K Number
K120117
Device Name
CODMAN QUAD-LOCK STERILIZATION CONTAINER SYSTEM
Date Cleared
2012-04-16

(90 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The CODMAN QUAD-LOCK Sterilization Container System is indicated for use by hospitals and by health care facilities to: - organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments that will be sterilized - allow sterilization of the contained instruments by prevacuum steam sterilization (validated parameters shown in Table 1) - maintain the sterility of the contents for up to 180 days during storage and transport within the health care facility, as long as the integrity of the container has not been compromised The system has not been tested for maintenance of sterility after transportation outside the health care facility. The system is intended for use with stainless steel, aluminum, titanium, plastic and silicone surgical instruments. Lumen inner diameter: 3mm or larger Lumen length: 400mm or less (medium and large size containers), 250mm or less (small size containers) Quantity: Up to 4 lumen instruments per container The system is not intended for the sterilization of endoscopes. For effective sterilization and drying of any size CODMAN QUAD-LOCK Sterilization Container, the recommended maximum combined weight of the single container, lid, basket/tray and basket/tray contents is 25 lb. (11.3 kg). Table 1 Sterilization Parameters Cycle Type: Prevacuum Temperature: 132°C Exposure Time: 4 minutes Dry Time: 30 minutes The Codman® Quad-Lock™ Sterilization Container Systems can be stacked during sterilization with up to three containers.
Device Description
The CODMAN QUAD-LOCK Sterilization Container System provides a means to organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments during sterilization and storage. The container lids, safety covers, and container bottoms are made from aluminum. The safety covers help ensure sterility during storage and protect the container lid when the containers are stacked. The Container System includes the container base, lid, safety cover, filters and other accessories. Codman® Quad-Lock™ Sterilization Container Systems consists of a basket, container base, lids, filters, security seals, labels, ergonomic hand grips, wire base, protective mat, and accessories.
More Information

No
The device description and intended use clearly describe a physical sterilization container system with no mention of software, algorithms, or data processing capabilities that would indicate the presence of AI or ML. The "Mentions AI, DNN, or ML" section also explicitly states "Not Found".

No.
The device is a sterilization container system intended to organize, protect, and allow sterilization of surgical instruments, and maintain their sterility during storage and transport. It does not exert any therapeutic effect on a patient.

No

Explanation: The device is a sterilization container system designed to organize, protect, and allow sterilization of surgical instruments, and maintain their sterility. It does not perform any diagnostic function.

No

The device description clearly states it is a system of physical components made from aluminum and other materials, designed to hold and protect surgical instruments during sterilization and storage. It does not describe any software functionality.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for organizing, protecting, sterilizing, and maintaining the sterility of surgical instruments. This is a function related to the preparation and handling of medical devices, not for performing tests on biological samples to diagnose or monitor a medical condition.
  • Device Description: The description details the components of a sterilization container system, which are physical containers and accessories used in the sterilization process. There is no mention of reagents, calibrators, controls, or any components typically associated with in vitro diagnostic testing.
  • Lack of IVD-related information: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring analytes
    • Providing diagnostic information
    • Performance metrics like sensitivity, specificity, AUC, etc., which are crucial for evaluating the performance of diagnostic tests.

The device is a medical device used in a healthcare setting for the sterilization of surgical instruments.

N/A

Intended Use / Indications for Use

The CODMAN QUAD-LOCK Sterilization Container System is indicated for use by hospitals and by health care facilities to:

  • · organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments that will be sterilized
  • · allow sterilization of the contained instruments by prevacuum steam sterilization (validated parameters shown in Table 1)
  • maintain the sterility of the contents for up to 180 days during storage and transport within the health care facility, as long as the integrity of the container has not been compromised

The system has not been tested for maintenance of sterility after transportation outside the health care facility.

The system is intended for use with stainless steel, aluminum, titanium, plastic and silicone surgical instruments.

Lumen inner diameter: 3mm or larger
Lumen length: 400mm or less (medium and large size containers), 250mm or less (small size containers)
Quantity: Up to 4 lumen instruments per container
The system is not intended for the sterilization of endoscopes.

For effective sterilization and drying of any size CODMAN QUAD-LOCK Sterilization Container, the recommended maximum combined weight of the single container, lid, basket/tray and basket/tray contents is 25 lb. (11.3 kg).

Table 1
Sterilization Parameters
Cycle Type: Prevacuum
Temperature: 132°C
Exposure Time: 4 minutes
Dry Time: 30 minutes

The Codman® Quad-Lock™ Sterilization Container Systems can be stacked during sterilization with up to three containers.

Product codes

KCT

Device Description

The CODMAN QUAD-LOCK Sterilization Container System provides a means to organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments during sterilization and storage. The container lids, safety covers, and container bottoms are made from aluminum. The safety covers help ensure sterility during storage and protect the container lid when the containers are stacked. The Container System includes the container base, lid, safety cover, filters and other accessories.

Codman® Quad-Lock™ Sterilization Container Systems consists of a basket, container base, lids, filters, security seals, labels, ergonomic hand grips, and accessories.

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

hospitals and by health care facilities

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)

Non-Clinical Performance Testing: Testing has been completed and supports the safety and effectiveness of the proposed device for its proposed intended uses.
Clinical Performance Testing: There were no Clinical Tests performed.

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

Not Found

Predicate Device(s)

K092437

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

| 510(k) Summary

Codman® Quad-Lock™ Sterilization Container SystemsAPR 16 2012
Date Prepared:January 13, 2011
Company Name:Codman & Shurtleff, Inc.
325 Paramount Drive
Raynham, MA 02767
Contact PersonMegan Herman
Regulatory Affairs Specialist
Telephone Number: (508) 828-3571
Fax Number: (508) 977-6428
Device Proprietary Name:Codman® Quad-Lock™ Sterilization Container Systems
Device Common Name:Container Sterilization System
Classification Name:Container Sterilization System
Device Classification:Class II (21 CFR 880.6850) (KCT)
Type of 510(k) Submission:Traditional 510(k)
Basis for Submission:Expand Indications for Use
Predicate Device(s):K092437Codman® Sterilization Container

Device Description

The CODMAN QUAD-LOCK Sterilization Container System provides a means to organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments during sterilization and storage. The container lids, safety covers, and container bottoms are made from aluminum. The safety covers help ensure sterility during storage and protect the container lid when the containers are stacked. The Container System includes the container base, lid, safety cover, filters and other accessories.

Indications for Use

The CODMAN QUAD-LOCK Sterilization Container System is indicated for use by hospitals and by health care facilities to:

  • · organize and protect stainless steel, aluminum, plastic and silicone surgical instruments that will be sterilized
  • · allow sterilization of the contained instruments by prevacuum steam sterilization (validated parameters shown in Table 1)

1

స్థ

ﺎﻧ

• maintain the sterility of the contents for up to 180 days during storage and transport within the health care facility, as long as the integrity of the container has not been compromised

The system has not been tested for maintenance of sterility after transportation outside the health care facility.

The system is intended for use with stainless steel, aluminum, titanium, plastic and silicone surgical instruments.

| Lumen inner

diameter3mm or larger
Lumen length400mm or less (medium and
large size containers)
250mm or less (small size
containers)
QuantityUp to 4 lumen instruments per
container
The system is not intended for the sterilization of
endoscopes.

For effective sterilization and drying of any size CODMAN QUAD-LOCK Sterilization Container, the recommended maximum combined weight of the single container, lid, basket/tray and basket/tray contents is 25 lb. (11.3 kg).

Table 1
Sterilization Parameters
Cycle TypeTemperatureExposure TimeDry Time
Prevacuum132°C4 minutes30 minutes

The Codman® Quad-Lock™ Sterilization Container Systems can be stacked during sterilization with up to three containers.

Technological Characteristics

The technological characteristics of this device, including design and materials, are identical to the predicate device, Codman® Sterilization Container (K092437).

Non-Clinical Performance Testing

Testing has been completed and supports the safety and effectiveness of the proposed device for its proposed intended uses.

2

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Clinical Performance Testing

The intention of this Traditional 510(k) is to expand the cleared Indications for Use for the Codman® Quad-Lock™ Sterilization Container Systems. The Codman Quad-Lock Sterilization Container Systems were originally cleared by the FDA on March 25, 2010 under 510(k) K092437. There were no Clinical Tests performed.

Statement of Substantial Equivalence

The Codman® Quad-Lock™ Sterilization Container Systems are substantially equivalent to the Codman® Sterilization Container (K092437) based on similarities in intended use, design, principles of operation, and performance specifications.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized caduceus symbol, which is a staff with two snakes coiled around it, topped by a single horizontal bar. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular fashion around the symbol.

Public Health Service

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

Ms. Megan Herman Regulatory Affairs Specialist Codman & Shurtleff, Incorporated 325 Paramount Drive Raynham, Massachusetts 02767-0350

APR. 6 2012

Re: K120117

Trade/Device Name: Codman® Quad-Lock™ Sterilization Container Systems Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization wrap. Regulatory Class: II Product Code: KCT Dated: March 21, 2012 Received: March 22, 2012

Dear Ms. Herman:

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. Herman

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 go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm 115809.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 vours.

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

5

Codman® Quad-Lock™ Sterilization Container Systems

Indications for Use

510(k) Number:

K120117

Device Name: Codman® Quad-Lock™ Sterilization Container Systems

Indications For Use:

The CODMAN QUAD-LOCK Sterilization Container System is indicated for use by hospitals and by health care facilities to:

· organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments that will be sterilized

· allow sterilization of the contained instruments by prevacuum steam sterilization (validated parameters shown in Table 1)

• maintain the sterility of the contents for up to 180 days during storage and transport within the health care facility, as long as the integrity of the container has not been compromised

The system has not been tested for maintenance of sterility after transportation outside the health care facility.

The system is intended for use with stainless steel, aluminum, titanium, plastic and silicone surgical instruments.

| Lumen inner

diameter3mm or larger
Lumen length400mm or less (medium and
large size containers)
250mm or less (small size
containers)
QuantityUp to 4 lumen instruments per
container
The system is not intended for the sterilization ofendoscopes.

For effective sterilization and drying of any size CODMAN QUAD-LOCK Sterlization Container, For enective stemization and crying of any of any of the single container, lid, basket/tray and basket/tray contents is 25 lb. (11.3 kg).

6

| Table 1

Sterilization Parameters
Cycle TypeTemperatureExposure TimeDry Time
Prevacuum132°C4 minutes30 minutes

The Codman® Quad-Lock™ Sterilization Container Systems can be stacked during sterilization with up to three containers.

Codman® Quad-Lock™ Sterilization Container Systems consists of a basket, container base, Oodman "Quad EUR" - Stonification Security lids, filters, security seals, labels, ergonomic hand wire bace, processories. The following tables give a complete list of available products:

FILTER BOTTOM Container Base

Product CodeHeight
Full Length
508726100mm (4 inch)
508727135mm (5 inch)
508728150mm (6 inch)
508729200mm (8 inch)
508730260mm (10 inch)
Product CodeHeight
Three Quarter Length
508736100mm (4 inch)
508737135mm (5 inch)
508738150mm (6 inch)
Product CodeHeight
Half Length
508731100mm (4 inch)
508732135mm (5 inch)
508733150mm (6 inch)
508734200mm (8 inch)
508735260mm (10 inch)

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SOLID BOTTOM Container Base

Product CodeHeight
Full Length
508739100mm (4 inch)
508740135mm (5 inch)
508741150mm (6 inch)
508742200mm (8 inch)
508743260mm (10 inch)
Product CodeHeight
Three-Quarter Length
508749100mm (4 inch)
508750135mm (5 inch)
508751150mm (6 inch)
Product CodeHeight
Half Length
508744100mm (4 inch)
508745135mm (5 inch)
508746150mm (6 inch)
508747200 (8 inch)
508748260 (10 inch)

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Filter Lids

·

Product CodeColor
Full Length
508944Grey
508945Yellow
508946Green
508947Blue
508948Red
508949Black
Product CodeColor
Three-Quarter Length
508956Grey
508957Yellow
508958Green
508959Blue
508960Red
508961Black
Product CodeColor
Half Length
508950Grey
508951Yellow
508952Green
508953Blue
508954Red
508955Black

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Security Lids

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:

:

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Product CodeColor
Full Length
508869Grey
508870Yellow
508871Green
508872Blue
508873Red
508874Black
Product CodeColor
Three Quarter Length
508881Grey
508882Yellow
508883Green
508884Blue
508885Red
508886Black
Product CodeColor
Half Length
508875Grey
508876Yellow
508877Green
508878Blue
508879Red
508880Black

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Basket Configurations

ﻣﮩﻤﺎﺭ

Product CodeHeight
Full Length
50850030mm (1 inch)
50850150mm (2 inch)
50850270mm (3 inch)
508503100mm (4 inch)
Three Quarter Length
50850830mm (1 inch)
50850950mm (2 inch)
50851070mm (3 inch)
508511100mm (4 inch)
Half Length
50850430mm (1 inch)
50850550mm (2 inch)
50850670mm (3 inch)
508507100mm (4 inch)

Wire Base Configurations

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Product CodeLengthHeight
508512Half26mm (1 inch)
508513Three-Quarter26mm (1 inch)
508514Full26mm (1 inch)

Protective Mat Configurations

Product CodeLength
508550Half
508551Three-Quarter
508552Full

11

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Accessories

. ﺷﻬﺮ

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| Product

CodeDescription
509018Holding Pin for Divider - 1 Each (Use with 509026 to 509029)
509019Holding Pin for Instruments 26mm (1 inch) (1 Each)
509020Basket Handle Tag (1 Each)
509021Spring Clip 7mm - 12mm ( $\frac{1}{4}$ inch - $\frac{1}{2}$ inch)
509022Spring Clip 12mm - 16mm ( $\frac{1}{2}$ inch - $\frac{3}{4}$ inch)
509023Spring Clip 16mm - 26mm ( $\frac{3}{4}$ inch - 1 inch)
509024Spring Clip 26mm - 36mm (1 inch - 1 $\frac{1}{2}$ inch)
509025Spring Clip 36mm - 45mm (1 $\frac{1}{2}$ inch - 1 $\frac{3}{4}$ inch)
509026Divider 50mm x 20mm (2 inch x $\frac{3}{4}$ inch) (Use with two 509018)
509027Divider 130mm x 20mm (5 inch x $\frac{3}{4}$ inch) (Use with two 509018)
509028Divider 225mm x 20mm (9 inch x $\frac{3}{4}$ inch) (Use with two 509018)
509029Divider 460mm x 20mm (18 inch x $\frac{3}{4}$ inch) (Use with two 509018)
509030Polymer Spacer - 1 Each (Use with 509031 and 509032)
509031Sliding Rail for Polymer Spacer 230mm (9 inch) (Use with 509030)
509032Sliding Rail for Polymer Spacer 470mm (18 $\frac{1}{2}$ inch) (Use with 509030)
509033Limiting Bar 230mm (9 inch) (Screws to Basket)
509034Limiting Bar 470mm (18 $\frac{1}{2}$ inch) (Screws to Basket)
509035Spiral Holding Device - Double 230mm (9 inch) (Screws to Basket)
509036Spiral Holding Device - Single 130mm (5 inch) (Screws to Basket)
509037Limiting Bar Right Angle 110mm (4 $\frac{1}{2}$ inch) (Screws to Basket)
509038Limiting Bar Right Angle 170mm (6 $\frac{1}{2}$ inch) (Screws to Basket)
509039Limiting Bar Right Angle 230mm (9 inch) (Screws to Basket)
509040Limiting Bar Right Angle 470mm (18 $\frac{1}{2}$ inch) (Screws to Basket)
509041Spiral Divider with Limiting Bar 130mm x 230mm (5 inch x 9 inch)
509042Spiral Divider - Double 230mm (9 inch) (Use with 509018)
509043Spiral Divider - Single 130mm (5 inch) (Use with 509018)
509100Universal Rongeur Instrument Holder

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Ergonomic Silicone Hand Grips (Pair)

Product CodeLength
509012Red
509013Blue
509014Green
509015Yellow
509016Grey
509017Black

Aluminum Name Plates (1 Each)

Product CodeLength
509000Red
509001Blue
509002Green
509003Yellow
509004Grey
509005Black

Single Use Products

Product CodeDescriptionQuantity
509006Paper Label with Indicator (small)250
509007Paper Label with Indicator (large)250
509008Security Seal Single-Use Only - Blue100
509010Filter - Single-Use Only1000
509044Filter Retention Disc1

Olahie langulur
(Division Sign-Off) 4/13/12

Division of Anesthesiology, General Hospital Infection Control, Dental Devices

K120117 510(k) Number:

13

510(k) Premarket Notification

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

Over-The-Counter Use _ X (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)