inoculated with >10^6 cfu Bacillus subtilis spores and subjected to 10 hours soaking at 25℃. Sampling of the surface and lumens indicated a >10^6 log reduction in viable spores. High-level disinfection was verified in a simulated use study using the same three types of scopes whose surfaces and internal lumens were inoculated with >10^6 cfu Mycobacterium terrae. Exposure to the Modified Device for 45 min at 25℃ reduced the viable M. terrae by >610g10.

Stability studies of the Modified Device are in progress. Accelerated stability studies (40°C/75%RH) indicate that the product is stable for 6 months, and increase over the stability of the Predicate Device. Real time stability (30°C/60%RH) is on going. Data at 18 months indicates the product is stable. Data will be collected out to 3 years.

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.

K924434

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

§ 880.6885 Liquid chemical sterilants/high level disinfectants.

(a)
Identification. A liquid chemical sterilant/high level disinfectant is a germicide that is intended for use as the terminal step in processing critical and semicritical medical devices prior to patient use. Critical devices make contact with normally sterile tissue or body spaces during use. Semicritical devices make contact during use with mucous membranes or nonintact skin.(b)
Classification. Class II (special controls). Guidance on the Content and Format of Premarket Notification (510(k)) Submissions for Liquid Chemical Sterilants/High Level Disinfectants, and user information and training.

0

Special 510(k) Advanced Sterilization Products CIDEX® Activated Dialdehyde Solution

J. 510(k) Summarv

APR 1 2 2006

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

Advanced Sterilization Products A Johnson & Johnson Company Division of Ethicon, Inc. 33 Technology Dr. Irvine, CA 92618

Contact Person:

Joseph M. Ascenzi, Ph.D., RAC Sr. Manager, Regulatory Affairs Phone: (949) 453-6352 (949) 789-3900 FAX: Email: jascenzi@aspus.jnj.com

Submission Date

March 7, 2006

Trade Name CIDEX® Activated Dialdehyde Solution

Common Name

Liquid Chemical Sterilant

Classification

Class II

Legally Marketed Equivalent Device

CIDEX® Activated Dialdehyde Solution, K924434

Description of Device

CIDEX Solution is a liquid chemical sterilant/high level disinfectant used for sterilization/high-level disinfection of heat sensitive semi-critical medical devices that cannot be processed by another process. The active ingredient

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Page 2 of 3

Indications for Use

CIDEX® Activated Dialdehyde Solution is a liquid chemical sterilant and a high level disinfectant for reprocessing heat sensitive medical/dental devices such as endoscopes, respiratory therapy equipment and ultrasonic transducers.

Sterilant:

CIDEX Solution is a sterilant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25°C (77°) with an immersion time of at least 10 hours with a reuse period not to exceed 14 days.

High Level Disinfectant:

CIDEX Solution is a high level disinfectant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25°C (77°) with an immersion time of at least 45 minutes with a reuse period not to exceed 14 days.

CIDEX Solution is intended for use in manual systems as well as in automated endoscope reprocessors.

Description of Modification

The modification to the device incorporates an anti-oxidant and solubilizing agent to increase the shelf life of the product beyond the current 2 years.

Summary of Non-clinical Tests

Microbiological activity of the Modified Device was evaluated using the required standard test methods. The sterilization claim and high level disinfection claim for the Modified Device was confirmed to be the same as the Predicate Device.

Simulated use studies were conducted to validate the sterilization and high-level disinfection claim. The external surface and internal lumens of three types of endoscopes were inoculated with >10° cfu Bacillus subtilis spores and subjected to 10 hours soaking at 25℃. Sampling of the surface and lumens indicated a >106 log reduction in viable spores. High-level disinfection was verified in a simulated use study using the same three types of scopes whose surfaces and internal lumens were inoculated with >106 cfu Mycobacterium terrae. Exposure to the Modified Device for 45 min at 25℃ reduced the viable M. terrae by >610g10.

Stability studies of the Modified Device are in progress. Accelerated stability studies (40°C/75%RH) indicate that the product is stable for 6 months, and increase over the stability of the Predicate Device. Real time stability

2

(30°C/60%RH) is on going. Data at 18 months indicates the product is stable. Data will be collected out to 3 years.

Substantial Equivalence

Based on the data obtained from the studies described above, the Modified Device, CIDEX Activated Dialdehyde Solution is substantially equivalent to the Predicate Device.

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Image /page/3/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 forming its body and wings. The eagle faces right and is positioned to the right of the department's name, which is arranged in a circular pattern around the left side of the logo. The text reads "DEPARTMENT OF HEALTH AND HUMAN SERVICES - USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 1 2 2006

Dr. Joseph M. Ascenzi Senior Manager, Regulatory Affairs Advanced Sterilization Products Johnson & Johnson Company Division of Ethicon, Incorporated 33 Technology Drive Irvine, California 92618

Re: K060618

Trade/Device Name: CIDEX® Activated Dialdehyde Solution Regulation Number: 880.6885 Regulation Name: Liquid Chemical Sterilants/High Level Disinfectants Regulatory Class: II Product Code: MED Dated: March 28, 2006 Received: March 29, 2006

Dear Dr. Ascenzi:

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 vour device in the Federal Register.

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Page 2 - Dr. Ascenzi

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 (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) 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 (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 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/industry/support/index.html.

Sincerely yours,

Sujite Y. Mchia M.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

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Device Name: CIDEX® Activated Dialdehyde Solution

Indications for Use:

CIDEX® Activated Dialdehyde Solution is a liquid chemical sterilant and a high level disinfectant for reprocessing heat sensitive medical/dental devices such as endoscopes, respiratory therapy equipment and ultrasonic transducers.

Sterilant:

CIDEX Solution is a sterilant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25℃ (77°) with an immersion time of at least 10 hours with a reuse period not to exceed 14 days.

High Level Disinfectant:

CIDEX Solution is a high level disinfectant when used or reused, according to the Directions for Use, at or above its Minimum Effective Concentration (MEC) as determined by the CIDEX® Solution Test Strip, at 25℃ (77°) with an immersion time of at least 45 minutes with a reuse period not to exceed 14 days.

CIDEX Solution is intended for use in manual systems as well as in automated endoscope reprocessors.

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

Over-the-Counter Use (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)

4/12/06

any, General Hospi

K0406 18

Apr