K Number
K111453
Device Name
STEAM DOT BLU PROCESS INDICATOR
Date Cleared
2012-04-05

(316 days)

Product Code
Regulation Number
880.2800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Steam Dot Blu ° Process Indicator is a chemical sterilization indicator intended to be used by a health care provider with sterilization wraps, containers, cassettes, pouches or other packaging materials to distinguish between processed and unprocessed units. The indicator changes color from blue to pink when exposed to steam sterilization conditions at 121°C in gravity displacement and 132°C, 134°C and 135°C in pre-vacuum cycles. The performance of the Steam Dot-Blu® Process Indicator meets the requirements of ANSI/AAMI/ISO 11140-1:2005 for process (Class 1) indicators. No lead or heavy metals or their compounds are added in the production of the indicator.
Device Description
Steam Dou Blu® Process Indicator is a single use chemical sterilization indicator for steam sterilizers. It complies with the requirements established in the FDA guidance document "Premarket Notification [510(k)] Submissions for Chemical Indicators," issued on December 19, 2003 and "ANSI/AAMVISO 11140-1:2005, Sterilization of health care products - Chemical indicators - Part 1: General requirements" standard for process indicators. Steam Dot Blu® Process Indicator is designed to be used in 121°C gravity and in 132°C, 134°C and 135°C pre-vacuum steam sterilization cycles. During sterilization cycles the indicator change color from blue to pink. The color change after processing is stable. No lead or heavy metals or their compounds are added in the production of the indicator.
More Information

Pre-amendment

Not Found

No
The device description and intended use clearly describe a chemical indicator that changes color based on exposure to steam sterilization conditions. There is no mention of any computational analysis, algorithms, or learning processes, which are characteristic of AI/ML. The mechanism is purely chemical and physical.

No
This device is a chemical sterilization indicator, used to distinguish between processed and unprocessed units after sterilization, not to treat or diagnose a medical condition.

No

This device is a chemical sterilization indicator, not a diagnostic device. Its purpose is to indicate whether sterilization conditions have been met, not to diagnose a medical condition or disease.

No

The device is a chemical sterilization indicator, which is a physical product that changes color. The description does not mention 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 "distinguish between processed and unprocessed units" in sterilization procedures. This is a quality control measure for the sterilization process itself, not a test performed on a biological sample from a patient to diagnose a condition or provide information about their health.
  • Mechanism: The device works by changing color in response to steam sterilization conditions (temperature and time). This is a chemical reaction to physical parameters, not a reaction with biological components.
  • No Biological Samples: The description does not mention the use of any biological samples (blood, urine, tissue, etc.) as input for the device.
  • Focus on Sterilization: The entire description revolves around the sterilization process and ensuring its effectiveness.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic, monitoring, or screening purposes. This device does not fit that definition.

N/A

Intended Use / Indications for Use

Steam Dot Blu® Process Indicator is a chemical sterilization indicator intended to be used by a health care provider with sterilization wraps, containers, cassettes, pouches or other packaging materials to distinguish between processed and unprocessed units.

The indicator changes color from blue to pink when exposed to steam sterilization conditions at 121°C in gravity displacement and 132°C, 134°C, and 135°C in pre-vacuum cycles. The performance of the Steam Dot-Blu® Process Indicator meets the requirements of ANSI/AAMI/ISO 11140-1:2005 for process (Class 1) indicators.

No lead or heavy metals or their compounds are added in the production of the indicator.

Product codes

JOJ

Device Description

Steam Dou Blu® Process Indicator is a single use chemical sterilization indicator for steam sterilizers. It complies with the requirements established in the FDA guidance document "Premarket Notification [510(k)] Submissions for Chemical Indicators," issued on December 19, 2003 and "ANSI/AAMVISO 11140-1:2005, Sterilization of health care products - Chemical indicators - Part 1: General requirements" standard for process indicators.

Steam Dot Blu® Process Indicator is designed to be used in 121°C gravity and in 132°C, 134°C and 135°C pre-vacuum steam sterilization cycles. During sterilization cycles the indicator change color from blue to pink. The color change after processing is stable. No lead or heavy metals or their compounds are added in the production of the indicator.

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

health care provider

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)

Test results demonstrate that Stcam Dot Blu® Process Indicator is equivalent to the predicate device and therefore should be allowed for market in the United States.

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

Not Found

Predicate Device(s)

Pre-amendment

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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).

0

R111453

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APR - 5 2012

510(k) Summary

Submitted by Propper Manufacturing Company, Inc. Address: 36-04 Skillman Avenue, Long Island City, New York 11101 Telephone: (718) 392-6650 or (800) 832-4300 Facsimile: (718) 482-8909 Contact Name: Andrew Sharavara

Date Submitted: May 25, 2011

Trade Name:Steam Dot Blu® Process Indicator
Common Name:Chemical Sterilization Process Indicator

Product Code / Regulation: JOJ / 21 C.F.R. 880.2800

Description: Steam Dou Blu® Process Indicator is a single use chemical sterilization indicator for steam sterilizers. It complies with the requirements established in the FDA guidance document "Premarket Notification [510(k)] Submissions for Chemical Indicators," issued on December 19, 2003 and "ANSI/AAMVISO 11140-1:2005, Sterilization of health care products - Chemical indicators - Part 1: General requirements" standard for process indicators.

Steam Dot Blu® Process Indicator is designed to be used in 121°C gravity and in 132°C, 134°C and 135°C pre-vacuum steam sterilization cycles. During sterilization cycles the indicator change color from blue to pink. The color change after processing is stable. No lead or heavy metals or their compounds are added in the production of the indicator.

Intended Use: Steam Dot Blu® Process Indicator is a chemical sterilization indicator intended to be used by a health care provider with sterilization wraps, containers, cassettes, pouches or other packaging materials to distinguish between processed and unprocessed units.

The indicator changes color from blue to pink when exposed to steam sterilization conditions at 121℃ in gravity displacement and 132℃, 134℃, and 135℃ in pre-vacuum cycles. The performance of the Steam Dot-Blu® Process Indicator meets the requirements of ANSI/AAMI/ISO 11140-1:2005 for process (Class 1) indicators.

No lead or heavy metals or their compounds are added in the production of the indicator.

1

K111453
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The Steam Dot Blu® Process Indicator is similar in Substantial Equivalence: intended use and operating characteristics to the following indicators:

Predicate device510k number
Propper Steam DotTM IndicatorPre-amendment

Substantial equivalence to the predicate device was evaluated according to the FDA guidance document "Premarket Notification [510(k)] Submissions for Chemical Indicators," issued on December 19, 2003, and technological parameters have been tested according to the FDA recognized consensus standard ANSI/AAMI/ISO 11140-1:2005, Sterilization of health care products -- Chemical indicators -- Part 1: General requirements.

The proposed and predicate devices are single-use chemical indicators designed to distinguish between steam processed and unprocessed items. The Steam Dot Blu® Process Indicator is similar with respect to indications for use and operating characteristics to the predicate devices in terms of 510(k) substantial equivalency. The differences between the new device and predicate devices are limited to differences in materials, and colors of unprocessed indicators and indicators after steam exposure and those differences do not raise any new issues of safety and efficacy.

Conclusion:

Test results demonstrate that Stcam Dot Blu® Process Indicator is equivalent to the predicate device and therefore should be allowed for market in the United States.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/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 its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the eagle. The logo is black and white.

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

Dr. Andrew Sharavara Chief Technical Officer and R&D Director Propper Manufacturing Company, Inc. 36-04 Skillman Avenue Long Island City, New York 11101

APR - 5 2012

Re: K111453

Trade/Device Name: Steam Dot Blu® Process Indicator Regulation Number: 21 CFR 880.2800 Regulation Name: Sterilization Process Indicator Regulatory Class: II Product Code: JOJ Dated: March 29, 2012 Received: April 2, 2012

Dear Dr. Sharavara:

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.

3

Page 2 – Dr. Sharavara

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,

G

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

Enclosure

4

Indications for Use

510(k) Number (if known):

Device Name: Steam Dot Blu® Process Indicator

Intended Use:

Steam Dot Blu ° Process Indicator is a chemical sterilization indicator intended to be used by a health care provider with sterilization wraps, containers, cassettes, pouches or other packaging materials to distinguish between processed and unprocessed units.

The indicator changes color from blue to pink when exposed to steam sterilization conditions at 121°C in gravity displacement and 132°C, 134°C and 135°C in pre-vacuum cycles.

The performance of the Steam Dot-Blu® Process Indicator meets the requirements of ANSI/AAMI/ISO 11140-1:2005 for process (Class 1) indicators.

No lead or heavy metals or their compounds are added in the production of the indicator.

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

Over-The-Counter Use X (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)

Elizabeth F. Clausing-Will
(Division Sign Off)

(Division Sign-Off) Division of Anesthesingsy. General Hospital Infection Control, Derrai Devices

510(k) Number: K111 45 3