K Number
K103219
Date Cleared
2011-04-01

(151 days)

Product Code
Regulation Number
880.2800
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

STERRAD® SEALSURE® Chemical Indicator Tape is a process indicator intended for use by healthcare providers to secure non-woven sterilization packs and wraps to be sterilized in the STERRAD® Sterilization Systems:

MODELCYCLE
STERRAD® 100SStandard
STERRAD® 50Standard
STERRAD® 200Standard
STERRAD® NX™Standard
Advanced
STERRAD® 100NX™Flex
EXPRESS

The color of the STERRAD® SEALSURE® Chemical Indicator Tape changes from red to gold (or lighter) when exposed to hydrogen peroxide and is intended to differentiate between processed and unprocessed loads.

Device Description

STERRAD® SEALSURE® Chemical Indicator Tape is a process indicator intended for use by healthcare providers to secure non-woven sterilization packs and wraps to be sterilized in the STERRAD® Sterilization Systems.

The color of the STERRAD® SEALSURE® Chemical Indicator Tape changes from red to gold (or lighter) when exposed to hydrogen peroxide and is intended to differentiate between processed and unprocessed loads.

AI/ML Overview

The provided 510(k) summary describes a chemical indicator tape, not a software device or an AI/ML enabled device. Therefore, the typical acceptance criteria and study designs for AI/ML medical devices, such as those related to reader studies, ground truth establishment by experts, and training/test set details, are not applicable here.

However, I can extract the information relevant to the performance of this specific device based on the provided text.

Here's a breakdown of the acceptance criteria and the study that proves the device meets them, adapted to the context of a chemical indicator tape:

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (Study Performed)Reported Device Performance
Chemical Indicator Functionality PassedPassed
Tape Adhesion StrengthPassed
End Point / Post Processing Color StabilityPassed
BiocompatibilityPassed
Shelf lifePassed

Details of the Study for the Chemical Indicator Tape:

  • Device Under Test: STERRAD® SEALSURE® Chemical Indicator Tape
  • Purpose of the Device: To function as a process indicator, changing color from red to gold (or lighter) when exposed to hydrogen peroxide within specific STERRAD® Sterilization Systems, differentiating between processed and unprocessed loads.

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

  • The document does not specify sample sizes for the individual tests (e.g., how many tapes were tested for adhesion, how many cycles for functionality).
  • Data Provenance: The studies were conducted internally by Advanced Sterilization Products ("Performance testing was conducted to demonstrate the functionality..."). No information on geographical origin of data or retrospective/prospective nature is provided, though given it's a new product, it would inherently be prospective testing.

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

  • This is not applicable as the "ground truth" for a chemical indicator is based on physical and chemical reactions (color change indicating exposure to sterilant, adhesion properties, stability) which are objectively measured, not subject to expert interpretation in the way medical images are.

4. Adjudication Method for the Test Set:

  • Not applicable. The "results" are objective measurements (e.g., color change, adhesion strength), not subjective human interpretations requiring adjudication.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

  • Not applicable. This type of study is for evaluating human performance, often with AI assistance, in interpreting medical data. This device is a physical indicator.

6. Standalone Performance (Algorithm Only):

  • Not applicable. This device is not an algorithm. Its "standalone" performance is its intrinsic physical and chemical properties as a process indicator. The nonclinical tests ("Chemical Indicator Functionality," "Tape Adhesion Strength," etc.) essentially describe its standalone performance.

7. Type of Ground Truth Used:

  • The ground truth is based on the physical and chemical properties of the indicator tape:
    • Functionality: Successful color change from red to gold (or lighter) upon exposure to hydrogen peroxide in specific STERRAD® sterilization cycles.
    • Adhesion: The tape maintaining its adhesive properties.
    • Stability: The color change remaining stable post-processing.
    • Biocompatibility: The material being safe for its intended use (no adverse biological reactions).
    • Shelf Life: The device maintaining its properties over time.
    • These are verified through laboratory testing against established physical and chemical standards/expectations for such indicators.

8. Sample Size for the Training Set:

  • Not applicable. This device is not an AI/ML model that requires a training set.

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

  • Not applicable.

Overall Conclusion from the Provided Text:

The STERRAD® SEALSURE® Chemical Indicator Tape underwent a series of nonclinical tests to demonstrate its functionality, adhesion, color stability, biocompatibility, and shelf life. All tests "Passed," indicating that the device met its pre-defined performance requirements. The results support the claim that the device is "as safe and as effective for differentiating processed from unprocessed packages" as its predicate devices, leading to a finding of substantial equivalence.

{0}------------------------------------------------

510(k) Summary

APR - 1 2011

Applicant's Name, Address, Telephone, FAX, Contact Person Advanced Sterilization Products,

33 Technology Drive Irvine, CA 92618

Contact Person

Nancy Chu Manager, Regulatory Affairs Tel: (949) 453-6435 Fax: (949) 789-3900

Date: October 29, 2010

1. CLASSIFICATION, COMMON OR USUAL NAME, DEVICE NAME

Classification Name:Indicator, Physical/Chemical Sterilization Process
Common/Usual Name:Chemical Sterilization Process Indicator
Product Classification:II
Proprietary Name:STERRAD® SEALSURE® Chemical Indicator Tape

2. PREDICATE DEVICES

  • K022441, cleared on October 8, 2002 �
  • K040742, cleared on April 2, 2004 .

{1}------------------------------------------------

3. INDICATIONS FOR USE

STERRAD® SEALSURE® Chemical Indicator Tape is a process indicator intended for use by healthcare providers to secure non-woven sterilization packs and wraps to be sterilized in the STERRAD® Sterilization Systems:

MODELCYCLE
STERRAD® 100SStandard
STERRAD® 50Standard
STERRAD® 200Standard
STERRAD® NX™Standard
Advanced
STERRAD® 100NX™Flex
EXPRESS

The color of the STERRAD® SEALSURE® Chemical Indicator Tape changes from red to gold (or lighter) when exposed to hydrogen peroxide and is intended to differentiate between processed and unprocessed loads.

4. DESCRIPTION OF DEVICE

STERRAD® SEALSURE® Chemical Indicator Tape is a process indicator intended for use by healthcare providers to secure non-woven sterilization packs and wraps to be sterilized in the STERRAD® Sterilization Systems.

The color of the STERRAD® SEALSURE® Chemical Indicator Tape changes from red to gold (or lighter) when exposed to hydrogen peroxide and is intended to differentiate between processed and unprocessed loads.

5. SUMMARY OF NONCLINICAL TESTS

Performance testing was conducted to demonstrate the functionality of STERRAD® SEALSURE® Chemical Indicator Tape in the STERRAD® 100NX™ EXPRESS Cycle and the results show that the STERRAD® SEALSURE® Chemical Indicator Tape performs as a through-put process indicator by responding to hydrogen peroxide exposure.

{2}------------------------------------------------

STUDYRESULTS
Chemical Indicator FunctionalityPassed
Tape Adhesion StrengthPassed
End Point / Post Processing Color StabilityPassed
BiocompatibilityPassed
Shelf lifePassed

6. OVERALL PERFORMANCE CONCLUSIONS

The nonclinical studies demonstrate that the STERRAD® SEALSURE® Chemical Indicator Tape is as safe and as effective for differentiating processed from unprocessed packages, and within the indications for use for the indicator and tape thus establishing that the modified STERRAD® SEALSURE® Chemical Indicator Tape is substantially equivalent to the predicate device, the STERRAD® SealSure® Chemical Indicator Tape (K022441, K040742).

4

{3}------------------------------------------------

Image /page/3/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. 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 symbol featuring three curved lines that resemble a person with outstretched arms.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

Ms. Nancy Chu Manager, Regulatory Affairs Advanced Sterilization Products 33 Technology Drive Irvine, California 92618

APR - 1 2011

Re: K103219

Trade Name: STERRAD® SEALSURE™ Chemical Indicator Tape Regulation Number: 21 CFR 880.2800 Regulation Name: Physical/Chemical Sterilization Process Indicator Regulatory Class: II Product Code: JOJ Dated: March 15, 2011 Received: March 16, 2011

Dear Ms. Chu:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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. Chu

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21-CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices /ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default .htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

for D

Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

{5}------------------------------------------------

Indications for Use

510(k) Number (if known): K103219

Device Name: STERRAD® SEALSURE® Chemical Indicator Tape

STERRAD® SEALSURE® Chemical Indicator Tape is a process indicator [(Class 1 Process Indicator (ISO 11140-1)] intended for use by healthcare providers to secure nonwoven sterilization packs and wraps to be sterilized in the STERRAD® Sterilization Systems.

MODELCYCLE
STERRAD® 100SStandard
STERRAD® 50Standard
STERRAD® 200Standard
STERRAD® NX™Standard
Advanced
STERRAD®100NX™Flex
EXPRESS

The color of the STERRAD® SEALSURE® Chemical Indicator Tape changes from red to gold (or lighter) when exposed to hydrogen peroxide and is intended to differentiate between processed and unprocessed loads.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use V . (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)

Edith M. S. Clumir Will

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

Page 1 of 1

(Posted November 13, 2003)

KI 03219 510(k) Number:

§ 880.2800 Sterilization process indicator.

(a)
Biological sterilization process indicator —(1)Identification. A biological sterilization process indicator is a device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor adequacy of sterilization. The device consists of a known number of microorganisms, of known resistance to the mode of sterilization, in or on a carrier and enclosed in a protective package. Subsequent growth or failure of the microorganisms to grow under suitable conditions indicates the adequacy of sterilization.(2)
Classification. Class II (performance standards).(b)
Physical/chemical sterilization process indicator —(1)Identification. A physical/chemical sterilization process indicator is a device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor one or more parameters of the sterilization process. The adequacy of the sterilization conditions as measured by these parameters is indicated by a visible change in the device.(2)
Classification. Class II (performance standards).