K Number
K132060
Device Name
DURABLUE STERILIZATION WRAP
Date Cleared
2013-12-13

(163 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
DuraBlue ™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider using: - . Pre-vacuum steam at 270°F/132°C for 4 minutes - . 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes - Advanced Sterilization Products (ASP) STERRAD® 100S system. . - . Advanced Sterilization Products (ASP) STERRAD® NX system, Standard and Advanced Cycles - . Advanced Sterilization Products (ASP) STERRAD® 100NX system, Standard, Flex, Express, and DUO Cycles - . Lumen, Non Lumen, and Flexible Cycles in the Amsco® V-PRO® 1, Amsco® V-PRO® 1 Plus and Amsco® V-PRO® max Low Temperature Sterilization Systems The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of ' the enclosed device(s) until used. For pre-vacuum steam sterilization, the wrap has been validated for dry times of 20 minutes for Models CH100 and CH200, and for 30 minutes for Models CH300, CH400, CH500 and CH600. Models CH400, CH500 and CH600 have been validated for pre-vacuum steam sterilization of two lumens 3 mm in diameter or larger and 400 mm in length or less. For EO sterilization, the wrap has been validated for an aeration time of 8 hours at 55 ℃. Models CH400, CH500 and CH600 have been validated for EO sterilization of two lumens of 3 mm diameter or larger and 400 mm in length or less. All models of DuraBlue™ Sterilization Wrap have been validated for Advanced Sterlization Products (ASP) STERRAD® 100S sterilization of lumens 2.5 mm in diameter or larger and 250 mm in length or less. All models of DuraBlue™ Sterilization Wrap have been validated for use with the Advanced Sterilization Products (ASP) STERRAD® NX and STERRAD® 100NX cycles in Table 1. All models of DuraBlue™ Sterilization Wrap have been validated for use with the STERIS Amsco® V-PRO® cycles in Table 2. The DuraBlue™ Sterilization Wrap was validated to be effectively aerated during the pre-programmed STERIS Amsco® V-PRO® sterilization cycles.
Device Description
DuraBlue™ Sterlization Wraps are made from 100% polypropylene spunbond-meltblown-spunbond (SMS) trilaminate nonwoven fabric. Each double-layer wrap is comprised of a single sheet of SMS fabric that has been folded in half and sealed to itself on the three non-folded edges. This wrap design allows for use of the simultaneous double-wrapping technique and also allows for a sterilized pack to be opened aseptically. This product is for over-the-counter use only. They are intended to be used to enclose another medical device that is to be sterilized by a health care provider using: - Pre-vacuum steam at 270°F/132°C for 4 minutes . - . 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes - . Advanced Sterilization Products (ASP) STERRAD® 100S System - Advanced Sterilization Products (ASP) STERRAD® NX System, Standard and Advanced . Cycles - Advanced Sterilization Products (ASP) STERRAD® 100NX, Standard, Flex, Express, and . DUO cycles - Lumen, Non Lumen, and Flexible Cycles by the STERIS Amsco® V-PRO® 1, Amsco® V-. PRO® 1 Plus and Amsco® V-PRO® MAX Low Temperature Sterilization Systems The modification to the predicate devices is the clarification to the sterility maintenance information provided in the Indications for Use portion of the Instructions for Use labeling and involves extending the real-time aging data from 180 days to 365 days. This change is being made in order to comply with 21CFR880.6850 which states "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 sterlized 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." Additionally, maintenance of package sterility was validated with realtime testing for a duration of 365 days for each indicated sterilization process. Extensive performance testing has also been completed on DuraBlue™ Sterlization Wrap. Successful completion of the sterilization performance tests demonstrated that the wrap allows for sterlization of the enclosed contents and also maintains sterility of the enclosed devices. Physical properties testing included in this submission also supports the fact that the integrity of the wrap properties is not compromised after sterilization by the indicated sterilization processes and storage because the polypropylene material is inert and very stable. This submission covers six different models of DuraBlue™ Sterilization Wrap. Each model is made from material of a different basis weight, though all models utilize the same material technology.
More Information

Not Found

No
The device is a physical sterilization wrap and the summary describes its material, intended use with various sterilization methods, and validation testing. There is no mention of any software, algorithms, or data processing that would indicate the use of AI or ML.

No.
The device is a sterilization wrap intended to enclose other medical devices for sterilization and maintain their sterility until use, not to treat or diagnose a disease or condition.

No

The device is a sterilization wrap used to maintain the sterility of enclosed medical devices after they have been sterilized. It does not perform any diagnostic function.

No

The device is a physical sterilization wrap made of polypropylene fabric, not software.

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 DuraBlue™ Sterilization Wrap is used to enclose another medical device for sterilization and to maintain its sterility. It does not mention any use in the examination of specimens derived from the human body for the purpose of providing information for diagnosis, monitoring, or compatibility testing.
  • Device Description: The description focuses on the material and design of the wrap for sterilization purposes. It does not describe any components or functions related to analyzing biological samples.
  • Lack of IVD Indicators: The text does not mention any terms or concepts typically associated with IVDs, such as:
    • Specimens (blood, urine, tissue, etc.)
    • Assays or tests
    • Diagnosis, monitoring, or screening
    • Reagents or calibrators
    • Analytical performance characteristics

The device's function is purely related to the sterilization and sterile storage of other medical devices. This falls under the category of general hospital and personal use devices, specifically sterilization wraps.

N/A

Intended Use / Indications for Use

DuraBlue ™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider using:
Pre-vacuum steam at 270°F/132°C for 4 minutes
100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes
Advanced Sterilization Products (ASP) STERRAD® 100S System
Advanced Sterilization Products (ASP) STERRAD® NX System, Standard and Advanced Cycles
Advanced Sterilization Products (ASP) STERRAD® 100NX, Standard, Flex, Express, and DUO cycles
Lumen, Non Lumen, and Flexible Cycles by the STERIS Amsco® V-PRO® 1, Amsco® V-PRO® 1 Plus and Amsco® V-PRO® MAX Low Temperature Sterilization Systems
The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of the enclosed device(s) until used.
For pre-vacuum steam sterilization, the wrap has been validated for dry times of 20 minutes for Models CH100 and CH200, and for 30 minutes for Models CH300, CH400, CH500 and CH600. Models CH400, CH500 and CH600 have been validated for pre-vacuum steam sterilization of two lumens 3 mm in diameter or larger and 400 mm in length or less.
For EO sterilization, the wrap has been validated for an aeration time of 8 hours at 55 ℃. Models CH400, CH500 and CH600 have been validated for EO sterilization of two lumens of 3 mm diameter or larger and 400 mm in length or less.
All models of DuraBlue™ Sterilization Wrap have been validated for Advanced Sterlization Products (ASP) STERRAD® 100S sterilization of lumens 2.5 mm in diameter or larger and 250 mm in length or less.
All models of DuraBlue™ Sterilization Wrap have been validated for use with the Advanced Sterilization Products (ASP) STERRAD® NX and STERRAD® 100NX cycles in Table 1.
All models of DuraBlue™ Sterilization Wrap have been validated for use with the STERIS Amsco® V-PRO® cycles in Table 2. The DuraBlue™ Sterilization Wrap was validated to be effectively aerated during the pre-programmed STERIS Amsco® V-PRO® sterilization cycles.

Product codes (comma separated list FDA assigned to the subject device)

FRG

Device Description

DuraBlue™ Sterlization Wraps are made from 100% polypropylene spunbond-meltblown-spunbond (SMS) trilaminate nonwoven fabric. Each double-layer wrap is comprised of a single sheet of SMS fabric that has been folded in half and sealed to itself on the three non-folded edges. This wrap design allows for use of the simultaneous double-wrapping technique and also allows for a sterilized pack to be opened aseptically. This product is for over-the-counter use only.
They are intended to be used to enclose another medical device that is to be sterilized by a health care provider using:
Pre-vacuum steam at 270°F/132°C for 4 minutes .
100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes
Advanced Sterilization Products (ASP) STERRAD® 100S System
Advanced Sterilization Products (ASP) STERRAD® NX System, Standard and Advanced . Cycles
Advanced Sterilization Products (ASP) STERRAD® 100NX, Standard, Flex, Express, and . DUO cycles
Lumen, Non Lumen, and Flexible Cycles by the STERIS Amsco® V-PRO® 1, Amsco® V-. PRO® 1 Plus and Amsco® V-PRO® MAX Low Temperature Sterilization Systems
The modification to the predicate devices is the clarification to the sterility maintenance information provided in the Indications for Use portion of the Instructions for Use labeling and involves extending the real-time aging data from 180 days to 365 days. This change is being made in order to comply with 21CFR880.6850 which states "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 sterlized 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." Additionally, maintenance of package sterility was validated with realtime testing for a duration of 365 days for each indicated sterilization process.
Extensive performance testing has also been completed on DuraBlue™ Sterlization Wrap. Successful completion of the sterilization performance tests demonstrated that the wrap allows for sterlization of the enclosed contents and also maintains sterility of the enclosed devices. Physical properties testing included in this submission also supports the fact that the integrity of the wrap properties is not compromised after sterilization by the indicated sterilization processes and storage because the polypropylene material is inert and very stable.
This submission covers six different models of DuraBlue™ Sterilization Wrap. Each model is made from material of a different basis weight, though all models utilize the same material technology.

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)

DuraBlue™ Sterilization Wrap performance has been tested in accordance with the applicable requirements recommended in the FDA's Guidance Document Premarket Notifications for Medical Sterlization Packaging System in Health Care Facilities; Draft Guidance for Industry and FDA (March 7, 2002) in this submission and the predicate Premarket Notifications. Testing included sterilization efficacy for the modification of the stainless steel lumen claims for the Amsco® V-PRO® Lumen Cycle; and event related maintenance of package sterility for each indicated sterilization process. Data from testing demonstrates that the DuraBlue™ Sterilization Wrap maintains sterlity of the enclosed contents for 365 days following sterilization by pre-vacuum steam, EO, or Amsco® V-PRO™ (Lumen, Non Lumen, and Flexible Cycles), and STERRAD® 100S, STERRAD® NX (Standard and Advanced cycle), and STERRAD® 100NX (Standard, Flex, Express, and DUO cycles). Additionally, the DuraBlue™ Sterilization Wrap has been validated for use with the modified lumen sterilization claims when used with the Amsco® V-PRO® Lumen cycle.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K123857, K123289, K120658

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

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

K132060

DEC 13 2013

Image /page/0/Picture/2 description: The image shows the logo for Cardinal Health. The logo consists of a stylized graphic above the company name. The graphic is composed of several curved lines that resemble abstract wings or feathers. The text "CardinalHealth" is written in a bold, sans-serif font, with the first letter of each word capitalized.

1430 Waukegan Road Waukegan, IL 60085

www.cardinalhealth.com

510(k) SUMMARY DuraBlue™ Sterilization Wrap

Manufacturer: .

Cardinal Health 200, LLC 1430 Waukegan Road Waukegan, IL 60085

1430 Waukegan Road Waukegan, IL 60085

Lavenia Ford

(847) 887-3323

(847) 887-2461

November 15, 2013

Sterilization Wrap

FRG

Regulatory Affairs Contact:

Telephone Number:

Fax Number:

Trade Name:

Classification:

Date summary Prepared:

DuraBlue™ Sterilization Wrap

Class II per 21 CFR § 880.6850

Classification Name: Sterilization Wrap

Common Name:

Product Code:

Predicate Device:

K123857 – DuraBlue™ Sterilization Wrap – Johnson & Johnson STERRAD® NX and STERRAD® 100NX

K123289 - DuraBlue™ Sterilization Wrap - Pre-Vacuum Steam (4 min/270°F) & 100% Ethylene Oxide (EO)

K120658 - DuraBlue™ Sterilization Wrap - STERRAD® 100S and Amsco® V-PRO® 1, Amsco® V-PRO® 1 Plus, and Amsco® V-PRO® MAX Low Temperature Sterilization Systems

1

Description:

DuraBlue™ Sterlization Wraps are made from 100% polypropylene spunbond-meltblown-spunbond (SMS) trilaminate nonwoven fabric. Each double-layer wrap is comprised of a single sheet of SMS fabric that has been folded in half and sealed to itself on the three non-folded edges. This wrap design allows for use of the simultaneous double-wrapping technique and also allows for a sterilized pack to be opened aseptically. This product is for over-the-counter use only.

They are intended to be used to enclose another medical device that is to be sterilized by a health care provider using:

  • Pre-vacuum steam at 270°F/132°C for 4 minutes .
  • . 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes
  • . Advanced Sterilization Products (ASP) STERRAD® 100S System
  • Advanced Sterilization Products (ASP) STERRAD® NX System, Standard and Advanced . Cycles
  • Advanced Sterilization Products (ASP) STERRAD® 100NX, Standard, Flex, Express, and . DUO cycles
  • Lumen, Non Lumen, and Flexible Cycles by the STERIS Amsco® V-PRO® 1, Amsco® V-. PRO® 1 Plus and Amsco® V-PRO® MAX Low Temperature Sterilization Systems

The modification to the predicate devices is the clarification to the sterility maintenance information provided in the Indications for Use portion of the Instructions for Use labeling and involves extending the real-time aging data from 180 days to 365 days. This change is being made in order to comply with 21CFR880.6850 which states "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 sterlized 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." Additionally, maintenance of package sterility was validated with realtime testing for a duration of 365 days for each indicated sterilization process.

Extensive performance testing has also been completed on DuraBlue™ Sterlization Wrap. Successful completion of the sterilization performance tests demonstrated that the wrap allows for sterlization of the enclosed contents and also maintains sterility of the enclosed devices. Physical properties testing included in this submission also supports the fact that the integrity of the wrap properties is not compromised after sterilization by the indicated sterilization processes and storage because the polypropylene material is inert and very stable.

This submission covers six different models of DuraBlue™ Sterilization Wrap. Each model is made from material of a different basis weight, though all models utilize the same material technology.

Indications for Use

DuraBlue ™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider using:

  • . Pre-vacuum steam at 270°F/132°C for 4 minutes
  • . 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes
  • Advanced Sterilization Products (ASP) STERRAD® 100S system. .

2

  • . Advanced Sterilization Products (ASP) STERRAD® NX system, Standard and Advanced Cycles
  • . Advanced Sterilization Products (ASP) STERRAD® 100NX system, Standard, Flex, Express, and DUO Cycles
  • . Lumen, Non Lumen, and Flexible Cycles in the Amsco® V-PRO® 1, Amsco® V-PRO® 1 Plus and Amsco® V-PRO® max Low Temperature Sterilization Systems

The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of ' the enclosed device(s) until used.

For pre-vacuum steam sterilization, the wrap has been validated for dry times of 20 minutes for Models CH100 and CH200, and for 30 minutes for Models CH300, CH400, CH500 and CH600. Models CH400, CH500 and CH600 have been validated for pre-vacuum steam sterilization of two lumens 3 mm in diameter or larger and 400 mm in length or less.

For EO sterilization, the wrap has been validated for an aeration time of 8 hours at 55 ℃. Models CH400, CH500 and CH600 have been validated for EO sterilization of two lumens of 3 mm diameter or larger and 400 mm in length or less.

All models of DuraBlue™ Sterilization Wrap have been validated for Advanced Sterlization Products (ASP) STERRAD® 100S sterilization of lumens 2.5 mm in diameter or larger and 250 mm in length or less.

All models of DuraBlue™ Sterilization Wrap have been validated for use with the Advanced Sterilization Products (ASP) STERRAD® NX and STERRAD® 100NX cycles in Table 1.

All models of DuraBlue™ Sterilization Wrap have been validated for use with the STERIS Amsco® V-PRO® cycles in Table 2. The DuraBlue™ Sterilization Wrap was validated to be effectively aerated during the pre-programmed STERIS Amsco® V-PRO® sterilization cycles.

3

Table 1 ~ Validated Advanced Sterilization Products STERRAD® NX and STERRAD® 100NX Sterilization Cycles

| Advanced
Sterilization
Products
(ASP)
STERRAD®
System and
Cycle | Maximum
Recommended
Chamber Load | Intended Load |
|-----------------------------------------------------------------------------------|----------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ASP
STERRAD® NX
Standard Cycle | 10.7 lbs | Reusable metal and non-metal medical devices, including up to 10
lumens of the following lumen dimensions per chamber load:
• an inside diameter of 1 mm or larger and a length of 150
mm or shorter of single-channel stainless steel lumens
• an inside diameter of 2 mm or larger and a length of 400
mm or shorter of single-channel stainless steel lumens |
| ASP
STERRAD® NX
Advanced Cycle | 10.7 lbs | Reusable metal and non-metal medical devices, including up to 10
lumens of the following lumen dimensions per chamber load:
• an inside diameter of 1 mm or larger and a length of 500
mm or shorter of single-channel stainless steel lumens
OR
One single-channel Flexible Endoscope with or without a silicone
mat and no additional load. The flexible endoscope may contain:
• a single-channel Teflon®/Polyethylene lumen with an
inside diameter of 1 mm or larger and a length of 850 mm
or shorter |
| ASP
STERRAD® 100NX
Standard Cycle | 21.4 lbs | Reusable metal and non-metal medical devices, including up to 10
lumens of the following lumen dimensions per chamber load:
• an inside diameter of 0.7 mm or larger and a length of
500 mm or shorter of single-channel stainless steel
lumens (A maximum of five lumens per tray per
sterilization cycle) |
| ASP
STERRAD® 100NX Flex
Cycle | 12.2 lbs | One or two single-channel Flexible Endoscope with or without a
silicone mat and no additional load. The flexible endoscope may
contain:
• a single-channel Teflon®/Polyethylene lumen with an
inside diameter of 1 mm or larger and a length of 850 mm
or shorter (A maximum of two flexible endoscopes, one
per tray per sterilization cycle) |
| ASP
STERRAD® 100NX
Express Cycle | 10.7 lbs | Non-lumened reusable metal and non-metal medical devices
requiring surface sterilization, or sterilization of mated stainless steel
and titanium surfaces, and rigid or semi-rigid endoscopes without
lumens |
| ASP
STERRAD® 100NX Duo
Cycle | 13.2 lbs | One or two single-channel Flexible Endoscope with or without a
silicone mat and no additional load. The flexible endoscope may
contain:
• a single-channel Teflon®/Polyethylene lumen with an
inside diameter of 1 mm or larger and a length of 875 mm
or shorter |

. '

4

Table 2 – Validated STERIS Amsco® V-PRO® cycles

| Amsco®
V-PRO®
Cycle | Maximum
Recommended
Chamber Load | Intended Load |
|---------------------------|----------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Lumen
Cycle | 19.65 lbs | Reusable metal and non-metal medical devices, including up to 20 lumens of the
following dimensions per chamber load:
an inside diameter of 1 mm or larger and a length of 125 mm or shorter an inside diameter of 2 mm or larger and a length of 250 mm or shorter an inside diameter of 3 mm or larger and a length of 400 mm or shorter |
| Non
Lumen
Cycle | 19.65 lbs | Non-lumened reusable metal and non-metal medical devices |
| Flexible
Cycle | 24 lbs | Single or dual lumen surgical flexible endoscopes and bronchoscopes in either of
two load configurations:

  1. Two trays, each containing a flexible endoscope with a light cord (if not
    integral to endoscope) and mat with no additional load
  2. One tray containing a flexible endoscope with a light cord (if not integral
    to endoscope) and mat and an additional tray containing non-lumened
    medical devices
    The flexible endoscope(s) may contain either:
    a single lumen with an inside diameter of 1 mm or larger and a length
    of 1050 mm or shorter two lumens, with one lumen having an inside diameter of 1 mm or
    larger and a length of 998 mm or shorter and the other lumen having
    an inside diameter of 1 mm or larger and a length of 850 mm or
    shorter |

·

5

Table 3 - Wrap Model Recommendations'
-----------------------------------------

| | | Maximum Recommended Wrapped Package Content
Weight2 | | | |
|-----------------------------|---------------------------------------------------------------------------------------|--------------------------------------------------------|-----------------------------------------------------------------|----------------------------------------------------------------------------|----------------------------|
| Sterilization
Wrap Model | Intended Load | Pre-Vacuum
Steam and EO | Advanced
Sterilization
Products (ASP)
STERRAD®
100S | Advanced
Sterilization
Products
(ASP)
STERRAD®
NX and 100NX | STERIS
Amsco®
V-PRO® |
| CH100 | Very light weight package
(for example: towel packs or batteries) | 3 lbs | 3 lbs | 10.7 lbs | 3 lbs |
| CH200 | Light weight package
(for example: telescope with light cord) | 6 lbs | 6 lbs | 10.7 lbs | 6.5 lbs |
| CH300 | Light to moderate weight package
(for example: general use medical
instruments) | 9 lbs | 9.7 lbs | 10.7 lbs | 9 lbs |
| CH400 | Moderate to heavy weight package
(for example: general use medical
instruments) | 13 lbs | 9.7 lbs | 10.7 lbs | 9.1 lbs |
| CH500 | Heavy weight package
(for example: general use medical
instruments) | 17 lbs | 9.7 lbs | 10.7 lbs | 9.1 lbs |
| CH600 | Very heavy weight package
(for example: general use medical
instruments) | 25 lbs | 9.7 lbs | 10.7 lbs | 9.1 lbs |

The following loads were used in the pre-vacuum steam Sterility Validation Studies:

· CH100: 16 huck towels (17 in. x 29 in.).

· CH200: 2 huck towels (17 in. x 29 in.), 3 fluid-resistant drapes (108 in. x 72 in.).

· CH300: 16 huck towels (17 in. x 29 in.), 1 fluid-resistant table cover (90 in. x 60 in.), 5 lbs of metal mass.

• CH400: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm I. D x 400 mm), and 8 lbs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

· CH500: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm I. D x 400 mm), and 12 Ibs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

• CH600: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm I. D x 400 mm), and 20 ibs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

6

The following loads were used in the EO Sterility Validation Studies:

· CH100: 16 huck towels (17 in. x 29 in.).

· CH200: 2 huck towels (17 in. x 29 in.), 2 fluid-resistant drapes (108 in. x 88 in.), 2.5 lbs of metal mass.

· CH300: 16 huck towels (17 in. x 29 in.), 1 fluid-resistant table cover (90 in. x 60 in.), 5 lbs of metal mass.

· CH400: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm I. D x 400 mm), and 7.5 lbs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

· CH500: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm I. D x 400 mm), and 11.5 Ibs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

· CH600: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm I. D x 400 mm), and 19.5 lbs of metal mass in a 23 in. x 11 in. x 3.5 in. trav.

The following loads were used in the Advanced Sterlization Products (ASP) STERRAD® 100S Sterility Validation Studies:

· CH100: Metal Instruments

· CH200 - CH600: 15 in. x 10 in. x 1.2 in. tray containing metal instruments.

The following loads were used in the Advanced Sterilization Products (ASP) STERRAD® NX and STERRAD® 100NX Sterility Validation Studies:

· CH100 - CH600: 23 in. x 11 in. x 4 in. tray containing metal instruments.

The following loads were used in the STERIS Amsco® V-PR® sterility Validation Study:

  • · CH100: Metal Instruments
  • · CH200 CH600: 17 in. x 10 in. x 3.5 in. tray containing metal instruments

Note: The loads used in the Sterility Validation Study corresponded to the maximum wrapped package content weights in Table 3.

Individual results may differ due to factors such as variations in handling practices, wrapping techniques, and folding methods. Results may also differ due to the use of irregularly shaped contents, which may put added stress on the wrap. Each healthcare facility should determine for itself which wrap model is most appropriate for each intended use.

2 It is recommended to not exceed the maximum wrapped package content weights indicated for each wrap model. Furthermore, it is recommended to not exceed the number, weight and size of individual content types that were validated for the DuraBlue" Sterilization Wraps.

Substantial Equivalence

The proposed DuraBlue" Sterlization Wrap is substantially equivalent to the predicate devices. Both devices:

  • . Have the same intended use
  • Have the same material composition .
  • Have the same physical and chemical properties ●
  • . Have the same configurations/dimensions
  • . Demonstrate maintenance of package sterility
  • Are indicated for the same sterilization parameters .
  • Are indicated for the same Maximum Wrapped Package Content Weights ●
  • Demonstrate maintenance of package sterility within the period of time for which performance . data demonstrating maintenance of sterility has been provided

7

Table 4: Overall Comparison to Predicate Devices

| | PREDICATE | PROPOSED | Comparison
to Predicate |
|--------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------|
| Element of
Comparison | DuraBlue™ Sterilization Wrap
(K123857, K123289, and K120658) | DuraBlue™ Sterilization Wrap | |
| Intended Use | K123857: Cardinal Health DuraBlue™
Sterilization Wrap is intended to be
used to enclose another medical device
that is to be sterilized by a health care
provider using the following modalities:
• Johnson & Johnson STERRAD
100NX system, Standard, Flex,
Express, and DUO Cycles.
• Johnson & Johnson STERRAD
NX system, Standard, and
Advanced Cycles.
The wrap is intended to allow
sterilization of the enclosed medical
device(s) and to maintain sterility of the
enclosed device(s). Maintenance of
package sterility was validated with
real-time aging testing for a duration of
180 days for each indicated modality.
All models of DuraBlue™ Sterilization
Wrap have been validated for use with
the following Johnson & Johnson
STERRAD® 100NX and STERRAD® NX
cycles in Table 1 and 2. | DuraBlue™ Sterilization Wrap is intended to
enclose another medical device that is to be
sterilized by a health care provider using:
• Pre-vacuum steam at 270°F/132°C for 4
minutes
• 100% ethylene oxide (EO) with a
concentration of 725-735 mg/L at
131°F/55°C and 40%-80% relative
humidity for 60 minutes
• Advanced Sterilization Products (ASP)
STERRAD® 100S System
• Advanced Sterilization Products (ASP)
STERRAD® NX System, Standard and
Advanced Cycles
• Advanced Sterilization Products (ASP)
STERRAD® 100NX, Standard, Flex,
Express, and DUO cycles
• Lumen, Non Lumen, and Flexible Cycles by
the STERIS Amsco® V-PRO™1, Amsco®
V-PRO™1 Plus and Amsco® V-
PRO™MAX Low Temperature
Sterilization Systems
The wrap is intended to allow sterilization of
the enclosed medical device(s) and to
maintain sterility of the enclosed device(s)
until used.
For pre-vacuum steam sterilization, the wrap
has been validated for dry times of 20 minutes
for Models CH100 and CH200 and 30 minutes
for Models CH300, CH400, CH500, and
CH600. Models CH400, CH500, and CH600
have been validated for pre-vacuum steam
sterilization of two lumens 3 mm in diameter
or larger and 400 mm in length or less.
For EO sterilization, the wrap has been
validated for an aeration time of 8 hours at
55°C. Models CH400, CH500, and CH600
have been validated for EO sterilization of two
lumens of 3 mm diameter or larger and 400
mm in length or less.
All models of DuraBlue™ Sterilization Wrap
have been validated for Advanced
Sterilization Products (ASP) STERRAD®
100S sterilization of lumens 2.5 mm in
diameter or larger and 250 mm in length or
less | Substantially
Equivalent |
| | Johnson & Johnson STERRAD®
100NX Standard cycle (Max Chamber
Load 21.4 lbs)
• Reusable metal and non-metal
medical devices, including up to 10
lumens of the following lumen
dimensions per chamber load:
• an inside diameter of 0.7 mm
or larger and a length of 500
mm or shorter of single-channel
stainless steel lumens
• an inside diameter of 1 mm or
larger and a length of 1000 mm
or shorter of single-channel
Teflon®/Polyethylene lumens | | |
| | Johnson & Johnson STERRAD®
100NX Flex cycle (Max Chamber Load
21.4 lbs)
• One or two single-channel Flexible
Endoscope with or without a
silicone mat and no additional load.
The flexible endoscope may
contain: | | |

8

a single-channel 0 Teflon®/Polyethylene lumen with an inside diameter of 1 mm or larger and a length of 850 mm or shorter

Johnson & Johnson STERRAD®

100NX Express cycle (Max Chamber Load 10.7 lbs)

  • Non-lumened reusable metal and ● non-metal medical devices requiring surface sterilization, or sterilization of mated stainless steel and titanium surfaces, and rigid or semi-rigid endoscopes without lumens, including da Vinci 3-D scopes

Johnson & Johnson STERRAD®

100NX DUO cycle (Max Chamber Load 13.2 lbs)

  • . One or two single-channel Flexible Endoscope with or without a silicone mat and no additional load. The flexible endoscope may contain:
    • a single-channel o Teflon®/Polvethviene tumen with an inside diameter of 1 mm or larger and a length of 875 mm or shorter

Johnson & Johnson STERRAD® NX Standard cycle (Max Chamber Load 10.7 lbs)

  • Reusable metal and non-metal . medical devices, including up to 10 lumens of the following lumen dimensions per chamber load:
    • an inside diameter of 1 mm or o larger and a length of 150 mm or shorter of single-channel stainless steel lumens
    • o an inside diameter of 2 mm or larger and a length of 400 mm or shorter of single-channel stainless steel lumens

Johnson & Johnson STERRAD® NX Advanced cycle (Max Chamber Load 10.7 lbs)

All models of DuraBlue™ Sterilization Wrap have been validated for use with the Advanced Sterilization Products (ASP) STERRAD® NX and STERRAD® 100NX cvcles in Table 1.

ASP STERRAD® 100NX Standard cycle (Max Chamber Load 21.4 Ibs)

  • · Reusable metal and non-metal medical
    • devices, including up to 10 lumens of the following lumen dimensions per chamber load:
      • o an inside diameter of 0.7 mm or larger and a length of 500 mm or shorter of single-channel stainless steel lumens
      • o · an inside diameter of 1 mm or larger and a length of 1000 mm or shorter of single-channel Teflon®/Polyethylene lumens

ASP STERRAD® 100NX Flex cycle (Max Chamber Load 21.4 Ibs)

  • · One or two single-channel Flexible Endoscope with or without a silicone mat and no additional load. The flexible endoscope may contain:
    • o a single-channel
      • Teflon®/Polvethylene lumen with an inside diameter of 1 mm or larger and a length of 850 mm or shorter

ASP STERRAD® 100NX Express cycle (Max Chamber Load 10.7 ibs)

  • · Non-lumened reusable metal and non-metal medical devices requiring surface sterilization, or sterilization of mated stainless steel and titanium surfaces, and rigid or semi-naid endoscopes without lumens, including da Vinci 3-D scopes

ASP STERRAD® 100NX DUO cvcle (Max Chamber Load 13.2 Ibs)

  • · One or two single-channel Flexible Endoscope with or without a silicone mat and no additional load. The flexible endoscope may contain:
    • o a single-channel Teflon®/Polyethylene lumen with an inside diameter of 1 mm or larger and a length of 875 mm or shorter

9

| Reusable metal and non-metal medical devices, including up to 10 lumens of the following lumen dimensions per chamber load: an inside diameter of 1 mm or larger and a length of 500 mm or shorter of single-channel stainless steel lumens OR One single-channel Flexible Endoscope with or without a silicone mat and no additional load. The flexible endoscope may contain: a single-channel Teflon®/Polyethylene lumen with an inside diameter of 1 mm or larger and a length of 850 mm or shorter K123289: Cardinal Health DuraBlue™ Sterilization Wrap is intended to allow sterilization of the enclosed medical device that is to be sterilized by a health care provider using the following modalities: Pre-vacuum steam at 270°F/132°C for 4 minutes 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes and maintain sterility of the enclosed device(s) for 180 days. The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of the enclosed device(s). Maintenance of package sterility was validated with real-time aging testing for a duration of 180 days for each indicated modality.
For pre-vacuum steam sterilization, the wrap has been validated for dry times of 20 minutes for Models CH100 and CH200 and 30 minutes for Models CH300, CH400, CH500, and CH600. Models CH400, CH500, and CH600 have been validated for pre-vacuum steam sterilization of two lumens 3 mm in diameter or larger and 400 mm in length or less. | ASP STERRAD® NX Standard cycle (Max Chamber Load 10.7 lbs) Reusable metal and non-metal medical devices, including up to 10 lumens of the following lumen dimensions per chamber load: an inside diameter of 1 mm or larger and a length of 150 mm or shorter of single-channel stainless steel lumens an inside diameter of 2 mm or larger and a length of 400 mm or shorter of single-channel stainless steel lumens ASP STERRAD® NX Advanced cycle (Max Chamber Load 10.7 lbs) Reusable metal and non-metal medical devices, including up to 10 lumens of the following lumen dimensions per chamber load: an inside diameter of 1 mm or larger and a length of 500 mm or shorter of single-channel stainless steel lumens OR One single-channel Flexible Endoscope with or without a silicone mat and no additional load. The flexible endoscope may contain: a single-channel Teflon®/Polyethylene lumen with an inside diameter of 1 mm or larger and a length of 850 mm or shorter All models of DuraBlue™ Sterilization Wrap have been validated for use with the Amsco® V-PRO™cycles in Table 2. The DuraBlue™ Sterilization Wrap was validated to be effectively aerated during the pre-programmed Amsco® V-PRO™sterilization cycles. | Lumen Cycle: (Max Chamber Load 19.65lbs) Reusable metal and non-metal medical devices, including up to 20 lumens of the following dimensions per chamber load: an inside diameter of 1 mm or larger and a length of 125 mm or shorter an inside diameter of 2 mm or larger and a length of 250 mm or shorter an inside diameter of 3 mm or larger and a length of 400 mm or shorter | For EO sterilization, the wrap has been validated for an aeration time of 8 hours at 55°C. Models CH400, CH500, and CH600 have been validated for EO sterilization of two lumens of 3 mm diameter or larger and 400 mm in length or less.
K120658: Cardinal Health DuraBlueTM Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider in the following modalities Pre-vacuum steam at 270°F/132°C for 4 minutes STERRAD 100S System Lumen, Non Lumen, and Flexible Cycles in the Amsco® V-PRO® 1, Amsco® V-PRO® 1 Plus, and Amsco® V-PRO® MAX Low Temperature Sterilization Systems The Wrap is intended to allow sterilization of the enclosed medical devices(s) and to maintain sterility of the enclosed devices(s). Maintenance of package sterility was validated with real-time testing for the following durations: 180 days following sterilization by STERRAD 100S and Amsco V-PRO (Lumen, Non Lumen, and Flexible Cycles). 30 days following sterilization by pre-vacuum steam at 270°F/132°C for 4 minutes For pre-vacuum steam sterilization, the wrap has been validated for dry times of 20 minutes for Models CH100 and CH200 and 30 minutes for Models CH300, CH400, CH500, and CH600.
Models CH400, CH500, and CH600 have been validated for pre-vacuum steam sterilization of lumens 3 mm in diameter or larger and 400 mm in length or less.
All models have been validated for STERRAD® 100S sterilization of lumens 2.5 mm in diameter or larger and 250 mm in length or less. | Non Lumen Cycle: (Max Chamber Load 19.65 lbs) Non-lumened reusable metal and non-metal medical devices Flexible Cycle: (Max Chamber Load 24 lbs) Single or dual lumen surgical flexible endoscopes and bronchoscopes in either of two load configurations: Two trays, each containing a flexible endoscope with a light cord (if not integral to endoscope) and mat with no additional load One tray containing a flexible endoscope with a light cord (if not integral to endoscope) and mat and an additional tray containing non-lumened medical devices The flexible endoscope(s) may contain either: a single lumen with an inside diameter of 1 mm or larger and a length of 1050 mm or shorter two lumens, with one lumen having an inside diameter of 1 mm or larger and a length of 998 mm or shorter and the other lumen having an inside diameter of 1 mm or larger and a length of 850 mm or shorter |

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

:

,

.

:

:

.

·

10

:

.

,

:

:

.

.

11

All models of DuraBlue™ Sterilization Wrap have been validated for use with the following Amsco® V-PRO™cycles:

Lumen Cycle: (Max Chamber Load 19.65lbs)

  • . Reusable metal and non-metal medical devices, including up to 20 lumens of the following dimensions per chamber load:
    • an inside diameter of 1 mm or o larger and a length of 125 mm or shorter
    • an inside diameter of 2 mm or o larger and a length of 250 mm or shorter
    • an inside diameter of 3 mm or o larger and a length of 400 mm or shorter

Non Lumen Cycle: (Max Chamber Load 19.65 Ibs)

  • · Non-lumened reusable metal and non-metal medical devices
    Flexible Cycle: (Max Chamber Load 24 lbs)

  • · Single or dual lumen surgical flexible endoscopes and bronchoscopes in either of two load configurations:

      1. Two trays, each containing a flexible endoscope with a light cord (if not integral to endoscope) and mat with no additional load
      1. One tray containing a flexible endoscope with a light cord (if not integral to endoscope) and mat and an additional tray containing non-lumened medical devices

The flexible endoscope(s) may contain either:

  • a single lumen with an inside . diameter of 1 mm or larger and a length of 1050 mm or shorter
  • . two lumens, with one lumen having an inside diameter of 1 mm or larger and a length of 998 mm or shorter and the other lumen having an inside diameter of 1 mm or larger and a length of 850 mm or shorter

12

| Element of
Comparison | PREDICATE
DuraBlue™ Sterilization Wrap
(K123857, K123289, and K120658) | PROPOSED
DuraBlue™ Sterilization Wrap | Comparison
to Predicate |
|------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------|-----------------------------|
| Material
Composition | Polypropylene fabric using SMS (spunbond-
meltblown-spunbond) production process | Same | Substantially
Equivalent |
| Sterilization
Parameters | Pre-vacuum steam at 270°F/132°C for 4 minutes
100% ethylene oxide (EO) with a concentration of
725-735 mg/L at 131°F/55°C and 40%-80% relative
humidity for 60 minutes
Advanced Sterilization Products (ASP)
STERRAD® 100S System
Advanced Sterilization Products (ASP)
STERRAD® NX System, Standard and Advanced
Cycles
Advanced Sterilization Products (ASP)
STERRAD® 100NX, Standard, Flex, Express, and
DUO cycles
Amsco® V-PRO®: Lumen, Non Lumen, and
Flexible Cycles in the Amsco® V-PRO® 1, Amsco®
V-PRO® 1 Plus and Amsco® V-PRO® MAX Low
Temperature Sterilization Systems | Same | Substantially
Equivalent |
| Configurations/
Dimensions | Six basis weights
Fourteen sizes | Same | Substantially
Equivalent |
| Maximum
Wrapped
Package
Content.
Weights | Pre-vacuum Steam: 3 to 25 pounds
EO: 3 to 25 pounds
STERRAD® 100S: 3 to 9.7 pounds
STERRAD® NX: 10.7 pounds
STERRAD® 100NX: 10.7 pounds
Amsco® V-PRO®: 3 to 9.1 pounds | Same | Substantially
Equivalent |
| Sterilization
Performance | Pass | Same | Substantially
Equivalent |
| Physical
Performance | Pass | Same | Substantially
Equivalent |
| Biocompatibility | Non-cytotoxic, Non-sensitizing, Non-irritating | Same | Substantially
Equivalent |

.

.

:

:

13

Summary of Testing

DuraBlue™ Sterilization Wrap performance has been tested in accordance with the applicable requirements recommended in the FDA's Guidance Document Premarket Notifications for Medical Sterlization Packaging System in Health Care Facilities; Draft Guidance for Industry and FDA (March 7, 2002) in this submission and the predicate Premarket Notifications. Testing included sterilization efficacy for the modification of the stainless steel lumen claims for the Amsco® V-PRO® Lumen Cycle; and event related maintenance of package sterility for each indicated sterilization process. Data from testing demonstrates that the DuraBlue™ Sterilization Wrap maintains sterlity of the enclosed contents for 365 days following sterilization by pre-vacuum steam, EO, or Amsco® V-PRO™ (Lumen, Non Lumen, and Flexible Cycles), and STERRAD® 100S, STERRAD® NX (Standard and Advanced cycle), and STERRAD® 100NX (Standard, Flex, Express, and DUO cycles). Additionally, the DuraBlue™ Sterilization Wrap has been validated for use with the modified lumen sterilization claims when used with the Amsco® V-PRO® Lumen cycle.

Performance PropertiesResults
Sterilization EfficacyPASS
Microbial Barrier
PropertiesAerosol ChallengePASS
Event Related Shelf
LifePASS- 365
days
Material Compatibility with Indicated
Sterilization MethodCompatible
BiocompatibilityNon-irritating

Table 5: Performance Testing of Proposed DuraBlue™ Sterilized by Pro-vacuum steam, EO, AMSCO® V-PRO®, STERRAD® 100S, STERRAD® 100NX, STERRAD® NX system

Conclusions:

Based on the results of the biocompatibility and physical performance testing, DuraBlue™ Sterilization Wrap is safe for its intended use. The DuraBlue™ Sterilization Wrap is substantially equivalent to the predicate device, in terms of general intended use, physical performance testing, material composition, sterilization process and compatibility, configurations/dimensions, and safety and effectiveness.

14

Image /page/14/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features the department's name arranged in a circular fashion around a symbol. The symbol is a stylized representation of an eagle or bird-like figure with three wing-like extensions.

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

December 13, 2013

Cardinal Health 200, LLC Ms. Lavenia Ford Manager, Regulatory Affairs 1430 Waukegan Road WAUKEGAN IL 60085

Re: K132060

Trade/Device Name: DuraBlue™ Sterilization Wrap Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: II Product Code: FRG Dated: November 19, 2013 Received: November 20, 2013

Dear Ms. Ford:

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.

15

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 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/ResourcesforYou/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/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

Sincerely yours.

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

FOR

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

Enclosure

16

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

610(k) Number (if known) K132060

  • 1.52 (2007) - 1.

Davice Name DuraBlueTM Sterilization Wrap

Indications for Use (Desaribe)

DuraBlue . Sterilization Wryp is intended to be used to enclose mother mat is to be sterlized by a health care provider using:

· Pro-vacum steam at 270°F/132°C for 4 minutes

· 100% edivine oxide (BO) with a concentration of 725-735 mg/L at 131 m/s/550 and 40%-80% relative burnins.

· Advanced Sterilization Products (ASP) STERRAD® 1008 system.

· Advanced Sterilization Products (ASP) STHRRAD® NX cystem, Standard and Advanced Cyclos

· Advanced Sterlization Products (ASP) STERRAD® 100NX system. Standard, Flox, Essuress, and DUO Cycles

· Luman, Non Lumen, and Flaxible Orches in the Amsold V-PRO® 1 Pius and Amsood V-PRO® max Love Temperature Sterilization Systems

The very is intended to allow storifical of the maintain devices) and to maintain starflity of the ensiness devices writt used

For are recomments the was has been valifisted for dry times of 20 minutes for Modals CH 100 and CH200. and for 30 minutes for Madels CH300, CH500 and CH60. Models CH400 and CH60 have been validated for are-resum steam sterilization of two himens 3 mm in diameter or larger and 400 mm in length or less.

For BO storilization, the very has been validated for an constion time of 8 bours at 55 °C. Models CH400 have been validated for BO sterilization of two lumens of 3 mm diameter or larger and 400 mm in leagth or less.

All models of DunBlag™ Sterlization Wap been validated for Advanced Statilization Products (ASP) STERRAD® 100S sterilization of lumens 2.5 mm in diameter or larger and 250 mm in length or less.

All models of DuralBluer Warp have been velidated for use with the Advanced Sterlization Products (ASP) 8TBRRAD® NX and STERRAD® 100NX cycles in Table 1.

All models of Durillion & Starilization Wrap have been validated for use with the STERIS Amsoco V-PRO® overes in Table 2. The DuraBluard Starilization Wrap was validated to be effectively as need during the programmed STERIS Amscod V-PRO® sterilization cvoles.

Type of Use (Select ans or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

Form Approved: OMB No. 0910-0120

Expiration Date: December 31, 2013

See PRA Statement on lest page.

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED,

THE FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR FOR CONSTITUTION

Concurrence of Center for Devices and Radiotogical Haath (CDRH) (Signature)

Image /page/16/Picture/24 description: The image contains a signature and the text "Mar Runner -5 2013 05'00". The text is stacked vertically, with "Mar Runner -5" at the top, followed by "2013", and then "05'00" at the bottom. The signature is to the left of the text.

FORM FDA 3881 (9/13) ·

SUPERIOR Home Services (303) 452-5749

17

Croble 1: Validated Advanced Sterlilzation Products (ASP) STERRAD® NX and STERRAD® 100NX Cycles .

| Advanced
Sterilization
Products
(ASP)
STERRAD®
System and
Cycle | Maximum
Recommended
Chamber Load | Intended Load |
|-----------------------------------------------------------------------------------|----------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ASP
STERRAD® NX
Standard Cycle | 10.7 lbs | Reusable metal and non-metal medical devices, including up to
10 lumens of the following lumen dimensions per chamber load:
an inside diameter of 1 mm or larger and a length of 150 mm or shorter of single-channel stainless steel lumens an inside diameter of 2 mm or larger and a length of 400 mm or shorter of single-channel stainless steel lumens |
| ASP
STERRAD® NX
Advanced Cycle | 10.7 lbs | Reusable metal and non-metal medical devices, including up to
10 lumens of the following lumen dimensions per chamber load:
an inside diameter of 1 mm or larger and a length of 500 mm or shorter of single-channel stainless steel lumens OR
One single-channel Flexible Endoscope with or without a silicone
mat and no additional load. The flexible endoscope may contain:
a single-channel Teflon®/Polyethylene lumen with an
inside diameter of 1 mm or larger and a length of 850 mm
or shorter |
| ASP
STERRAD®
100NX
Standard Cycle | 21.4 lbs | Reusable metal and non-metal medical devices, including up to
10 lumens of the following lumen dimensions per chamber load:
an inside diameter of 0.7 mm or larger and a length of 500 mm or shorter of single-channel stainless steel lumens (A maximum of five lumens per tray per sterilization cycle) |
| ASP
STERRAD®
100NX Flex
Cycle | 12.2 lbs | One or two single-channel Flexible Endoscope with or without a
silicone mat and no additional load. The flexible endoscope may
contain:
a single-channel Teflon®/Polyethylene lumen with an
inside diameter of 1 mm or larger and a length of 850 mm
or shorter (A maximum of two flexible endoscopes, one per tray per sterilization cycle) |
| ASP
STERRAD®
100NX Express
Cycle | 10.7 lbs | Non-lumened reusable metal and non-metal medical devices
requiring surface sterilization, or sterilization of mated stainless
steel and titanium surfaces, and rigid or semi-rigid endoscopes
without lumens |
| ASP
STERRAD®
100NX Duo Cycle | 13.2 lbs | One or two single-channel Flexible Endoscope with or without a
silicone mat and no additional load. The flexible endoscope may
contain:
a single-channel Teflon®/Polyethylene lumen with an
inside diameter of 1 mm or larger and a length of 875 mm
or shorter |

. .

18

Table 2: Validated STERIS Amsco® V-PRO® Cycles

· ··········································································································································································· .

·

| Amsco® V-
PRO™ Cycle | Maximum
Recommended
Chamber Load | Intended Load |
|-------------------------|----------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Lumen Cycle | 19.65 lbs | Reusable metal and non-metal medical devices, Including up to 20
lumens of the following dimensions per chamber load:
• an inside diameter of 1 mm or larger and a length of
125 mm or shorter
• an inside diameter of 2 mm or larger and a length of
250 mm or shorter
• an inside diameter of 3 mm or larger and a length of
400 mm or shorter |
| Non Lumen
Cycle | 19.65 lbs | Non-lumened reusable metal and non-metal medical devices |
| Flexible Cycle | 24 lbs | Single or dual lumen surgical flexible endoscopes and
bronchoscopes in either of two load configurations:

  1. Two trays, each containing a flexible endoscope with a light
    cord (if not integral to endoscope) and mat with no additional
    load
  2. One tray containing a flexible endoscope with a light cord (if
    not integral to endoscope) and mat and an additional tray
    containing non-lumened medical devices
    The flexible endoscope(s) may contain either:
    • a single lumen with an inside diameter of 1 mm or
    larger and a length of 1050 mm or shorter
    • two lumens, with one lumen having an inside diameter
    of 1 mm or larger and a length of 898 mm or shorter
    and the other lumen having an inside diameter of 1
    mm or larger and a length of 850 mm or shorter |

19

... Table 3: Wrap Model Recommendations

)

| Sterilization

Wrap ModelIntended LoadMaximum Recommended Wrapped Package Content Weights2
Pre-Vacuum
and EOAdvanced
Sterilization
Products
(ASP)
STERRAD®
100SAdvanced
Sterilization
Products
(ASP)
STERRAD® NX
and 100NXSTERIS
Amsco®
V-PRO®
CH100Very light weight package
(for example: towel packs or
batteries).3 lbs3 lbs10.7 lbs3 lbs
CH200Light weight package
(for example: telescope with
light cord).6 lbs6 lbs10.7 lbs6.5 lbs
CH300Light to moderate weight
package
(for example: general use
medical Instruments).9 lbs9.7 lbs10.7 lbs9 lbs
CH400Moderate to heavy weight
package
(for example: general use
medical instruments).13 lbs9.7 lbs10.7 lbs9.1 lbs
CH500Heavy weight package
(for example: general use
medical Instruments).17 lbs9.7 lbs10.7 lbs9.1 lbs
CH600Very heavy weight package
(for example: general use
medical instruments).25 lbs9.7 lbs10.7 lbs9.1 lbs

The following loads were used in the pre-vacuum steam Sterlilly Validation Studies:

· CH100: 16 huck towels (17 in. x 29 In.).

  • CH200: 2 huck towels (17 in. x 29 in.), 3 fluid-resistant drapes (108 in. x 72 in.).

· CH800: 16 huck towals (17 In. x 20 in.), 1 fiuld-resistant table cover (80 in.), 5 lbs of metal mass.

· CH400: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm ID x 400 mm) and 8 lbs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

• CH500: 4 stacked tray liners (20 ln. x 25 in.), 2 lumens (3 mm ID x 400 mm) and 12 lbs of metal mass in a 23 In. x 11 In. x 3.5 In. tray.

· CH600: 4 stacked tray liners (20 In. x 25 In.), 2 lumens (3 mm ID x 400 mm) and 20 lbs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

20

The following loads were used in the EO Sterilly Validation Studies:

· CH100: 16 huck towels (17 In. x 29 in.).

· CH200: 2 huck towels (17 in. x 29 in.), 2 fiuld-resistant drapes (108 in.), 2.5 lbs of metal mass.

· CH300: 18 huck towals (17 in. x 29 in.), 1 fiuld-resistant table cover (80 in. x 60 in.), 5 lbs of metal mass. · CH400: 4 stacked tray liners (20 tn. x 25 tn.), 2 lumens (3 mm ID x 400 mm) and 7.5 lbs of metal mass

in a 23 In. x 11 in. x 3.5 In. tray.

· CH600: 4 stacked tray liners (20 in. x 25 in.), 2 lumens (3 mm ID x 400 mm) and 11,5 lbs of metal mass in a 23 in. x 11 in. x 3.5 in. tray.

· CH600: 4 stacked tray liners (20 in. x 25 (n.), 2 lumens (8 mm) and 19.5 lbs of metal mass in a 23 In. x 11 In. x 3.5 In. tray.

The following loads were used in the Advanced Sterliization Products (ASP) STERRAD® 100S Sterfilly Validation Studies:

· CH100: Metal Instruments.

· CH200 - CH600: 15 in. x 10 m. x 1.2 in. tray containing metal Instruments.

The following loads were used in the Advanced Sterlization Products (ASP) STERRAD® NX and STERRAD® 100NX Sterlily Validation Studies:

· CH100 - CH600: 23 In. x 11 In. x 4 in. tray containing metal Instruments.

The following loads were used in the STERIS Amsco® V-PROD Sterliffy Validation Studies:

· CH100: Metal instruments.

· CH200 - CH600: 17 In. x 10 in. x 3.5 In. tray oontaining metal instruments.

Note: The loads used in each Stefilty Validation Study corresponded to the maximum wrapped package content weights in Table 3.

'Individual results may differ due to factors such as variations in handling practices, wrapping techniques, and folding methods. Results may also differ due to the use of integularly shaped contents, which may out added stress on the wap. Each healthcare facility should determine for itself which wrap model is most appropriate for each intended use.

2 II Is recommended to not exceed the maximum wrapped package content weights Indicated for each wrap model. Furthermore, it is recommonded to not exceed the number, welchit and size of individual content types that were validated for the DuraBlue 14 Sterlilization Wraps.

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