K Number
K140464
Manufacturer
Date Cleared
2014-10-31

(249 days)

Product Code
Regulation Number
880.6860
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (PSD-85) is a vaporized hydrogen peroxide sterilizer intended for use in the terminal sterilization of cleaned, rinsed and dried reusable metal and nonmetal medical devices used in healthcare facilities. The two pre-programmed sterilization cycles, the Lumen Cycles, operate at low pressure and low temperature and are thus suitable for processing medical devices sensitive to heat and moisture.

The PSD-85 Lumen Cycle can sterilize*:

  • · Instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors
  • · Medical devices with a single stainless steel lumen with:
  • o An inside diameter of 1 mm or larger and a length of 60 mm or shorter
  • o An inside diameter of 2 mm or larger and a length of 250 mm or shorter

o An inside diameter of 3 mm or larger and a length of 350 mm or shorter

*The validation testing for all lumen sizes was conducted using a maximum of ten (10) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray with a total weight of 10.4 lbs.

The PSD-85 Non-Lumen Cycle can sterilize**:

· Non-lumen instruments including non-luments with stainless steel diffusion-restricted areas such as the hinged portion of forceps or scissors.

** The validation studies were conducted using a validation load consisting of one instrument tray with a total weight of 25.3 lbs.

Device Description

The Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (PSD-85) is a self contained stand alone device, using vaporized hydrogen peroxide as the sterilant. The PSD-85 is intended for use in the terminal sterilization of cleaned, rinsed, and dried, reusable metal and non-metal medical device used in healthcare facilities. The sterilization cycle operates at low pressure and temperatures, and is therefore suitable for processing medical devices that are sensitive to heat and moisture. The hydrogen peroxide vapor is generated by heating aqueous hydrogen peroxide and injecting into a chamber.

AI/ML Overview

Acceptance Criteria and Study to Prove Device Meets Criteria

The Sterilucent PSD-85 Hydrogen Peroxide Sterilizer is a device intended for the terminal sterilization of cleaned, rinsed, and dried reusable metal and non-metal medical devices used in healthcare facilities. The device's performance was evaluated through various non-clinical studies to demonstrate its safety and effectiveness.

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria for a sterilizer are generally tied to achieving a certain Sterility Assurance Level (SAL), typically a 10⁻⁶ probability of a viable microorganism remaining after sterilization. This is demonstrated through log reductions of highly resistant bacterial spores. While specific numerical acceptance criteria (e.g., minimum log reduction values for each test) are not explicitly enumerated in a single table, they are implied and demonstrated throughout the Non-clinical Performance Data section. The table below summarizes the critical performance aspects and the reported results which, by implication, demonstrate meeting the underlying acceptance criteria for sterilization efficacy.

Acceptance Criteria CategorySpecific Test/GoalReported Device Performance
Sterilization EfficacyDose-Response RelationshipGeobacillus stearothermophilus death kinetics data showed a positive "dose response" for increasing hydrogen peroxide concentration. >6 Spore Log Reduction (SLR) observed for a half cycle exposure across various materials.
Surface Sterilization (SAL)Demonstrated a Sterility Assurance Level (SAL) of at least 10⁻⁶ for medical device surface sterilization for all recommended materials.
Mated Surface Sterilization (SAL)Demonstrated an SAL of at least 10⁻⁶ for mated material sterilization.
Lumen Sterilization (SAL)Demonstrated an SAL of at least 10⁻⁶ for lumen sterilization for the specified lumen dimensions (1mm ID/60mm L, 2mm ID/250mm L, 3mm ID/350mm L). No spore survivors after multiple ½ cycle exposure tests.
Simulated Use Testing (Sterility)Showed sterility of all tested lumen and non-lumen devices after processing with typical use conditions (e.g., soiled devices) in both Lumen and Non-Lumen Cycles.
In-Use Testing (Clinical Sterility)Successfully sterilized surgical instruments used in clinical cases at a hospital, after being processed by hospital protocol.
Device SafetyBacteriostasisNo bacteriostatic effect observed from materials processed in the PSD-85; all test materials demonstrated desired outgrowth of Geobacillus stearothermophilus spores.
Sterilant Residue / Toxic ResidueWorst case sterilant residue, biocompatibility, and toxic residue tests and analyses indicated that the PSD-85 exposure sequence and aeration period reduces residual sterilant and other potentially toxic substances to a level of safety equal to or greater than the predicate device. (Mentioned in Technological differences section, implying successful testing).
Functionality/ControlsProcess Variables and Parameters CharacterizationStudy showed process lethality was unaffected over the range of tested process parameters (chamber wall temperature, vaporizer temperature, injection pressure, vaporized hydrogen peroxide concentration), indicating robust performance within normal operating ranges.
Software ValidationPerformed according to FDA's moderate level of concern recommendations. (Implies successful validation to ensure software functions as intended for safety and efficacy).

2. Sample Size Used for the Test Set and Data Provenance

The document does not explicitly state a single "sample size" for a unified test set in the traditional sense of a clinical trial. Instead, it details various non-clinical and microbiological tests, each with its own "test samples."

  • Dose-Response Relationship: "various materials (representative of materials used in medical devices) as spore carriers"
  • Surface Sterilization: "a wide variety of material coupons that were representative of materials used in re-usable medical devices."
  • Mated Surface Sterilization: "a variety of medical device materials."
  • Lumen Sterilization: Specific rigid stainless steel lumens of defined sizes. The validation testing for all lumen sizes was conducted using a maximum of ten (10) lumens per load.
  • Simulated Use Testing: "Representative lumen and non-lumen devices" inoculated with spores. This process was repeated in triplicate for devices that were not clean for both the Lumen and Non-Lumen Cycles.
  • In-Use Testing: "Devices representative of surface-features and lumen claims for the PSD-85 were selected for sterility testing... used in routine surgeries at a hospital." The number of devices is not specified.
  • Bacteriostasis Testing: "coupons of representative materials."
  • Sporicidal Activity of a Disinfectant: "carriers." (number not specified)

Data Provenance: The studies are non-clinical, laboratory-based tests primarily. The "In-Use Testing" involved devices "used in routine surgeries at a hospital," suggesting some real-world application data, likely performed within the United States. The document does not specify the country of origin for the other laboratory tests, but standard practice suggests they would be conducted in the country of manufacture or a certified testing facility. All studies are inherently prospective as they were designed experiments to test the sterilizer's performance.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications

For sterilization studies using biological indicators, the "ground truth" is intrinsically established by the viability or non-viability of the Geobacillus stearothermophilus spores after exposure to the sterilization process. This is a well-established microbiological assay. There is no mention of "experts" in the sense of physicians or radiologists reviewing output. Instead, qualified microbiologists or laboratory personnel would conduct and interpret these standard biological indicator tests. The document doesn't specify the number or specific qualifications (e.g., "microbiologist with X years of experience") of the individuals conducting or interpreting these lab tests.

4. Adjudication Method for the Test Set

Adjudication methods like "2+1" or "3+1" are typically relevant for human interpretation of data, such as imaging studies where multiple readers' opinions need to be reconciled. In these non-clinical, laboratory-based sterilization studies, the results (e.g., spore growth or no growth) are generally objective and interpreted according to established microbiological protocols. Therefore, a multi-reader adjudication method as described is not applicable and not mentioned in the document.

5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done

No, an MRMC comparative effectiveness study was not done. This type of study assesses the impact of a device (like AI assistance) on human reader performance. The Sterilucent PSD-85 is an automated sterilizer, not a diagnostic device that requires human interpretation. Therefore, a study of this nature is not relevant to its evaluation.

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

Yes, the entire evaluation presented in the "Summary of Non-clinical Performance Data" constitutes a standalone performance assessment of the Sterilucent PSD-85 sterilizer. The device operates autonomously without human intervention during the sterilization cycle (once loaded and initiated). The tests described (Dose-Response, Surface Sterilization, Mated Surface, Lumen, Simulated Use, In-Use, Bacteriostasis, Sporicidal Activity) all evaluate the device's inherent capability to achieve sterility.

7. The Type of Ground Truth Used

The primary ground truth used throughout the validation studies is microbiological proof of sterility, specifically the inactivation of Geobacillus stearothermophilus spores. This is achieved by:

  • Biological Indicator (BI) Inoculation: Placing a known quantity of highly resistant bacterial spores (Geobacillus stearothermophilus) on various materials and within lumens.
  • Viability Assessment: After exposure to the sterilization cycle, these inoculated samples are cultured (e.g., placed in growth media). The absence of growth confirms spore inactivation and thus sterility. The goal is often to achieve a Sterility Assurance Level (SAL) of 10⁻⁶, meaning a 1 in a million chance of a single viable microorganism remaining.
  • Pathology/Outcomes Data: While "In-Use Testing" involves instruments from routine surgeries, the ground truth for sterility is still microbiological (i.e., checking for microbial growth after processing), not a clinical pathology diagnosis or patient outcome data directly.

8. The Sample Size for the Training Set

The concept of a "training set" is relevant for machine learning algorithms. The Sterilucent PSD-85 is a physical medical device (sterilizer) and not an AI/ML algorithm. Therefore, there is no "training set" in the context of machine learning. The device's operational parameters and design are based on engineering principles and established sterilization science, not iterative training on data.

9. How the Ground Truth for the Training Set was Established

As there is no "training set" for an AI/ML algorithm in this context, information on how its ground truth was established is not applicable.

{0}------------------------------------------------

Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an abstract symbol that resembles a stylized human figure.

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

October 31, 2014

Sterilucent. Inc. Mr. Peter R. Kalkbrenner Director of Engineering 1400 Marshall Street NE Minneapolis, MN 55413

Re: K140464

Trade/Device Name: Sterilucent PSD-85 Hydrogen Peroxide Sterilizer Regulation Number: 21 CFR 880.6860 Regulation Name: Ethylene Oxide Gas Sterilizer Regulatory Class: II Product Code: MLR Dated: September 25, 2014 Received: October 2, 2014

Dear Mr. Kalkbrenner:

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.

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

Page 2 - Mr. Kalkbrenner

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/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office

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.

of Surveillance and Biometrics/Division of Postmarket Surveillance.

Sincerely yours,

Teiashri Purohit-Sheth, M.D.

Tejashri Purohit-Sheth, M.D. Clinical Deputy Director DAGRID/ODE/CDRH FOR

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

{2}------------------------------------------------

Indications for Use

510(k) Number (if known) K140464

Device Name

Sterilucent PSD-85 Hydrogen Peroxide Sterilizer

Indications for Use (Describe)

The Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (PSD-85) is a vaporized hydrogen peroxide sterilizer intended for use in the terminal sterilization of cleaned, rinsed and dried reusable metal and nonmetal medical devices used in healthcare facilities. The two pre-programmed sterilization cycles, the Lumen Cycles, operate at low pressure and low temperature and are thus suitable for processing medical devices sensitive to heat and moisture.

The PSD-85 Lumen Cycle can sterilize*:

  • · Instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors
  • · Medical devices with a single stainless steel lumen with:
  • o An inside diameter of 1 mm or larger and a length of 60 mm or shorter
  • o An inside diameter of 2 mm or larger and a length of 250 mm or shorter

o An inside diameter of 3 mm or larger and a length of 350 mm or shorter

*The validation testing for all lumen sizes was conducted using a maximum of ten (10) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray with a total weight of 10.4 lbs.

The PSD-85 Non-Lumen Cycle can sterilize**:

· Non-lumen instruments including non-luments with stainless steel diffusion-restricted areas such as the hinged portion of forceps or scissors.

** The validation studies were conducted using a validation load consisting of one instrument tray with a total weight of 25.3 lbs.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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}------------------------------------------------

Image /page/3/Picture/0 description: The image shows the logo for Sterilucent. The logo consists of a blue icon resembling interconnected circles, followed by the word "sterilucent" in blue, lowercase letters. Below the word "sterilucent" is the phrase "scientific sterilization solutions" also in blue, lowercase letters.

510(k) Summary for the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer

Owner:Sterilucent, Inc.
Address:1400 Marshall Street NEMinneapolis, MN 55413
Telephone:612-767-3260
Fax:612-767-3261
Contact:Peter R. KalkbrennerDirector of Engineering
Telephone:612-767-3253
Fax:612-767-3261
Summary Date:31 October, 2014

sterilucent 1400 Marshall Street NE Minneapolis, MN 55413 | ph (612) 767.3261 | www.sterilucent.com

{4}------------------------------------------------

Device Name and Classification

Trade Name:Sterilucent PSD-85 Hydrogen Peroxide Sterilizer
Common/Usual Name:Vapor Phase Hydrogen Peroxide Sterilizer
Classification Name:Sterilizer, Ethylene Oxide Gas
Device Class:Class II
FDA Classification Number:880.6860
Product Code:MLR

Predicate Device

AMSCO® V-PROTM 1 Plus Low Temperature Sterilization System (K083097)

Device Description

The Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (PSD-85) is a self contained stand alone device, using vaporized hydrogen peroxide as the sterilant. The PSD-85 is intended for use in the terminal sterilization of cleaned, rinsed, and dried, reusable metal and non-metal medical device used in healthcare facilities. The sterilization cycle operates at low pressure and temperatures, and is therefore suitable for processing medical devices that are sensitive to heat and moisture. The hydrogen peroxide vapor is generated by heating aqueous hydrogen peroxide and injecting into a chamber.

Statement of Intended Use

The PSD-85 is a vaporized hydrogen peroxide sterilizer intended for use in the terminal sterilization of cleaned, rinsed and dried reusable metal and nonmetal medical devices used in healthcare facilities. The two pre-programmed sterilization cycles, the Lumen and the Non-Lumen Cycles, operate at low pressure and low temperature and are thus suitable for processing medical devices sensitive to heat and moisture.

The PSD-85 Lumen Cycle can sterilize*:

{5}------------------------------------------------

  • Instruments with diffusion-restricted spaces such as the hinged portion of forceps . and scissors
  • Medical devices with a single stainless steel lumen with: .
    • An inside diameter of 1 mm or larger and a length of 60 mm or shorter O
    • An inside diameter of 2mm or larger and a length of 250 mm or shorter o
    • An inside diameter of 3mm or larger and a length of 350 mm or shorter O

*The validation testing for all lumen sizes was conducted using a maximum of ten (10) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray with a total weight of 10.4 lbs.

The PSD-85 Non-Lumen Cycle can sterilize**:

  • . Non-lumen instruments including non-luments with stainless steel diffusion-restricted areas such as the hinged portion of forceps or scissors.
    **The validation studies were conducted using a validation load consisting of one instrument tray with a total weight of 25.3 lbs.

Technological Characteristics Summary Comparison

The PSD-85 has similar technological characteristics as the predicate device as shown in the detailed side by side comparison in the following table.

PSD-85V-Pro 1 Plus
Physical CharacteristicSelf contained, stand alonedeviceSelf contained, stand alonedevice
Design and ConstructionWelded frame onto which ismounted the sterilizationchamber along with a variety ofinstruments and components,controls, piping, and vacuumpump, all of which is housed incovered frameWelded frame onto which ismounted the sterilizationchamber along with a variety ofinstruments and components,controls, piping, and vacuumpump, all of which is housed incovered frame
-Chamber volume85 L136 L
-Weight440 pounds (200 kg)755 pounds (342 kg)
-Maximum Power1650 Watts3680 Watts
Sterilant59% aqueous solution ofhydrogen peroxide59% aqueous solution ofhydrogen peroxide
PSD-85V-Pro 1 Plus
Internal Process Monitors
-TemperatureChamber and vaporizerthermistorsChamber and vaporizertemperature probes
-PressureChamber pressure transducersChamber pressure transducers
-Sterilant ConcentrationReal-time hydrogen peroxidevapor monitorNone
Control SystemAtmel AT91SAM7MicroprocessorProgrammable logic control(PLC)
Operational PrincipleSterilization of the intendeddevices by exposure undercontrolled conditions ofpressure, temperature, and timeSterilization of the intendeddevices by exposure undercontrolled conditions ofpressure, temperature, and time
Operational ParametersLow pressure (vacuum; sub-atmospheric down to 0.4 Torr)and temperature (55 °C)Low pressure (vacuum; sub-atmospheric down to 0.4 Torr)and temperature (50 °C)
Pre-processing requirementsCleaned, rinsed and drieddevicesCleaned, rinsed and drieddevices
DevicesReusable metal and non-metalmedical devices that are used inhealthcare facilities, includingthose that are sensitive to heatand moistureReusable metal and non-metalmedical devices that are used inhealthcare facilities, includingthose that are sensitive to heatand moisture
Sterilization CyclesTwo (2) pre-programmed:Lumen (approximately 72minutes) and Non-Lumen(approximately 40 minutes)Two (2) pre-programmed:Lumen (approximately 63minutes) and Non-Lumen(approximately 28 minutes)
MonitoringBoth systems have biological and chemical indicators
- Biological IndicatorSelf-contained biologicalindicator, GeobacillusstearothermophilusSelf-contained biologicalindicator, Geobacillusstearothermophilus
- Process Challenge Device /Routine Test PackSelf-contained biologicalindicator, GeobacillusstearothermophilusSelf-contained biologicalindicator, Geobacillusstearothermophilus
-Chemical IndicatorSterilucent CI Strips, Labels andTapeSteris VHP – HC CI
MiscellaneousThe two sterilizers have equivalent packaging options
- Load PackagingTyvek/Mylar pouches, trayswrapped with polypropylenesterilization wrap, rigidcontainersTyvek/Mylar pouches, trayswrapped with polypropylenesterilization wrap, rigidcontainers

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

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

Technological differences between the PSD-85 and the predicate device are minimal and mainly limited to differences in sterilization cycle parameters that do not affect the relative safety or efficacy of the two devices. The PSD-85 sterilization cycle parameters have been shown to provide a level of safety and efficacy at least equivalent to that of the predicate device. Differences include:

  • . The PSD-85 has a smaller sterilization chamber, smaller overall size, is lighter, and uses less energy compared to the predicate device.
  • The PSD-85 chamber temperature is 55°C versus 50°C for the predicate device. . This slightly higher temperature minimizes condensation of hydrogen peroxide vapor on the load.
  • . The PSD-85 conditioning phase used to detect and, if necessary, remove residual moisture from loads being sterilized, is more sophisticated than the predicate device in that the PSD-85 process takes extra steps to reduce the probability of ice formation on the load.
  • The PSD-85 uses a variable dose of sterilant based on real time measured and monitored hydrogen peroxide vapor concentration versus a fixed dose of sterilant for the predicate device. Worst case biological performance, sterilant residue, and biocompatibility testing has demonstrated that the safety and efficacy of the PSD-85 is equivalent or better than that of the predicate device.
  • . The PSD-85 aeration period involves an extra two minute period where aeration is enhanced by actively moving air through the chamber and the sterilized load. Worst case sterilant residue, biocompatibility, and toxic residue tests and analyses indicate that the PSD-85 exposure sequence and aeration period reduces residual sterilant and other potentially toxic substances to a level of safety equal to or greater than the predicate device.

Summary of Non-clinical Performance Data

Testing was performed using the "overkill" method.

Pre-Validation Testing

Test Organism: Geobacillus stearothermophilus

Process Variables and Parameters: Testing was conducted to characterize the effect of process parameters on lethality. The four critical process parameters are chamber wall temperature, vaporizer temperature, injection pressure and vaporized hydrogen peroxide concentration. The level tested for each parameter was selected to provide a worst case situation for the test series and to be outside the abort levels or settings for the sterilizer. The study showed that process lethality was unaffected over the range of tested process parameters.

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

PSD-85 Process Validation

Demonstration of Dose-Response Relationship to Increasing Hydrogen Peroxide Concentration

Dose response testing was performed using various materials (representative of materials used in medical devices) as spore carriers.

Geobacillus stearothermophilus death kinetics data obtained for each material tested demonstrate a positive "dose response" to increasing concentration of hydrogen peroxide injected under half cycle conditions in the PSD-85. There were no spore survivors on any material at concentrations lower than the standard exposure concentration for the Lumen and Non-Lumen Cycles. The result demonstrates that the dose response observed in not limited to a single substrate and in each case >6 Spore Log Reduction (SLR) was observed for a half cycle exposure.

Surface Sterilization

The purpose of the study was to demonstrate sterilization of medical device surfaces. Geobacillus stearothermophilus spores were inoculated on a wide variety of material coupons that were representative of materials used in re-usable medical devices. The coupons were inoculated with at least 106 Geobacillus stearothermophilus spores and then exposed to ½ cycle sterilization parameters.

Results from this testing demonstrate a Sterility Assurance Level (SAL) of at least 10t6 for medical device surface sterilization in the PSD-85 for all materials listed as recommended for use in the PSD-85.

Mated Surface Sterilization

The purpose of the study was to demonstrate sterilization of mated medical device surfaces using the PSD-85. Geobacillus stearothermophilus spores were inoculated on a variety of medical device materials. The materials were than mated to the same material and exposed to ½ cycle sterilization parameters. An SAL of least 10° was demonstrated for mated material sterilization.

Lumen Sterilization

The purpose of this validation test was to demonstrate that the PSD-85 could effectively sterilize specific dimensions of rigid stainless steel lumened medical devices. Testing was completed by placing at least 1066 Geobacillus stearothermophilus spores in the center of the lumens and exposing them to ½ cycle sterilization parameters. There were no spore survivors after multiple ½ cvcle exposure tests.

Results from this testing demonstrate an SAL of at least 106 for lumen sterilization in the PSD-85 for the lumen dimensions listed as indicated for use in the PSD-85.

Bacteriostasis Testing

{9}------------------------------------------------

This purpose of bacteriostasis testing is to determine if materials exposed to the PSD-85 full sterilization cycle inhibit the growth of Geobacillus stearothermophilus spores. Bacteriostasis testing was performed with coupons of representative materials. The materials were exposed to three consecutive full sterilization cycles. Following exposure, the coupons were transferred to growth media and were inoculated with 100 colonyforming units of Geobacillus stearothermophilus. All test materials demonstrated the desired outgrowth within the 7 day incubation period. The test data indicates no bacteriostatic effect from materials processed in the PSD-85.

Simulated Use Testing

Simulated use testing was performed to confirm sterilization of medical device outer surface and lumens after processing in the PSD-85. Representative lumen and non-lumen devices were inoculated with at least 10° Geobacillus stearothermophilus spores, suspended in an inorganic and organic challenge soil and exposed to a full sterilization cycle. This process was repeated in triplicate for devices that were not clean for both the Lumen and Non-Lumen Cycles. The results showed sterility of all tested devices.

In-Use Testing

Devices representative of surface-features and lumen claims for the PSD-85 were selected for sterility testing. Devices tested were used in routine surgeries at a hospital and included stainless steel devices with open surfaces, mated or hinged surfaces and representative stainless steel lumen devices. The used devices were washed and dried by the hospital according to hospital protocol and transported to the PSD-85 location for processing. The results of the in-use testing demonstrated that the PSD-85 successfully sterilizes surgical instruments used in clinical cases.

Supporting Microbiological Testing

Sterilizing agent efficacy (Sporicidal Activity of a Disinfectant) testing was performed in the PSD-85 in accordance with the guidelines provided in AOAC Official Method 966.04, Sporicidal Activity of Disinfectants. None of the carriers demonstrated growth.

Software Validation

Software validation was performed according to FDA's moderate level of concern recommendations provided in the document "Guidance for the Content for Premarket Submissions for Software Contained in Medical Devices".

Overall Performance Conclusion Statement

The non-clinical studies demonstrated that the PSD-85 is as safe and effective for the terminal sterilization of cleaned, rinsed and dried reusable metal and nonmetal medical devices used in healthcare facilities, including heat and moisture sensitive medical devices, within the indications for use for the sterilizer, and established substantial equivalence of the PSD-85 to the predicate device, the AMSCO® V-PRO™ 1 Plus Low Temperature Sterilization System.

§ 880.6860 Ethylene oxide gas sterilizer.

(a)
Identification. An ethylene gas sterilizer is a nonportable device intended for use by a health care provider that uses ethylene oxide (ETO) to sterilize medical products.(b)
Classification. Class II (performance standards).