K Number
K112796
Device Name
SURGICAL GOWN (EO STERILIZED)
Date Cleared
2013-09-12

(717 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Cobes Sterile Disposable Surgical Gowns are 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.
Device Description
Cobes Sterile Disposable Surgical Gown Model: G200XB Series (G2001B, G2002B and G2003B) G200XG Series (G2001G, G2002G and G2003G) | Model Series | Model | Material | Size | |-----------------------|--------|----------|------| | G200XB Series (Blue) | G2001B | SSMMS | L | | | G2002B | SSMMS | XL | | | G2003B | SSMMS | XXL | | G200XG Series (Green) | G2001G | SMMS | L | | | G2002G | SMMS | XL | | | G2003G | SMMS | XXL |
More Information

Not Found

Not Found

No
The device description and intended use clearly define it as a sterile disposable surgical gown, with no mention of software, data processing, or any technology related to AI or ML.

No
The device is a surgical gown intended to protect personnel and patients from contamination, not to treat a disease or condition.

No
The device is a surgical gown, which is used to prevent the transfer of microorganisms and fluids during surgery, not to diagnose a condition.

No

The device description clearly identifies the device as "Cobes Sterile Disposable Surgical Gowns" made of "SSMMS" and "SMMS" material, which are physical materials, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body (like blood, urine, tissue) to provide information about a person's health. These tests are performed outside of the body (in vitro).
  • Cobes Surgical Gowns: The description clearly states that these gowns are worn by operating room personnel to protect both the patient and the personnel from the transfer of microorganisms, body fluids, and particulate material during surgical procedures. This is a barrier function, not a diagnostic test performed on a sample.

The intended use and device description clearly indicate that these are personal protective equipment (PPE) used in a clinical setting, not devices for performing diagnostic tests on biological samples.

N/A

Intended Use / Indications for Use

"Cobes Sterile Disposable Surgical Gowns are 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."

Product codes

F Y A

Device Description

"Cobes Sterile Disposable Surgical Gown Model: G200XB Series (G2001B, G2002B and G2003B) G200XG Series (G2001G, G2002G and G2003G)

Model SeriesModelMaterialSize
G200XB Series (Blue)G2001BSSMMSL
G2002BSSMMSXL
G2003BSSMMSXXL
G200XG Series (Green)G2001GSMMSL
G2002GSMMSXL
G2003GSMMSXXL

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 personnel during surgical procedures"

Description of the training set, sample size, data source, and annotation protocol

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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)

Not Found

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

Not Found

Predicate Device(s)

Not Found

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.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/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 that resembles an abstract human figure or a caduceus, which is a symbol often associated with healthcare.

September 12, 2013

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MI) 20993-00002

Cobes Industries Company, Limited C/O Mr. Leon Lu Director of Quality and Regulatory Affairs MEDevice Services, LLC 3500 South Dupont Highway DOVER DE 19901

Re: KI12796

Trade/Device Name: Cobes Sterile Disposable Surgical Gown Model: G200XB Series (G2001B, G2002B, and G2003B) G200XG Series (G2001G, G2002G and G2003G) Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: Il Product Code: F Y A Dated: September 9, 2013 Received: September 11. 2013

Dear Mr. Lu:

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 10 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. Iisting 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.

1

Page 2 - Mr. Lu

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 (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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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/Reportal?roblem/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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Tejashri Purohit-Sheth, M.D.
Clinical Deputy Director
DAGRID

FOR

FOR

Kwame Ulmer M.S. Acting Division Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

2

Indications for Use

K112796 510(k) Number (if known):

Device Name:

Cobes Sterile Disposable Surgical Gown Model: G200XB Series (G2001B, G2002B and G2003B) G200XG Series (G2001G, G2002G and G2003G)

Model SeriesModelMaterialSize
G200XB Series (Blue)G2001BSSMMSL
G2002BSSMMSXL
G2003BSSMMSXXL
G200XG Series (Green)G2001GSMMSL
G2002GSMMSXL
G2003GSMMSXXL

Indications for Use:

Cobes Sterile Disposable Surgical Gowns are 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.

AND/OR Over-The-Counter Use × Prescription Use (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpan C) Par 21 CF R BOT SUBBERT 7

Concurrence of Center for Devices and Radiological Health (CDRH)

Sreekanth Gutala -S

2013.09.11 22:45:52 -04'00'

(Division Sign-Off)

Division of Anestheslology, General Hospital Infection Control, Dental Devices

510(k) Number: K112796

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