K Number
K070431
Manufacturer
Date Cleared
2007-05-24

(100 days)

Product Code
Regulation Number
878.4040
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
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

AI/ML Overview

The Welmed, Inc. Surgical Gowns were evaluated for their performance based on a range of established standards and testing methods. The submission primarily focuses on demonstrating substantial equivalence to a predicate device (IMC Surgical Gowns, K052550) through similarities in intended use, materials, design, and testing methodology.

Here's an analysis of the provided information:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria are implicitly defined by the chosen standard test methods and the expectation that the Welmed Surgical Gowns perform comparably to, or in accordance with, these recognized standards for surgical gowns. The document reports that data was "Generated" in accordance with these standards, implying that the device demonstrated performance meeting the criteria outlined in each standard for its respective characteristic.

Acceptance Criteria (Standard/Guidance Document)Reported Device Performance (Data Generated)
AATCC Test Method 127-1998 Water Resistance: Hydrostatic Pressure TestHydrostatic Pressure - Water Resistance
AATCC Test Method 42-2000 Water Resistance: Impact Penetration TestImpact Penetration - Water Resistance
ASTM - D5034-95(2001) Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test)Tensile Strength
ASTM - D5734-95(2001) Standard Test Method for Tearing Strength of Nonwoven Fabrics by Falling-Pendulum (Elmendorf) ApparatusElmendorf Tear
ISO 9073-10:2003 - Textiles - Test methods for nonwovens -- Part 10: Lint and other particles generation in the dry stateGelbo Flex - Lint
CPSC CS-191-53 Flammability Test Method (16 CFR 1610) Standard for Flammability of Clothing TextilesFlammability
AAMI / ANSI / ISO 10993-1:2003(E). Biological evaluation of medical devices -- Part 1: Evaluation and testingBiocompatibility Testing Evaluation
AAMI / ANSI / ISO 10993-5:1999, Biological evaluation of medical devices -- Part 5: Tests for In Vitro cytotoxicityCytotoxicity
AAMI / ANSI / ISO 10993-10:2002(E), Biological evaluation of medical devices -- Part 10: Tests for irritation and sensitizationSkin Irritation, intra-cutaneous reactivity & sensitization

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state the specific sample sizes used for each of the performance tests. It only lists the test methods used to generate data. There is no information regarding the country of origin of the data or whether it was retrospective or prospective. Given the nature of these tests (material properties), they are typically conducted on new material samples.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

This information is not applicable to the evaluation of surgical gowns based on physical and biological performance standards. The "ground truth" for these tests is established by the well-defined methodologies and criteria within the internationally recognized standards themselves, not by expert consensus on individual cases.

4. Adjudication Method for the Test Set

This information is not applicable. The tests are objective measurements of material properties and biological responses, not subjective assessments requiring adjudication.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done

No. This type of study is not relevant for the evaluation of surgical gowns. MRMC studies are typically used to assess the effectiveness of diagnostic or screening devices where human interpretation plays a significant role.

6. If a Standalone (i.e., algorithm only without human-in-the-loop performance) Was Done

No. This concept is not applicable as the device is a physical surgical gown, not an algorithm.

7. The Type of Ground Truth Used

The ground truth used for these performance tests is based on established scientific and engineering standards and their predefined pass/fail criteria. For example:

  • Physical Properties: The tensile strength, tear strength, hydrostatic pressure, and impact penetration are measured against the requirements specified in the respective ASTM and AATCC standards for surgical gowns to provide a barrier.
  • Flammability: Assessed against CPSC CS-191-53.
  • Lint Generation: Assessed against ISO 9073-10.
  • Biocompatibility: Evaluated based on the criteria set forth in the ISO 10993 series, which define acceptable levels of cytotoxicity, irritation, and sensitization.

8. The Sample Size for the Training Set

There is no "training set" in the context of this submission. The device is a physical product, and its performance is evaluated directly through standardized laboratory testing, not through machine learning or AI algorithms that require training data.

9. How the Ground Truth for the Training Set Was Established

Not applicable, as there is no training set.

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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:

CandidatePredicateManufacturerDocketNumber
Welmed SurgicalGownsIMC SurgicalGownsInternational MedsurgConnections, 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
WelmedSurgicalGownsBasic Intended UseSame as IMCSurgical 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

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Standard or Guidance DocumentData GeneratedRelevantSection ofSubmission
AATCC Test Method 127-1998Water Resistance: Hydrostatic PressureTestHydrostaticPressure - WaterResistance18
AATCC Test Method 42-2000Water Resistance: Impact Penetration TestImpact Penetration- Water Resistance18
ASTM - D5034-95(2001) Standard TestMethod for Breaking Strength andElongation of Textile Fabrics (Grab Test)Tensile Strength18
ASTM - D5734-95(2001) Standard TestMethod for Tearing Strength of NonwovenFabrics by Falling-Pendulum (Elmendorf)ApparatusElmendorf Tear18
ISO 9073-10:2003 - Textiles - Testmethods for nonwovens -- Part 10: Lint andother particles generation in the dry stateGelbo Flex - Lint18
CPSC CS-191-53 Flammability TestMethod (16 CFR 1610) Standard forFlammability of Clothing TextilesFlammability18
AAMI / ANSI / ISO 10993-1:2003(E).Biological evaluation of medical devices --Part 1: Evaluation and testingBiocompatibilityTesting Evaluation15
AAMI / ANSI / ISO 10993-5:1999, Biologicalevaluation of medical devices -- Part 5:Tests for In Vitro cytotoxicityCytotoxicity15
AAMI / ANSI / ISO 10993-10:2002(E),Biological evaluation of medical devices --Part 10: Tests for irritation and sensitizationSkin Irritation, intra-cutaneousreactivity &sensitization15

Test Data Provided in this Submission

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

:

.

:

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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.

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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

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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

Page 4 of 42

February 8, 2007

§ 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.