K Number
K070431
Device Name
WELMED, INC. SURGICAL GOWNS
Manufacturer
Date Cleared
2007-05-24

(100 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Disposable gowns are used in the OR as a protective covering, for operating room staff, from the transfer of body fluids and particulates. Gowns provided as sterile and non-sterile. Non-sterile surgical gowns are to be sold to OEMs for EtO sterilization according to ISO 11135. Sterile Surgical Gowns are to be sold directly to users after EtO sterilization validation to ISO 11135.
Device Description
Not Found
More Information

No
The 510(k) summary describes disposable surgical gowns and does not mention any AI or ML technology. The focus is on material properties, sterilization, and intended use as a protective barrier.

No
The device is a disposable gown used by operating room staff as a protective covering, not for treating a disease or condition.

No
The device, disposable gowns, is described as a protective covering for operating room staff and is not used to diagnose any medical condition.

No

The device described is a physical medical device (disposable gowns) and does not involve any software component.

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

Here's why:

  • Intended Use: The intended use is to provide a protective covering for operating room staff from body fluids and particulates. This is a physical barrier function, not a diagnostic test performed on samples taken from the body.
  • Device Description: While the description is "Not Found," the intended use clearly defines the function as protective wear.
  • Lack of IVD Characteristics: There is no mention of analyzing samples (blood, urine, tissue, etc.), detecting specific substances, or providing diagnostic information about a patient's health status.
  • Predicate Device: The predicate device is also a surgical gown, which is not an IVD.

IVDs are devices used 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

Disposable gowns are used in the OR as a protective covering, for operating room staff, from the transfer of body fluids and particulates.

Gowns provided as sterile and non-sterile.

Non-sterile surgical gowns are to be sold to OEMs for EtO sterilization according to ISO 11135. Sterile Surgical Gowns are to be sold directly to users after EtO sterilization validation to ISO 11135.

Product codes

FYA

Device Description

Not Found

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

Operating room staff in an OR setting.

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)

The information in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to devices already in commercial distribution. Equivalence is demonstrated through intended use, materials, design and testing methods.

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

Not Found

Predicate Device(s)

K052550

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

K070431

Section 5: 510(k) Summary

MAY 2 4 2007

1.0 Submitted By:

Dave Fliss, President Welmed, Inc. 691 Lake Street Grayslake, IL 60030 Establishment Registration Number: 3005841027

Primary Contact: Glen Feye, President Accurate Consultants, Inc. 1340 West Pennsylvania Ave. San Diego, CA 92103 Telephone: 619-291-3695 Fax: 619-393-0582 glenfeye@earthlink.net

2.0 Date Submitted:

February 8, 2007

3.0 Device Name(s):

Proprietary Names 3.1

Welmed, Inc. Surgical Gowns

3.2 Classification Name

21CFR 878.4040 (Surgical Gown) Product code - FYA (Gown, Surgical).

Welmed, Inc. Section 510(k) Notification Surgical Gowns Welmed+Gowns+510K+Draft+2-7-07

Page 5 of 42 February 8, 2007

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4.0 Predicate Devices:

| Candidate | Predicate | Manufacturer | Docket
Number |
|--------------------------|-----------------------|--------------------------------------------|------------------|
| Welmed Surgical
Gowns | IMC Surgical
Gowns | International Medsurg
Connections, Inc. | K052550 |

5.0 Intended Use:

Disposable gowns are used in the OR as a protective covering, for operating room staff, from the transfer of body fluids and particulates.

Gowns provided as sterile and non-sterile.

Non-sterile surgical gowns are to be sold to OEMs for EtO sterilization according to ISO 11135. Sterile Surgical Gowns are to be sold directly to users after EtO sterilization validation to ISO 11135.

6.0 Comparison to Predicate(s):

The following tables show similarities and differences between the predicate identified in Section 4.0 of this summary.

ProductAspect/CharacteristicComments
Welmed
Surgical
GownsBasic Intended UseSame as IMC
Surgical Gowns
Materials Used – SMMS & SPP
Configurations/Design
Provided Sterile and Non-Sterile
Testing Methods

Similarities to the Predicate

There are no significant differences between the Welmed products and their respective predicate products.

7.0 Summary of Performance Data:

The information in the Premarket Notification on safety and effectiveness supports a finding of substantial equivalence to devices already in commercial distribution. Equivalence is demonstrated through intended use, materials, design and testing methods.

Welmed, Inc. Section 510(k) Notification Surgical Gowns Welmed+Gowns+510K+Draft+2-7-07

Page 6 of 42 February 8, 2007

2

| Standard or Guidance Document | Data Generated | Relevant
Section of
Submission |
|----------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------|--------------------------------------|
| AATCC Test Method 127-1998
Water Resistance: Hydrostatic Pressure
Test | Hydrostatic
Pressure - Water
Resistance | 18 |
| AATCC Test Method 42-2000
Water Resistance: Impact Penetration Test | Impact Penetration

  • Water Resistance | 18 |
    | ASTM - D5034-95(2001) Standard Test
    Method for Breaking Strength and
    Elongation of Textile Fabrics (Grab Test) | Tensile Strength | 18 |
    | ASTM - D5734-95(2001) Standard Test
    Method for Tearing Strength of Nonwoven
    Fabrics by Falling-Pendulum (Elmendorf)
    Apparatus | Elmendorf Tear | 18 |
    | ISO 9073-10:2003 - Textiles - Test
    methods for nonwovens -- Part 10: Lint and
    other particles generation in the dry state | Gelbo Flex - Lint | 18 |
    | CPSC CS-191-53 Flammability Test
    Method (16 CFR 1610) Standard for
    Flammability of Clothing Textiles | Flammability | 18 |
    | AAMI / ANSI / ISO 10993-1:2003(E).
    Biological evaluation of medical devices --
    Part 1: Evaluation and testing | Biocompatibility
    Testing Evaluation | 15 |
    | AAMI / ANSI / ISO 10993-5:1999, Biological
    evaluation of medical devices -- Part 5:
    Tests for In Vitro cytotoxicity | Cytotoxicity | 15 |
    | AAMI / ANSI / ISO 10993-10:2002(E),
    Biological evaluation of medical devices --
    Part 10: Tests for irritation and sensitization | Skin Irritation, intra-
    cutaneous
    reactivity &
    sensitization | 15 |

Test Data Provided in this Submission

Welmed, Inc. Section 510(k) Notification Surgical Gowns Welmed+Gowns+510K+Draft+2-7-07

:

.

:

3

Image /page/3/Picture/2 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" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread, symbolizing the department's mission to protect the health of all Americans.

MAY 2 4 2007

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Welmed. Incorporated C/O Mr. Glen Feye President Accurate Consultants, Incorporated 1340 West Pennsylvania Avenue San Diego, California 92103

Re: K070431

Trade/Device Name: Welmed, Incorporated Surgical Gowns Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: II Product Code: FYA Dated: April 12, 2007 Received: May 8, 2007

Dear Mr. Feye:

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.

4

Page 2 - Mr. Feye

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 (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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely vours.

Chiu-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

5

Section 4: Indications for Use Statements

Indications for Use

510(k) Number (if known): 长O2043

Welmed Surgical Gowns Device Name:

Indications for Use:

Disposable gowns are used in the OR as a protective covering, for operating room staff, from the transfer of body fluids and particulates.

Gowns provided as sterile and non-sterile.

Non-sterile surgical gowns are to be sold to OEMs for EtO sterilization according to ISO 11135. Sterile Surgical Gowns are to be sold directly to users after EtO sterilization validation to ISO 11135.

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

Over-The-Counter Use (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)

Shula A. Murphy, KD

Page 1 of

of Anesthesiology, General Hospital, Control, Dental Devices

) Number: K 670431

Welmed, Inc. Section 510(k) Notification Surgical Gowns Welmed+Gowns+510K+Draft+2-7-07

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February 8, 2007