K Number
K073551
Device Name
SMITH & NEPHEW INSTRUMENT TRAYS
Date Cleared
2008-05-21

(155 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Smith & Nephew instrument tray is intended to contain Smith & Nephew reusable surgical instruments for convenient organized storage, sterilization and transport between usages. The instrument tray is suitable for use in prevacuum steam and high temperature gravity steam sterilization methods. The instrument tray is not intended to maintain sterility; it is intended to be used in conjunction with a validated sterilization wrap in order to maintain sterility of the enclosed devices. Validated Sterilization Parameters: Method: Prevacuum Steam, Temperature: 132°C – 135°C (270°F-275°F), Exposure Time: 4 minutes, Drying Time: 30 minutes Method: High Temperature Gravity Steam, Temperature: 132°C (270°F), Exposure Time: 10 minutes, Drying Time: 70 minutes
Device Description
The Smith & Nephew instrument tray is designed to contain and protect reusable surgical instruments during transport, sterilization, and storage and to allow optimal exposure of the tray's contents to sterilant during the sterilization process. The instrument tray is a perforated stainless steel case with latchable lid and handle. The tray is fitted with Radel® organizing racks, silicone instrument holders and protective mats. The instrument tray is marked to facilitate organized instrument placement.
More Information

Not Found

No
The device is a physical instrument tray for sterilization and storage, with no mention of software, data processing, or AI/ML terms.

No
Explanation: The device is an instrument tray intended for storage, sterilization, and transport of surgical instruments. It does not directly provide a therapeutic effect on a patient.

No

The device is an instrument tray used for the storage, sterilization, and transport of surgical instruments; it does not perform any diagnostic function.

No

The device description clearly indicates it is a physical instrument tray made of stainless steel with organizing racks, instrument holders, and protective mats. It is designed for containing and protecting surgical instruments during transport, sterilization, and storage.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for containing, organizing, sterilizing, and transporting reusable surgical instruments. This is related to the sterilization and handling of surgical tools, not the diagnosis of diseases or conditions using in vitro methods.
  • Device Description: The description details a physical tray designed to hold surgical instruments and facilitate sterilization. This aligns with a medical device used in a surgical setting, not a diagnostic test.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring analytes (biomarkers, pathogens, etc.)
    • Providing information for diagnosis, monitoring, or prognosis of a disease or condition.

The device is a medical device used in the process of preparing surgical instruments for use, which is distinct from in vitro diagnostics.

N/A

Intended Use / Indications for Use

The Smith & Nephew instrument tray is intended to contain Smith & Nephew reusable surgical instruments for convenient organized storage, sterilization and transport between usages. The instrument tray is suitable for use in prevacuum steam and high temperature gravity steam sterilization methods.

The instrument tray is not intended to maintain sterility; it is intended to be used in conjunction with a validated sterilization wrap in order to maintain sterility of the enclosed devices.

Validated Sterilization Parameters:

MethodTemperatureExposure TimeDrying Time
Prevacuum Steam132°C – 135°C (270°F–275°F)4 minutes30 minutes
High Temperature Gravity Steam132°C (270°F)10 minutes70 minutes

Product codes

KCT

Device Description

The Smith & Nephew instrument tray is designed to contain and protect reusable surgical instruments during transport, sterilization, and storage and to allow optimal exposure of the tray's contents to sterilant during the sterilization process.

The instrument tray is a perforated stainless steel case with latchable lid and handle. The tray is fitted with Radel® organizing racks, silicone instrument holders and protective mats. The instrument tray is marked to facilitate organized instrument placement.

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

Performance testing including sterilization efficacy testing, thermal profile studies and drying time studies demonstrate that the Smith & Nephew instrument tray conforms to AAMI ST77:2006 Containment Devices for reusable medical device sterilization.

Key Metrics

Not Found

Predicate Device(s)

PolyVac Surgical Instrument Delivery System 510(k)# K012105, Riley Medical, Inc. Meta-Pak Multipurpose Instrument Tray 510(k)# K993535

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

MAY 2 1 2008

510(k) SUMMARY K073551

Smith & Nephew® Instrument Tray Date Prepared: May 20, 2008

This 510(k) summary is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR §807.92.

A. Submitter

Smith & Nephew, Inc., Endoscopy Division 150 Minuteman Road Andover, MA 01810

B. Company Contact

Julie Acker RAC Regulatory Affairs Specialist T: 508-261-3618 F: 508-261-3620 Julie.acker@smith-nephew.com

C. Device Name

Trade Name:Instrument Tray
Common Name:Instrument Tray
Classification Name:Sterilization Wrap Containers, Trays Cassettes and Other
Accessories
Class:Class 2
Product CodeKCT

D. Predicate Devices

The Smith & Nephew instrument tray is substantially equivalent in design, materials, and intended use to the following devices in commercial distribution: PolyVac Surgical Instrument Delivery System 510(k)# K012105 and Riley Medical, Inc. Meta-Pak Multipurpose Instrument Tray 510(k)# K993535

i. Description of Device

The Smith & Nephew instrument tray is designed to contain and protect reusable surgical instruments during transport, sterilization, and storage and to allow optimal exposure of the tray's contents to sterilant during the sterilization process.

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K073551
i
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The instrument tray is a perforated stainless steel case with latchable lid and handle. The tray is fitted with Radel® organizing racks, silicone instrument holders and protective mats. The instrument tray is marked to facilitate organized instrument placement.

F. Intended Use

The Smith & Nephew instrument tray is intended to contain Smith & Nephew reusable surgical instruments for convenient organized storage, sterilization and transport between usages. The instrument tray is suitable for use in prevacuum steam and high temperature gravity steam sterilization methods.

The instrument tray is not intended to maintain sterility; it is intended to be used in conjunction with a validated sterilization wrap in order to maintain sterility of the enclosed devices.

MethodTemperatureExposure TimeDrying Time
Prevacuum
Steam132°C – 135°C
(270°F-275°F)4 minutes30 minutes
High
Temperature
Gravity Steam132°C
(270°F)10 minutes70 minutes

Validated Sterilization Parameters:

Device model that is the subject of this pre-market notification:

REFDescription
72201731Tray, ACUFEX® DIRECTOR ELITE® Drill Guide Systems

G. Comparison of Technological Characteristics

The Smith & Nephew instrument tray is substantially equivalent in design, materials and intended use to the predicate devices. The proposed instrument tray and predicate devices are used for storage, transport and sterilization of reusable surgical instruments between uses. Both the proposed and predicate devices are suitable for use in steam sterilization processes when used in conjunction with legally validated sterilization wrap and are not intended to maintain sterility on the own.

The Smith & Nephew instrument tray does not incorporate any new technological characteristics as compared to legally marketed devices. The Smith & Nephew instrument tray and the predicate devices are cases constructed of perforated metal with latchable lid. and utilize radel organizing racks, silicone instrument brackets and protective mats to secure encased instruments. There are no significant differences between the proposed and predicate devices.

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073551
p. 3 of 3

Performance testing including sterilization efficacy testing, thermal profile studies and drying time studies demonstrate that the Smith & Nephew instrument tray conforms to AAMI ST77:2006 Containment Devices for reusable medical device sterilization.

Summary and Conclusions H.

The Smith & Nephew instrument tray has the same intended use, technological characteristics and performance characteristics as the legally marketed predicate devices. The product design is in conformance with recognized consensus standards and does not raise any new issues of safety and efficacy. We consider the Smith & Nephew Instrument Tray to be substantially equivalent to the legally marketed predicate devices.

3

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 or bird-like figure with outstretched wings. The bird is positioned to the right of a circular text element. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES, USA" and is arranged around the circumference of the circle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY 2 1 2008

Ms. Julie Acker Regulatory Affairs Smith & Nephew, Incorporated, Endoscopy Division 130 Forbes Boulevard Mansfield, Massachusetts 02766

Re: K073551

Trade/Device Name: Smith & Nephew Instrument Tray Regulation Number: 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: II Product Code: KCT Dated: April 30, 2008 Received: May 1, 2008

Dear Ms. Acker:

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 - Ms. Acker

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,

Clare

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

INDICATIONS FOR USE STATEMENT

510(K) Number:K073551
-------------------------

Smith & Nephew Instrument Tray Device Name:

The Smith & Nephew instrument tray is intended to contain Smith & Indications for Use: Nephew reusable surgical instruments for convenient organized storage, sterilization and transport between usages. The instrument tray is suitable for use in prevacuum steam and high temperature gravity steam sterilization methods.

The instrument tray is not intended to maintain sterility; it is intended to be used in conjunction with a validated sterilization wrap in order to maintain sterility of the enclosed devices.

Validated Sterilization Parameters:

MethodTemperatureExposure TimeDrying Time
Prevacuum
Steam132°C – 135°C
(270°F–275°F)4 minutes30 minutes
High
Temperature
Gravity Steam132°C
(270°F)10 minutes70 minutes

Device model that is the subject of this pre-market notification:

Description REF Tray, ACUFEX® DIRECTOR ELITE® Drill Guide Systems 72201731

Prescription Use _____________________________________________________________________________________________________________________________________________________________

AND/OR

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

(Per 21 CFR 801 Subpart D)

(Please DO NOT WRITE BELOW THIS LINE – CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluati
(Division Sign-Off)
valuation DE
но

Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: K073577