K Number
K140330
Manufacturer
Date Cleared
2014-08-18

(189 days)

Product Code
Regulation Number
878.4370
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

3M Steri-Drape Fabric Surgical Drapes are used to create a sterile field for surgical procedures. They are provided sterile and intended for external use only.

3M Steri-Drape non-sterile fabric drapes are provided to other manufacturers for further processing using ethylene oxide. 3M provides information on compatibility with ethylene oxide processing.

Non-sterile surgical drapes are sold to repackager or relabeler establishments for EtO sterilization according to ISO 11135-1:2007. Sterile surgical drapes are sold directly to end users after EtO sterilization validation to ISO 11135-1:2007.

Device Description

The 3M Steri-Drape Fabric Surgical Drapes are one-piece, dual layer, single use disposable drapes with an AAMI Level 4 Liquid Barrier. The drapes are made of a blue absorbent nonwoven fabric thermally bonded to a blue protective barrier film. The drapes are intended to be placed over the patient prior to surgery and are designed to provide an absorbent sterile barrier during surgical procedures and stop fluid strike-through to protect the surgical site and patient from microbial penetration.

Steri-Drape Fabric Surgical Drapes are either provided sterile to end-users or non-sterile to kit manufacturers for further processing including EtO sterilization according to ISO 11135-1:2007

The drapes are provided in multiple sizes and shapes to meet the requirements of various clinical procedures. In general, the surgeon delineates the proposed field of surgery and charges the nursing team with the responsibility of draping the patient using different types of drapes. All models utilize the same material technology.

AI/ML Overview

The document describes the non-clinical performance testing and acceptance criteria for the 3M™ Steri-Drape™ Fabric Surgical Drapes to establish substantial equivalence to a predicate device (3M™ Steri-Drape™ Fabric Surgical, K031287).

Here's the breakdown of the information requested:

1. A table of acceptance criteria and the reported device performance

Non-Clinical Performance TestAcceptance Criteria (Predicate Performance)Reported Device Performance (3M™ Steri-Drape™ Fabric Surgical Drape)Substantial Equivalence Comparison
Tensile Strength (MD)108 N106 NSubstantially Equivalent
Tensile Strength (CD)70.7 N58 NSubstantially Equivalent
Burst Strength (Dry)225 kPa231 kPaSubstantially Equivalent
Burst Strength (Wet)199 kPa193 kPaSubstantially Equivalent
Resistance to Liquid PenetrationAAMI Level 4 - Pass with an AQL of 4% and RQL of 20%AAMI Level 4 - Pass with an AQL of 4% and RQL of 20%Substantially Equivalent
LintingPass with a Log10 (lint count) of $\le$ 4.0Pass with a Log10 (lint count) of $\le$ 4.0Substantially Equivalent
ParticulatePass with an Index Particulate Matter (IPM) of $\le$ 3.5Pass with an Index Particulate Matter (IPM) of $\le$ 3.5Substantially Equivalent
FlammabilityClass I NormalClass I NormalSubstantially Equivalent
CytotoxicityNon-CytotoxicNon-CytotoxicSubstantially Equivalent
IrritationNon-IrritatingNon-IrritatingSubstantially Equivalent
SensitizationNon-SensitizingNon-SensitizingSubstantially Equivalent

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document does not explicitly state the specific sample sizes for each test set. It mentions tests were conducted on the "sterilized, final finished device." The data provenance (country of origin, retrospective/prospective) is also not specified.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

This document details non-clinical performance testing of surgical drapes, which typically relies on laboratory measurements and standardized test methods rather than expert interpretation of data like in medical imaging. Therefore, the concept of "experts establishing ground truth" in the manner of medical professionals is not applicable here. The "ground truth" is defined by the technical specifications and performance characteristics outlined in the relevant ANSI/AAMI, ASTM, ISO, and CFR standards.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. As this is non-clinical laboratory testing, there is no human adjudication process involved as would be for diagnostic device performance.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This document pertains to the performance and equivalence of surgical drapes, not a diagnostic device involving human readers or AI.

6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done

Not applicable. This is not an algorithmic device.

7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)

The "ground truth" used for these tests is based on established industry standards and regulatory requirements for surgical drapes, such as:

  • ANSI/AAMI PB70: 2012 (Liquid barrier performance)
  • ASTM F1670-08 (Resistance to synthetic blood penetration)
  • ISO 9073-3:1989 (Tensile strength and elongation)
  • ISO 13938-1:1999 (Bursting strength)
  • ISO 9073-10:2003 (Lint and particle generation)
  • 16 CFR Part 1610 (Flammability)
  • ISO 10993-5:2009 (Cytotoxicity)
  • ISO 10993-10:2010 (Irritation and skin sensitization)

The performance of the device is assessed against the numerical and qualitative criteria specified in these standards, with the predicate device's performance serving as the benchmark for "substantially equivalent" claims.

8. The sample size for the training set

Not applicable. This document describes the testing of a medical device (surgical drapes), not a machine learning model, so there is no training set.

9. How the ground truth for the training set was established

Not applicable. There is no training set for this type of device submission.

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized representation of three human profiles facing right, arranged in a cascading manner. The profiles are connected by a flowing line that resembles a ribbon or wave. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the emblem.

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

August 18, 2014

3M Health Care Mr. Mark Burville Regulatory Affairs Manager 3M Center, 2510 Conway Ave., Building 275-5W-06 St Paul, MN 55144

Re: K140330 Trade/Device Name: 3 M Steri-Drape Fabric Surgical Drapes Regulation Number: 21 CFR 878.4370 Regulation Name: Surgical Drape and Drape Accessories Regulatory Class: Class II Product Code: KKX Dated: July 14, 2014 Received: July 16, 2014

Dear Mr. Burville,

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. Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical devicerelated 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.

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

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

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 and Part 809); 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 and Part 809), please contact the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Mary S. Runner -S

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

Enclosure

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Indications for Use

510(k) Number (if known) K140330

Device Name 3M Steri-Drape Fabric Surgical Drapes

Indications for Use (Describe)

3M Steri-Drape Fabric Surgical Drapes are used to create a sterile field for surgical procedures. They are provided sterile and intended for external use only.

3M Steri-Drape non-sterile fabric drapes are provided to other manufacturers for further processing using ethylene oxide. 3M provides information on compatibility with ethylene oxide processing.

Non-sterile surgical drapes are sold to repackager or relabeler establishments for EtO sterilization according to ISO 11135-1:2007. Sterile surgical drapes are sold directly to end users after EtO sterilization validation to ISO 11135-1:2007.

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

] Prescription Use (Part 21 CFR 801 Subpart D)

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

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

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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

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Catalog Number(s)DimensionsName/Descriptor
1031228cm · 90in (Width Top)182cm · 72in (Width Bottom)285cm · 112in (Length)Laparoscopic Drape/Supine Position
1032228cm · 90in (Width Top)117cm · 46in (Length ofPanel)241cm · 95in (Length)Laparoscopic Drape/LithotomyPosition
1034152cm x 200cm60in x 78inCentral Venous Catheter Drape
1078196cm x 200cmNo inches statedPerineal Drape with Pouch
1079195cm · 77in (Width Top)117cm · 46in (Length ofPanel)179cm · 70in (Length)Gynecologic Drape
1080195cm · 77in (Width Top)117cm · 46in (Length ofPanel)179cm · 70in (Length)Gynecologic Drape
1081152cm x164cm Upper60in x 64in117cm / 46in LowerTUR/Urological Drape
1082235cm · 92in300cm · 118 inAbdominal Vaginal Drape
108486cm x108cm34in x 42inUnder Buttocks Drape with Pouch
108957cm x 66cm22in x 26inUtility Sheet (2)
1090182cm x 228cm72in x 90inFemoral Angiography Drape
109257cm x 66cm22in x 25inSmall Drape with Adhesive Aperture
1094226cm x 320cm90in x 126inArthroscopy Sheet with Pouch
1135279cm x 183cm110in x 72in15cm x 13cm5.9in x 5 inPeripherally Inserted Central CatheterDrape
*1190NS228cm x 330cm89in x 130inFemoral Angiography Drape
1191229cm x 330cm90in x 130inFemoral Angiography Drape
Catalog Number(s)DimensionsName/Descriptor
1192152cm x 170cm60in x 67inVenous/Arterial Access Drape
1193290cm x 345cm114in x 136inAngiography Drape
1194292cm · 115in (Width Top)228cm · 89in (Width Bottom)304cm · 120in (Length)Arthroscopy Sheet with Pouch
2065195cm · 77in (Width Top)271cm · 106in (Total Length)Abdominoperineal Incise Drape
7964254cm x 279cm100in x 110inAbdominoperineal Incise Drape-Lithotomy Position
7965254cm · 100in (Width Top)195cm · 76in (Width Bottom)308cm · 121in (Length)Cesarean Section Incise Sheet withPouch
7966254cm · 100in (Width Top)195cm · 76in (Width Bottom)310cm · 122in (Length)Cesarean Section Sheet with AperturePouch
902376cm x 170cm29in x 67inPerineal Aperture Drape
90266cm x 8cm (Aperture)2.3in x 3.1in55cm x 55cm21in x 21inAperture Drape
9027Part 1 50cm x 75cm19in x 19inPart 2 50cm x 75cm19in x 19inAdjustable Aperture Drape
9027LPart 1 75cm x 100cm29in x 39inPart 2 75cm x 100cm29in x 39inAdjustable Adhesive Aperture Drape
90286cm x 8cm (Aperture)2.3 in x 3.1 in75cm x 75cm29in x 29inAdhesive Aperture Drape
902915 cm x 6 cm (Aperture)6 in x 2 in75cm x 75cm29in x 29inAdhesive Aperture Drape
90306cm x 8cm (Aperture)2 in x 3in152cm x 120cm60in x 47inAdhesive Aperture Drape
Catalog Number(s)DimensionsName/Descriptor
90318cm x 6cm (Aperture)Adhesive Aperture Drape
3 in x 2 in
150cm x 183cm
59in x 72in
*9033NS150cm x 183cmTriangular Aperture Drape
59in x 72in
904075cm x 114cmLeggings (2)
29in x 44in
9040L (pair)85cm x 130cmLegging Long
33in x 51in
904135cm x 60cmExtremity Cover (S)
13.5in x 23.5in
904235cm x 100cmExtremity Cover (L)
13.5in x 39in
90437 cm x 70 cm (split)Adhesive Split Sheet
2.5in x 25 in
152cm x 183cm
60in x 72in
90447cm x 70cm (split)Adhesive Split Sheet
2.5in x 25 in
152cm x 250cm
60in x 98in
904520cm x 100cm (split)Adhesive Split Sheet
7in x 39 in
228cm x 260cm
89.5in x 102in
9045R20cm x 100cm (split)Reinforced Adhesive Split Sheet
7in x 39 in
228cm x 260cm
89.5in x 102in
9046183cm x 200cmBilateral Adhesive Split Sheet
72in x 78in
9046L228cm x 260cmBilateral Adhesive Split Sheet
89in x 102in
9047183cm x 152cmNeuro Split Sheet with Pouch
72in x 60in
904820cm x 40cm (split)Adhesive Split Sheet
7in x 15 in
228cm x 260cm
90in x 102in
905012cm x 18cm (aperture)Adhesive Aperture Drape
4.5in x 8in
228cm x 300cm
90in x 138in
Catalog Number(s)DimensionsName/Descriptor
9051183cm x 315cm72in x 124inThyroid Drape
9052355cm x 293cm140in x 115inHand Drape
9053228cm x 300cm89in x 118inExtremity Drape
9054195cm x 300cm77in x 118inHand and Foot Drape
9055300cm · 118in (Width Top)228cm · 90in (Width Bottom)353cm · 139in (Length)Hip Drape with Pouches
9056195cm x 300cm77in x 118inBilateral Foot Drape
9057292cm · 115in (Width Top)228cm · 89in (Width Bottom)305cm · 120in (Length)Extremity Drape with AnesthesiaScreen
9058228cm x 300cm90in x 118inBilateral Knee Drape
9062254cm · 100in (Width Top)183cm · 72in (Width Bottom)285cm · 112in (Length)Laparotomy Drape-Transverse
9063254cm · 100in (Width Top)183cm · 72in (Width Bottom)285cm · 112in (Length)Laparotomy Drape
906685cm x 85cm33in x 33inUnder Buttock Drape with Cuff
906745cm x 37cm17.75in x 14.5inDrape Sheet
906990cm x 75cm36in x 30inDrape Sheet
9070114cm x 87cm45in x 34inTurban Drape Sheet
907197cm x 97cm38 in x 38inDrape Sheet
9072114cm x 150cm44in x 59inDrape Sheet
9074150cm x 150cm60in x 60inInstrument Table Cover/Drape Sheet
9077200cm x 250cm78in x 59inDrape Sheet
9077R150cm x 200cmNo inches statedInstrument Table Cover Reinforced
9079200cm x 228cm78in x 90inDrape Sheet
Catalog Number(s)DimensionsName/Descriptor
908355cm x 55cm19.75in x 19.75inAdhesive Towel Drape
908475cm x 75cm29in x 29inAdhesive Towel Drape
9085100cm x 85cm39in x 33inAdhesive Towel Drape
9085W97cm x 115cm38in x 45inAdhesive Towel Drape
9086100cm x75cm39in x 29inAdhesive Towel Drape
9087183cm x 183cm72in x 72inAdhesive Drape Sheet
9088200cm x 250cm78in x 59inAdhesive Drape Sheet
9089170cm x 170cm67in x 67inAdhesive Drape Sheet
9090300cm x 228cm118in x 90inAdhesive Drape Sheet
919616cm x 95cm (Split)6in x 37in228cm x 260cm90in x 102inShoulder Split Sheet with Pouch
Catalog Number(s)DimensionsName/Descriptor
103127cm x 30cm10.5in x 11.5in (Aperture)228cm · 90in (Width Top)182cm · 72in (Width Bottom)285cm · 112in (Length)Laparoscopic Drape/Supine Position
103227cm x 30cm10.5in x 11.5in (Aperture 1)12cm x 15.5cm4.5in x 6cm (Aperture 2)228cm · 90in (Width Top)117cm · 46in (Length of Panel)241cm · 95in (Length)Laparoscopic Drape/LithotomyPosition
103434.5cm x 34.5cm (13.5in x 13.5in)Film with 10cm (4 in) Circle Aperture152cm x 200cm60in x 78inCentral Venous Catheter Drape
10789cm x 12cm3.3in x 4.5in (Aperture)196cm x 200cm77in x 78inPerineal Drape with Pouch
10799cm x 12cm3.3in x 4.5in (Aperture)195cm · 77in (Width Top)117cm · 46in (Length of Panel)179cm · 70in (Length)Gynecologic Drape
10809cm x 12cm3.3in x 4.5in (Aperture)195cm · 77in (Width Top)117cm · 46in (Length of Panel)179cm · 70in (Length)Gynecologic Drape
108120cm x 10cm (7.8in x 3.9in)Film with 6cm(2 in) Circle Aperture152cm x164cm (60in x 64in)117cm · 46in (Length of Panel)TUR/Urological Drape
Catalog Number(s)DimensionsName/Descriptor
108223cm x 28cmAbdominal Vaginal Drape
9in x 11in (Aperture)
235cm · 92 in (Width)
300cm · 118 in (Length)
108486cm x 63cmUnder Buttocks Drape with Pouch
34in x 24.5in (Pouch)
86cm x45cm
34in x 17.5in
108957cm x 66cmUtility Sheet (2)
22in x 26in
10906.4cm x 8.9cmFemoral Angiography Drape
2.5in x 3.5in (Aperture)
182cm x 228cm
72in x 90in
10926cm · 2.25in (CircleSmall Drape with Adhesive Aperture
Aperture)
57cm x 66cm
22in x 25in
109423cm x 28cm (9in x 11in) FilmArthroscopy Sheet with Pouch
with 6cm (2.25in) Circle
Aperture
226cm x 320cm
90in x 126in
113528cm x 26cm (11in x 10in)Peripherally Inserted Central Catheter
Film with 15cm x 13cm (5.9inDrape
x 5in) Aperture
183cm x 279cm
72in x 110in
*1190NS10cm x 7.5cmFemoral Angiography Drape
4in x 3in (Aperture)
91cm x 330cm
35in x 130in
228cm x 330cm
89in x 130in
119111cm x 14cmFemoral Angiography Drape
4in x 5.5in (Aperture)
91cm x 228cm
35in x 89in
229cm x 330cm
90in x 130in
11928cm x 20cmVenous/Arterial Access Drape
3in x 7.5in (Aperture)
152cm x 170cm
60in x 67in
Catalog Number(s)DimensionsName/Descriptor
11937.5cm x 10cm3in x 4in (Aperture)154cm x 154cm60in x 60in290cm x 345cm114in x 136inAngiography Drape
119423cm x 28cm (9in x 11in) Filmwith 6cm (2.25in) CircleAperture292cm · 115in (Width Top)228cm · 89in (Width Bottom)304cm · 120in (Length)Arthroscopy Sheet with Pouch
206541cm x 45cm(16in x 17in) Incise12cm x 15.5cm(4.75in x 6in) Aperture195cm · 77in271cm · 106in117cm · 46in (Length of Panel)Abdominoperineal Incise Drape
796430cm x 30cm12in x 12in (Incise)254cm x 279cm100in x 110inAbdominoperineal Incise Drape-Lithotomy Position
796530cm x 30cm12in x 12in (Incise)254cm · 100in (Width Top)195cm · 76in (Width Bottom)308cm · 121in (Length)Cesarean Section Incise Sheet withPouch
796630cm x 30cm12in x 12in (Incise) with 20cmx 24 cm (8in x 9.5in) Aperture254cm · 100in (Width Top)195cm · 76in (Width Bottom)310cm · 122in (Length)Cesarean Section Sheet with AperturePouch
90236cm x 8cm2.3in x 3.1in (Aperture)76cm x 170cm29in x 67inPerineal Aperture Drape
90266cm x 8cm2.3in x 3.1in (Aperture)55cm x 55cm21in x 21inAperture Drape
Catalog Number(s)DimensionsName/Descriptor
902711cm x 12.5cm4in x 5in (Aperture)Part 1 50cm x 75cm 19in x 29inPart 2 50cm x 75cm 19in x 29inAdjustable Aperture Drape
9027L11cm x 12.5cm4in x 5in (Aperture)Part 1 75cm x 100cm29in x 39inPart 2 75cm x 100cm29in x 39inAdjustable Adhesive Aperture Drape
90286cm x 8cm2.3in x 3.1in (Aperture)75cm x 75cm29in x 29inAdhesive Aperture Drape
902915 cm x 6 cm6in x 2in (Aperture)75cm x 75cm29in x 29inAdhesive Aperture Drape
90306cm x 8cm2in x 3in (Aperture)152cm x 120cm60in x 47inAdhesive Aperture Drape
90318cm x 6cm3in x 2in (Aperture)150cm x 183cm59in x 72inAdhesive Aperture Drape
*9033NS12cm x 11cm4.5in x 4in (Aperture)150cm x 183cm59in x 72inTriangular Aperture Drape
904075cm x 114cm (includes foldover)29in x 44inLeggings (2)
9040L (pair)85cm x 130cm (includes foldover)33in x 51inLegging Long
904135cm x 60cm (includes foldover)13.5in x 23.5inExtremity Cover (S)
904235cm x 100cm (includes foldover)13.5in x 39inExtremity Cover (L)
Catalog Number(s)DimensionsName/Descriptor
90437cm x 70cm2.5in x 25in (Split)152cm x 183cm60in x 72inAdhesive Split Sheet
90447cm x 70cm2.5in x 25in (Split)152cm x 250cm60in x 98inAdhesive Split Sheet
904520cm x 100cm7in x 39 in (Split)228cm x 260cm89.5in x 102inAdhesive Split Sheet
9045R20cm x 100cm7in x 39 in (Split)228cm x 260cm89.5in x 102inReinforced Adhesive Split Sheet
904615cm x 50 cm6in x 19in (Split)183cm x 200cm72in x 78inBilateral Adhesive Split Sheet
9046L44cm x 100cm17in x 39in (Split)228cm x 260cm90in x 102inBilateral Adhesive Split Sheet
904716cm x 40cm6in x 15in (Split)183cm x 152cm72in x 60inNeuro Split Sheet with Pouch
904820cm x 40cm7in x 15in (Split)228cm x 260cm90in x 102inAdhesive Split Sheet
905012cm x 16 cm4.5in x 6in (Aperture)228cm x 300cm90in x 118inAdhesive Aperture Drape
905112cm x 12cm4.5in x 4.5in (Aperture)183cm x 315cm72in x 124inThyroid Drape
Catalog Number(s)DimensionsName/Descriptor
905215cm x 25cm (5.9in x 9.8in)Hand Drape
Film with 3cm
(1 in) Circle Aperture
355cm x 293cm
140in x 115in
905311cm x 26cm (4.3in x 10in)Extremity Drape
Film with 6cm x 8cm (2in x
3in) Aperture
228cm x 300cm
89in x 118in
905415cm x 25 cm (5.9in x 9.8in)Hand and Foot Drape
Film with 3cm
(1 in) Circle Aperture
195cm x 300cm
77in x 118in
905534cm x 39cm (13in x 15in)Hip Drape with Pouches
Film with 20cm x 17.5cm (8in
x 7in) Aperture
300cm · 118in (Width Top)
57cm · 22in
(Width Bottom) 353cm · 139in
(Length)
246cm 96in (Length of
Pouches)
228cm · 90in (Total Overall
Width Bottom)
905625cm x 50cm (9.8in x 19.6 in)Bilateral Foot Drape
Film with 4cm (1.5in) Circle
Aperture
195cm x 300cm
77in x 118in
905711cm x 26 cm (4.3in x 10in)Extremity Drape with Anesthesia
Film with 6cm x 8cm (2in xScreen
3in) Aperture
292cm · 115in (Width Top)
228cm · 89in (Width Bottom)
305cm · 120in (Length)
905811cm x 26 cm (4.3in x 10in)Bilateral Knee Drape
Film with 6cm x 8cm (2in x
3in) Aperture
228cm x 300cm
90in x 118in
Catalog Number(s)DimensionsName/Descriptor
906230cm x 10cm12in x 4in (Aperture)254cm · 100in (Width Top)183cm · 72in (Width Bottom)285cm · 112in (Length)Laparotomy Drape-Transverse
906310cm x 30cm4in x 12in (Aperture)254cm · 100in (Width Top)183cm · 72in (Width Bottom)285cm · 112in (Length)Laparotomy Drape
906685cm x 85cm33in x 33inCuff is 25 cm of the 85 cm.Under Buttock Drape with Cuff
906745cm x 37cm17.75in x 14.5inDrape Sheet
906990cm x 75cm36in x 30inDrape Sheet
9070114cm x 87cm45in x 34inTurban Drape Sheet
907197cm x 97cm38 in x 38inDrape Sheet
9072114cm x 150cm44in x 59inDrape Sheet
9074150cm x 150cm59in x 59inInstrument Table Cover/Drape Sheet
9077200cm x 150cm78in x 59inDrape Sheet
9079200cm x 228cm78in x 90inDrape Sheet
908355cm x 55cm19.75in x 19.75inAdhesive Towel Drape
908475cm x 75cm29in x 29inAdhesive Towel Drape
9085100cm x 85cm39in x 33inAdhesive Towel Drape
9085W115cm x 97cm45in x 38inAdhesive Towel Drape
9086100cm x75cm39in x 29inAdhesive Towel Drape
9087183cm x 183cm72in x 72inAdhesive Drape Sheet
9088250 cm x 150 cm98in x 59inAdhesive Drape Sheet
9089170cm x 170cm67in x 67inAdhesive Drape Sheet
Catalog Number(s)DimensionsName/Descriptor
9090300cm x 228cm118in x 90inAdhesive Drape Sheet
919616cm x 95cm6in x 37in (Split)228cm x 260cm90in x 102inShoulder Split Sheet with Pouch

Table 1 – Product Catalog Numbers, Dimensions and Name/Descriptor

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{6}------------------------------------------------

{7}------------------------------------------------

{8}------------------------------------------------

The above catalog numbers are also available in non-sterile versions and are designated by NS following the catalog number.

*Note: 1190NS and 9033NS are only available in a non-sterile version.

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Table 1 – Product Catalog Numbers, Dimensions and Name/Descriptor

{10}------------------------------------------------

{11}------------------------------------------------

{12}------------------------------------------------

{13}------------------------------------------------

{14}------------------------------------------------

{15}------------------------------------------------

{16}------------------------------------------------

The above catalog numbers are also available in non-sterile versions and are designated by NS following the catalog number.

*Note: 1190NS and 9033NS are only available in a non-sterile version.

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510(k) Summary K140330

This 510(k) Summary is being submitted in accordance with the requirements of 21 CFR 807.92.

Owner's Name

3M Health Care 3M Center, Building 275-5W-06 St. Paul, MN 55144

Contact Person

Mark Burville Regulatory Affairs Manager Telephone: 1-651-737-2027 Fax: 1-651-732-8822 E-Mail: mcburville@mmm.com

Date Summary Prepared

July 14, 2014

Trade/Proprietary Name

3M™ Steri-Drape™ Fabric Surgical Drapes

Common/Usual Name

Drapes, Surgical

Classification Name

Surgical drape and drape accessories

Product Code: KKX per 21CFR 878.4370

Benito Perez

Predicate Devices 3M Steri-Drape Surgical Fabric Drapes K031287

Intended Use

3M Steri-Drape Fabric Surgical Drapes are used to create a sterile field for surgical procedures. They are provided sterile and intended for external use only.

3M Steri-Drape non-sterile fabric drapes are provided to other manufacturers for further processing using ethylene oxide. 3M provides information on compatibility with ethylene oxide (EtO) processing.

{18}------------------------------------------------

Non-sterile surgical drapes are sold to repackager or relabeler establishments for EtO sterilization according to ISO 11135-1:2007. Sterile surgical drapes are sold directly to end users after EtO sterilization validation to ISO 11135-1:2007.

Description of Device

The 3M Steri-Drape Fabric Surgical Drapes are one-piece, dual layer, single use disposable drapes with an AAMI Level 4 Liquid Barrier. The drapes are made of a blue absorbent nonwoven fabric thermally bonded to a blue protective barrier film. The drapes are intended to be placed over the patient prior to surgery and are designed to provide an absorbent sterile barrier during surgical procedures and stop fluid strike-through to protect the surgical site and patient from microbial penetration.

Steri-Drape Fabric Surgical Drapes are either provided sterile to end-users or non-sterile to kit manufacturers for further processing including EtO sterilization according to ISO 11135-1:2007

The drapes are provided in multiple sizes and shapes to meet the requirements of various clinical procedures. In general, the surgeon delineates the proposed field of surgery and charges the nursing team with the responsibility of draping the patient using different types of drapes. All models utilize the same material technology.

The following tables list the catalog numbers of the drapes that are included within the scope of this submission. The drapes are separated into categories based on similarity of the design and features. The categories are as follows:

Category 1 - These drapes are comprised entirely of a non-woven/film construction and may or may not feature an aperture. The entire non-woven/film portion of the drape is considered an AAMI Level 4 Barrier, with the barrier continuing to the edge of the aperture. Any component material attached to or configured within the aperture is identical to that used in the corresponding, currently marketed, predicate drapes.

Category 2 –These drapes are comprised of a non-woven / film construction and also contain either a film area with aperture or incise area. The AAMI Level 4 Barrier non-woven/film portion of the drape continues to the edge of the film or incise area. The component materials of the film area with aperture or incise area are identical to those used in the corresponding, currently marketed, predicate drapes.

Category 3 - These drapes are comprised entirely of a non-woven/film construction and feature an aperture. Additionally, these drapes include an extra absorbent layer on top of the drape and side film segments. The entire non-woven woven portion of the drape is considered an AAMI Level 4 Barrier with the barrier continuing to the edge of the aperture. The extra absorbent layer on top of the drape are illustrated with a crosshatch. and side film segments are identical to those used in the corresponding, currently marketed, predicate drapes and do not impact barrier performance of the non-woven/film portion.

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Category 1

CatalogNumber(s)Approximate DimensionsName/DescriptorAAMI Level 4Barrier
103127cm x 30cm10.5in x 11.5in (Aperture)LaparoscopicDrape/Supine PositionEntire drape exceptaperture
1031NS228cm · 90in (Width Top)182cm · 72in (Width Bottom)285cm · 112in (Length)
103227cm x 30cm10.5in x 11.5in (Aperture 1)LaparoscopicDrape/LithotomyPositionEntire drape exceptaperture
1032NS12cm x 15.5cm4.5in x 6cm (Aperture 2)228cm · 90in (Width Top)117cm · 46in (Length of Panel)241cm · 95in (Length)
10789cm x 12cm3.3in x 4.5in (Aperture)Perineal Drape withPouchEntire drape exceptaperture
1078NS196cm x 200cm77in x 78in
10799cm x 12cm3.3in x 4.5in (Aperture)Gynecologic DrapeEntire drape exceptaperture
1079NS195cm · 77in (Width Top)117cm · 46in (Length of Panel)179cm · 70in (Length)
10809cm x 12cm3.3in x 4.5in (Aperture)Gynecologic Drapewith PouchEntire drape exceptaperture
1080NS195cm · 77in (Width Top)117cm · 46in (Length of Panel)179cm · 70in (Length)
108223cm x 28cm9in x 11in (Aperture)Abdominal VaginalDrapeEntire drape exceptaperture
1082NS235cm · 92 in (Width)300cm · 118 in (Length)
CatalogNumber(s)Approximate DimensionsName/DescriptorAAMI Level 4Barrier
108486cm x 63cm34in x 24.5in (Pouch)Under Buttocks Drapewith PouchEntire drape
1084NS86cm x 45cm34in x 17.5in
108957cm x 66cm22in x 26inUtility SheetEntire drape
1089NS
10906.4cm x 8.9cm2.5in x 3.5in (Aperture)Femoral AngiographyDrapeEntire drape exceptaperture
1090NS182cm x 228cm72in x 90in
10926cm · 2.25in (CircleAperture)Small Drape withAdhesive ApertureEntire drape exceptaperture
1092NS57cm x 66cm22in x 25in
11928cm x 20cm3in x 7.5in (Aperture)Venous/ArterialAccess DrapeEntire drape exceptaperture
1192NS152cm x 170cm60in x 67in
90236cm x 8cm2.3in x 3.1in (Aperture)Perineal ApertureDrapeEntire drape exceptaperture
9023NS76cm x 170cm29in x 67in
90266cm x 8cm2.3in x 3.1in (Aperture)Aperture DrapeEntire drape exceptaperture
9026NS55cm x 55cm21in x 21inaperture
902711cm x 12.5cm4in x 5in (Aperture)Adjustable ApertureDrapeEntire drape exceptaperture
9027NSPart 1 50cm x 75cm19in x 29inPart 2 50cm x 75cm19in x 29inaperture
9027L11cm x 12.5cm4in x 5in (Aperture)Adjustable AdhesiveAperture DrapeEntire drape exceptaperture
9027LNSPart 1 75cm x 100cm29in x 39inPart 2 75cm x 100cm29in x 39in
CatalogNumber(s)Approximate DimensionsName/DescriptorAAMI Level 4Barrier
90286cm x 8cm2.3in x 3.1in (Aperture)75cm x 75cm29in x 29inAdhesive ApertureDrapeEntire drape exceptaperture
9028NS
902915 cm x 6 cm6in x 2in (Aperture)75cm x 75cm29in x 29inAdhesive ApertureDrapeEntire drape exceptaperture
9029NS
90306cm x 8cm2in x 3in (Aperture)152cm x 120cm60in x 47inAdhesive ApertureDrapeEntire drape exceptaperture
9030NS
90318cm x 6cm3in x 2in (Aperture)150cm x 183cm59in x 72inAdhesive ApertureDrapeEntire drape exceptaperture
9031NS
*9033NS12cm x 11cm4.5in x 4in (Aperture)150cm x 183cm59in x 72inTriangular ApertureDrapeEntire drape exceptaperture
904075cm x 114cm29in x 44inExtremity Drape(Leggings)Entire drape
9040NS
9040L85cm x 130cm33in x 51inExtremity Drape(Leggings Long)Entire drape
9040LNS
904135cm x 60cm13.5in x 23.5inExtremity Cover (S)Entire drape
9041NS
904235cm x 100cm13.5in x 39inExtremity Cover (L)Entire drape
9042NS
90437cm x 70cm2.5in x 25in (Split)152cm x 183cm60in x 72inAdhesive Split SheetEntire drape exceptaperture
9043NS
90447cm x 70cm2.5in x 25in (Split)152cm x 250cm60in x 98inAdhesive Split SheetEntire drape exceptaperture
9044NS
CatalogNumber(s)Approximate DimensionsName/DescriptorAAMI Level 4Barrier
90459045NS20cm x 100cm7in x 39 in (Split)228cm x 260cm89.5in x 102inAdhesive Split SheetEntire drape exceptaperture
90469046NS15cm x 50cm6in x 19in (Split)183cm x 200cm72in x 78inBilateral AdhesiveSplit SheetEntire drape exceptaperture
9046L9046LNS44cm x 100cm17in x 39in (Split)228cm x 260cm90in x 102inBilateral AdhesiveSplit SheetEntire drape exceptaperture
90479047NS16cm x 40cm6in x 15in (Split)183cm x 152cm72in x 60inNeuro Split Sheet withPouchEntire drape exceptaperture
90489048NS20cm x 40cm7in x 15in (Split)228cm x 260cm90in x 102inAdhesive Split SheetEntire drape exceptaperture
90509050NS12cm x 16 cm4.5in x 6in (Aperture)228cm x 300cm90in x 118inAdhesive ApertureDrapeEntire drape exceptaperture
90519051NS12cm x 12cm4.5in x 4.5in (Aperture)183cm x 315cm72in x 124inThyroid DrapeEntire drape exceptaperture
90629062NS30cm x 10cm12in x 4in (Aperture)254cm · 100in (Width Top)183cm · 72in (WidthBottom)285cm · 112in (Length)Laparotomy Drape-TransverseEntire drape exceptaperture
90639063NS10cm x 30cm4in x 12in (Aperture)254cm · 100in (Width Top)183cm · 72in (WidthBottom)285cm · 112in (Length)Laparotomy DrapeEntire drape exceptaperture
CatalogNumber(s)Approximate DimensionsName/DescriptorAAMI Level 4Barrier
90669066NS85cm x 85cm33in x 33inUnder Buttock Drapewith CuffEntire drape
90679067NS45cm x 37cm17.75in x 14.5inDrape SheetEntire drape
90699069NS90cm x 75cm36in x 30inDrape SheetEntire drape
90709070NS114cm x 87cm45in x 34inTurban Drape SheetEntire drape
90719071NS97cm x 97cm38 in x 38inDrape SheetEntire drape
90729072NS114cm x 150cm44in x 59inDrape SheetEntire drape
90749074NS150cm x 150cm59in x 59inDrape SheetEntire drape
90779077NS200cm x 150cm78in x 59inDrape SheetEntire drape
90799079NS200cm x 228cm78in x 90inDrape SheetEntire drape
90839083NS55cm x 55cm19.75in x 19.75inAdhesive TowelDrapeEntire drape
90849084NS75cm x 75cm29in x 29inAdhesive TowelDrapeEntire drape
90859085NS9085W100cm x 85cm39in x 33inAdhesive TowelDrapeEntire drape
9085WNS115cm x 97cm45in x 38inAdhesive TowelDrapeEntire drape
CatalogNumber(s)Approximate DimensionsName/DescriptorAAMI Level 4Barrier
9086100cm x75cm39in x 29inAdhesive TowelDrapeEntire drape
9086NS
9087183cm x 183cm72in x 72inAdhesive Drape SheetEntire drape
9087NS
9088250cm x 150cm98in x 59inAdhesive Drape SheetEntire drape
9088NS
9089170cm x 170cm67in x 67inAdhesive Drape SheetEntire drape
9089NS
9090300cm x 228cm118in x 90inAdhesive Drape SheetEntire drape
9090NS
919616cm x 95cm6in x 37in (Split)Shoulder Split Sheetwith PouchEntire drape exceptaperture
9196NS228cm x 260cm90in x 102in

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Category 2

103434.5cm x 34.5cm(13.5in x 13.5in) Filmwith 10cm (4 in) CircleAperture152cm x 200cm60in x 78inCentral Venous CatheterDrapeEntire drape exceptfilm aperture
1034NS
108120cm x 10cm (7.8in x3.9in) Film with 6cm(2 in) Circle Aperture152cm x164cm60in x 64in Upper117cm (46in) LowerTUR/Urological DrapeEntire drape exceptfilm aperture
1081NS
109423cm x 28cm (9in x11in) Film with 6cm(2.25in) Circle Aperture226cm x 320cm90in x 126inArthroscopy Sheet withPouchEntire drape exceptfilm aperture
1094NS
11351135NS28cm x 26cm (11in x 10in) Film with 15cm x 13cm (5.9in x 5in) Aperture183cm x 279cm72in x 110inPeripherally Inserted Central Catheter DrapeEntire drape except film aperture
11941194NS23cm x 28cm (9in x 11in) Film with 6cm (2.25in) Circle Aperture292cm · 115in (Width Top)228cm · 89in (Width Bottom)304cm · 120in (Length)Arthroscopy Sheet with PouchEntire drape except film aperture
20652065NS41cm x 45cm (16in x 17in) Incise12cm x 15.5cm (4.75in x 6in) Aperture195cm · 77in271cm · 106inAbdominoperineal Incise DrapeEntire drape except incise and aperture
79647964NS30cm x 30cm12in x 12in (Incise)254cm x 279cm100in x 110inAbdominoperineal Incise Drape-Lithotomy PositionEntire drape except incise
79657965NS30cm x 30cm12in x 12in (Incise)254cm · 100in (Width Top)195cm · 76in (Width Bottom)308cm · 121in (Length)Cesarean Section Incise Sheet with PouchEntire drape except incise
79667966NS30cm x 30cm12in x 12in (Incise)with 20cm x 24 cm (8in x 9.5in) Aperture254cm · 100in (Width Top)195cm · 76in (Width Bottom)310cm · 122in (Length)Cesarean Section Sheet with Aperture PouchEntire drape except incise with aperture
905215cm x 25cm (5.9in x9.8in) Film with 3cmHand DrapeEntire drape exceptfilm aperture
9052NS(1 in) Circle Aperture355cm x 293cm140in x 115in
905311cm x 26cm (4.3in x10in) Film with 6cm xExtremity DrapeEntire drape exceptfilm aperture
9053NS8cm (2in x 3in)Aperture228cm x 300cm89in x 118in
905415cm x 25 cm (5.9in x9.8in) Film with 3cmHand and Foot DrapeEntire drape exceptfilm aperture
9054NS(1 in) Circle Aperture195cm x 300cm77in x 118in
905534cm x 39cm (13in x15in) Film with 20cm xHip Drape with PouchesEntire drape exceptfilm aperture
9055NS17.5cm (8in x 7in)Aperture300cm · 118in (WidthTop)228cm · 90in (WidthBottom)353cm · 139in (Length)246cm · 96in (Length ofPouches)228cm · 90in (TotalOverall Width Bottom)
905625cm x 50cm (9.8in x19.6 in) Film with 4cmBilateral Foot DrapeEntire drape exceptfilm aperture
9056NS(1.5in) Circle Aperture195cm x 300cm77in x 118in
905711cm x 26 cm (4.3in x10in) Film with 6cm xExtremity Drape withAnesthesia ScreenEntire drape exceptfilm aperture
9057NS8cm (2in x 3in)Aperture292cm ・ 115in (WidthTop)228cm · 89in (WidthBottom)305cm · 120in (Length)
905811cm x 26 cm (4.3in x10in) Film with 6cm x8cm (2in x 3in)Aperture228cm x 300cm90in x 118inBilateral Knee DrapeEntire drape exceptfilm aperture
9058NS

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Category 3

*1190NS10cm x 7.5cm4in x 3in (Aperture)91cm x 330cm35in c 130in228cm x 330cm89in x 130in (Film)Femoral Angiography DrapeFabric drape exceptaperture
119111cm x 14cm4in x 5.5in (Aperture)91cm x 228cm35in x 89in229 x 330cm90in x 130in (Film)Femoral Angiography DrapeFabric drape exceptaperture
11937.5cm x 10cm3in x 4in (Aperture)154cm x 154cm60in x 60in290cm x 345cm114 x 136in (Film)Angiography DrapeFabric drape exceptaperture
9045R20cm x 100cm7in x 39 in (Split)228cm x 260cm89.5in x 102inReinforced Adhesive SplitSheetFabric drape exceptaperture

The catalog numbers contained in the Category 1, 2 and 3 tables are also available in non-sterile versions and are designated by NS following the catalog number.

*The 1190NS and 9033NS are only available in a non-sterile version.

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Technological Characteristics

The scientific characteristics, how the device functions, and the barrier properties of the device described in this submission compared to the predicate have not fundamentally changed. The device is designed to act as a protective barrier to stop fluid strike-through to inhibit the transfer of blood, body fluids and other potentially infectious materials. The primary change is to the non-woven material, which as testing has demonstrated, is substantially equivalent in performance to the predicate.

Summary of Non-Clinical Performance Testing

3M Steri-Drape Fabric Surgical Drapes have been evaluated and tested in accordance with the applicable requirements recommended in the FDA' Guidance on Premarket Notification [510(k)] Submissions for Surgical Gowns and Surgical Drapes, Infection Control Devices Branch Division of General and Restorative Devices, August 1993 as well as FDA recognized consensus standards, including non-clinical performance testing to the following standards:

  • . ANSI/AAMI PB70: 2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities
  • . ASTM F1670-08 Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Synthetic Blood
  • . ISO 9073-3:1989 – Textiles – Test methods for nonwovens – Part 3: Determination of tensile strength and elongation
  • ISO 13938-1:1999 - Textiles - Bursting properties of fabrics - Part 1: Hydraulic method for determination of bursting strength and bursting distention
  • ISO 9073-10:2003 Textiles Test methods for nonwovens Part 10: Lint and other ● particles generation in the dry state
  • 16 CFR Part 1610:Standard for the Flammability of Clothing Textiles
  • . ISO 10993-5:2009 Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity
  • ISO 10993-10:2010 Biological evaluation of medical devices Part 10: Tests for ● irritation and skin sensitization.

{29}------------------------------------------------

In accordance with the above applicable standards and test methods, non-clinical performance testing was conducted using the sterilized, final finished device and consisted of the following tests in order to demonstrate substantial equivalence:

  • . Tensile strength
  • . Burst strength
  • Resistance to liquid penetration ●
  • Linting and particulate ●
  • Flammability ●
  • Biocompatibility (cytotoxicity, irritation and sensitization) .

The non-clinical performance testing summary is as follows:

Non-ClinicalPerformanceTestTestObjectiveTestMethodData SummarySubstantialEquivalenceComparison
Test Article:3M™ Steri-Drape™FabricSurgicalDrapePredicate:3M™ Steri-Drape™FabricSurgicalK031287
TensileStrengthDrape musthaveadequatestrength forsurgicalprocedures.Test per ISO9073-3MachineDirection (MD)= 106 NCross Direction(CD) = 58MachineDirection (MD)= 108 NCross Direction(CD) = 70.7 NSubstantiallyEquivalent
Burst StrengthDrape musthaveadequatestrength forsurgicalprocedures.Test per ISO13938-1Dry = 231 kPaWet = 193 kPaDry = 225 kPaWet = 199 kPaSubstantiallyEquivalent
Resistance toLiquidPenetrationDrape mustbe resistanttostrikethroughfromblood andbodily fluidsandpotentialinfectiousagents.AMMI PB70 tested toASTMF1670AAMI Level 4- Pass with anAQL of 4%and RQL of20%AAMI Level 4- Pass with anAQL of 4%and RQL of20%SubstantiallyEquivalent

{30}------------------------------------------------

LintingDrape must have low levels of foreign matter.Tested to ISO 9073-10Pass with a Log10 (lint count) of $\le$ 4,0Pass with a Log10 (lint count) of $\le$ 4,0Substantially Equivalent
ParticulateDrape must have low levels of foreign matter.Tested to ISO 9073-10Pass with an Index Particulate Matter (IPM) of $\le$ 3, 5Pass with an Index Particulate Matter (IPM) of $\le$ 3, 5Substantially Equivalent
FlammabilityDrape must have low potential for flammability and flame spread.Tested to 16 CFR Part 1610Class I NormalClass I NormalSubstantially Equivalent
CytotoxicityDrape must have low potential for cytotoxic reaction.Tested to ISO 10993-5Non-CytotoxicNon-CytotoxicSubstantially Equivalent
IrritationDrape must have low potential as an irritant.Tested to ISO 10993-10Non-IrritatingNon-IrritatingSubstantially Equivalent
SensitizationDrape must have low potential as a sensitizer.Tested to ISO 10993-10Non-SensitizingNon-SensitizingSubstantially Equivalent

All of the non-clinical performance testing results met the stated acceptance criteria. The test results support the determination of substantial equivalence to the predicate device under K031287 and have met or exceeded the predicate device's performance and establish that the changes do not impact safety or effectiveness or raise new questions about safety and effectiveness.

{31}------------------------------------------------

Substantial Equivalence

The 3M Steri-Drape Fabric Surgical Drapes have substantially equivalent product and performance characteristics and intended use as the 3M devices currently on the market under K031287. Further, data shows a substantial equivalence in the performance of these devices and the fundamental scientific technology has not been altered. Therefore, because of the similarities to the predicate device, the minor differences do not present any new safety or effectiveness issues and the device is substantially equivalent to the predicate.

3M Steri-Drape Fabric SurgicalDrapes3M Steri-Drape Surgical FabricDrapes K031287 (Predicate)
Indications forUse3M Steri-Drape Fabric SurgicalDrapes are used to create a sterilefield for surgical procedures. Theyare provided sterile and intendedfor external use only.3M Steri-Drape non-sterile fabricdrapes are provided to othermanufacturers for furtherprocessing using ethylene oxide.3M provides information oncompatibility with ethylene oxideprocessing.Non-sterile surgical drapes are soldto repackager or relabelerestablishments for EtO sterilizationaccording to ISO 11135-1:2007.Sterile surgical drapes are solddirectly to end users after EtOsterilization validation to ISO11135-1:2007.3M Steri-Drape Surgical FabricDrapes are used to create a sterilefield for surgical procedures. Theyare provided sterile using ethyleneoxide or gamma radiation andintended for external use only.3M Steri-Drape non-sterile fabricdrapes are provided to othermanufacturers for further processingusing ethylene oxide. 3M providesinformation on compatibility withethylene oxide processing.
Principles ofOperationThe drapes cover the patient andare made of an absorbentnonwoven fabric backed with aprotective barrier film that stopsfluid strike-through and aredesigned to protect the surgical siteand patient from microbialpenetrationThe drapes cover the patient andare made of an absorbentnonwoven fabric backed with aprotective barrier film that stops fluidstrike-through and are designed toprotect the surgical site and patientfrom microbial penetration
ProductFeaturesLow linting, strong, conformableand easy to handleLow linting, strong, conformable andeasy to handle

Substantial Equivalence Comparison

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Nonwoven LayerPolylactide resin (PLA)Polypropylene resin (PP)Blue pigment blend in polymermatrixProprietary surfactant blendPolypropylene resin (PP)Titanium DioxideBlue pigment blend in polymermatrixProprietary surfactant
Barrier FilmLayerEthylene-Methyl Acrylate (EMA)copolymersHydrocarbon ResinLow Density Polyethylene resin (LDPE)Linear Low DensityPolyethylene resin (LLDPE)Blue pigment blend in polymermatrixMetallocene Ethylene OcteneCopolymerAntiblock in polymer matrixLow Density Polyethlene resin (LDPE)Linear Low Density Polyethyleneresin (LLDPE)Blue pigment blend in polymermatrix
Grams/M²66 gsm62 gsm
PackagingTyvek/FilmTyvek/Film
UsageSingle UseSingle Use
ComponentsOne-pieceOne-piece
Configurations/DimensionsVaries sizes and shapes toaccommodate clinician needsVarious sizes and shapes toaccommodate clinician needs
Method ofSterilizationEthylene Oxide or Non-SterileEthylene Oxide, Gamma Irradiationor Non-Sterile
SterilityAssurance Level$10^{-6}$$10^{-6}$
Shelf Life3 Years3 Years
BiocompatibilityNon-CytotoxicNon-SensitizingNon-IrritatingNon-CytotoxicNon-SensitizingNon-Irritating
AMMI StandardPB70 BarrierLevelLevel 4Level 4
Tensile StrengthMD = 106 NCD = 58.5 NMD = 108 NCD = 70.7 N
Burst StrengthDry = 231 kPaWet = 193 kPaDry = 225 kPaWet = 199 kPa
FlammabilityRatingClass I NormalClass I Normal
LintingPass with a Log10 (lint count) of ≤4,0Pass with a Log10 (lint count) of ≤4.0

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ParticulatePass with an Index ParticulateMatter (IPM) of $\leq$ 3, 5Pass with an Index ParticulateMatter (IPM) of $\leq$ 3, 5
LabelingBrand name or common namelistedCatalog number listedDrape dimensions and illustrationon labelAMMI Barrier Level ListedSingle use statementLot number listedExpiration date listedNot made with natural rubber latexstatementBrand name or common namelistedCatalog number listedDrape dimensions and illustration onlabelNo AMMI Barrier Level ListedDo not reuse statementLot number listedExpiration date listedLatex free statement
Labeled as Ethylene Oxide or NotSterileSterile unless package is damagedor open statementClass I Normal flammabilitystatementLabeled as Ethylene Oxide, GammaSterile or Not SterileSterile unless package is damagedor open statementNo flammability statement

Conclusion

Based on the results of the non-clinical performance and biocompatibility testing, the 3M Steri-Drape Fabric Surgical Drapes are as safe, as effective and are demonstrated to be substantially equivalent to the predicate device. The 3M Steri-Drape Fabric Surgical Drape is substantially equivalent to the predicate 3M Steri-Drape Surgical Fabric Drape K031287 in terms of intended use, physical performance testing, material composition, biocompatibility, labeling and safety and effectiveness.

§ 878.4370 Surgical drape and drape accessories.

(a)
Identification. A surgical drape and drape accessories is a device made of natural or synthetic materials intended to be used as a protective patient covering, such as to isolate a site of surgical incision from microbial and other contamination. The device includes a plastic wound protector that may adhere to the skin around a surgical incision or be placed in a wound to cover its exposed edges, and a latex drape with a self-retaining finger cot that is intended to allow repeated insertion of the surgeon's finger into the rectum during performance of a transurethral prostatectomy.(b)
Classification. Class II (special controls). The device, when it is an ear, nose, and throat surgical drape, a latex sheet drape with self-retaining finger cot, a disposable urological drape, a Kelly pad, an ophthalmic patient drape, an ophthalmic microscope drape, an internal drape retention ring (wound protector), or a surgical drape that does not include an antimicrobial agent, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.