K Number
K140539
Device Name
AERO BLUE PERFORMANCE SURGICAL GOWN
Date Cleared
2014-06-09

(97 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Aero Blue* Performance Surgical Gowns are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids, and particulate matter. The Aero Blue* Performance Surgical Gowns meet the Level 3 requirements of the AAMI PB70: 2012 Liquid Barrier classifications. The Aero Blue* Performance Surgical Gowns are also sold as bulk non-sterile, single use items, to repackager/relabeler establishments for further packaging and Ethylene Oxide (EtO) sterilization.
Device Description
A Spunbond/Film/Spunbond/Meltblown/Spunbond design (SFSMS) that provides AAMI Level 3 liquid barrier protection in the critical zone of the gown. The back of the gown is a SMS (spunbond/meltblown/spunbond fabric that is air-breathable and provides AAMI Level 1 liquid barrier protection.
More Information

Not Found

No
The device is a surgical gown and the description focuses on material properties and barrier protection, with no mention of AI or ML.

No.
The device is a surgical gown, which is intended to protect healthcare professionals and patients from the transfer of microorganisms, body fluids, and particulate matter, not to provide therapy.

No

Explanation: The device is a surgical gown intended for protective purposes (transfer of microorganisms, body fluids, and particulate matter), not for diagnosing medical conditions.

No

The device description clearly indicates it is a physical surgical gown made of fabric materials, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the surgical gowns are "intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids, and particulate matter." This describes a barrier device used for personal protection and infection control, not a device used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description focuses on the material composition and barrier properties of the gown. This aligns with protective apparel, not an IVD.
  • Performance Studies: The performance studies described relate to barrier protection (AAMI PB70, ASTM F1670), flammability, biocompatibility, and laser ignition resistance. These are relevant to the safety and effectiveness of a surgical gown as a protective barrier, not to the analytical or diagnostic performance of an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information.

In summary, the Aero Blue* Performance Surgical Gowns are classified as protective apparel, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Aero Blue* Performance Surgical Gowns are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids, and particulate matter. The Aero Blue* Performance Surgical Gowns meet the Level 3 requirements of the AAMI PB70: 2012 Liquid Barrier classifications. The Aero Blue* Performance Surgical Gowns are also sold as bulk non-sterile, single use items, to repackager/relabeler establishments for further packaging and Ethylene Oxide (EtO) sterilization.

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

FYA

Device Description

A Spunbond/Film/Spunbond/Meltblown/Spunbond design (SFSMS) that provides AAMI Level 3 liquid barrier protection in the critical zone of the gown. The back of the gown is a SMS (spunbond/meltblown/spunbond fabric that is air-breathable and provides AAMI Level 1 liquid barrier protection.

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

healthcare professionals

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)

The Aero Blue* Performance Surgical Gowns have been tested for compliance in the critical zone with the requirements of Level 3 liquid barrier performance requirements of ANSI/AAMI PB70: 2012 "Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities". The back of the gown, which is in the non-critical zone, provides ANSI/AAMI PB70: 2012 Level 1 liquid barrier protection. The Aero Blue* Performance Surgical Gowns also meet ASTM F1670-08; Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Synthetic Blood in the critical zone fabric. The Aero Blue* Performance Surgical Gowns also meet the requirements of Flame Resistant CPSC 1610 Class 1. The Aero Blue* Performance Surgical Gown has also been tested in compliance with the biocompatibility requirements of ISO 10993 for surface devices with limited contact with breached or compromised surfaces. The Aero Blue* Performance Surgical Gowns are also tested in compliance with ISO 11810 for resistance to laser ignition. All results of testing met acceptance criteria.

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

Flammability: Pass
Cytotoxicity: Pass
Irritation: Pass
Sensitization: Pass
EO residuals: Pass
Laser resistance: Pass
Water resistance (Spray Impact): Pass
Water Resistance (Liquid Barrier Performance): Pass
Water resistance (Hydrostatic Head): Pass
Tensile Strength: Pass
Abrasion resistance: Pass
Resistance to penetration (Synthetic Blood Penetration): Pass
Fabric basis weight: Pass
Water Vapor Transmission: Pass
Peel Strength: Pass
Particulate: Pass

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.

K103406

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

§ 878.4040 Surgical apparel.

(a)
Identification. Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.(b)
Classification. (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible.
(ii) Analysis and nonclinical testing must:
(A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and
(B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device.
(iii) NIOSH approved under its regulation.
(2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

0

JUN 0 9 2014

EB Kimberly-Clark Corporation

510K Summary

May 8, 2014 Date Summarv was Prepared:

510(k) David M. Lee. JD Associate Director of Regulatory Affairs Submitter: Kimberly-Clark Health Care 1400 Holcomb Bridge Road Bldg. 300/1 Roswell, GA 30076 770-587-7167 David.m.lee@kcc.com

Primary Contact David M. Lee, JD for this 510(k) Associate Director of Regulatory Affairs Submission: Kimberly-Clark Health Care 1400 Holcomb Bridge Road Bldg. 300/1 Roswell, GA 30076 770-587-7167 David.m.lee@kcc.com

Device Trade Aero Blue* Performance Surgical Gowns Name:

Device Common Surgical Gown Names

  • Device Product FYA Codes and Class II Classification Surgical Gown Names:
    Predicate The Aero Blue* Performance Surgical Gowns under submission are Devices substantially equivalent to the predicate device, the Microcool Breathable High Performance Surgical Gowns (K103406).

Device A Spunbond/Film/Spunbond/Meltblown/Spunbond design (SFSMS) that Description: provides AAMI Level 3 liquid barrier protection in the critical zone of the gown. The back of the gown is a SMS (spunbond/meltblown/spunbond fabric that is air-breathable and provides AAMI Level 1 liquid barrier protection.

1

| Intended
Use: | The Aero Blue* Performance Surgical Gowns are sterile, single use surgical
apparel intended to be worn by healthcare professionals to help protect both
the patient and the healthcare worker from the transfer of microorganisms,
body fluids, and particulate matter. The Aero Blue* Performance Surgical
Gowns meet the Level 3 requirements of the AAMI PB70: 2012 Liquid Barrier
classifications. |
|--------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | The Aero Blue* Performance Surgical Gowns are also sold as bulk non-sterile,
single use items, to repackager/relabeler establishments for further
packaging and Ethylene Oxide (EtO) sterilization. |
| Technological
Characteristics
and Substantia
Equivalence: | The Kimberly-Clark* Aero Blue* Performance Surgical Gowns are
substantially equivalent to the predicate device, the Microcool Breathable High
Performance Surgical Gowns (K103406), in intended use, design, performance
and manufacturing processes. Both gowns incorporate a film laminate fabric in
the gown critical zone. The primary differences are that the Aero Blue*
Performance Surgical Gowns provide AAMI PB70:2012 Level 3 liquid barrier
protection in the critical zone, while the predicate gown provides AAMI Level 4
protection, and the Aero Blue* Performance Surgical Gowns incorporate in
the back of the gown a breathable SMS fabric providing AAMI Level 1
protection. The Aero Blue* Performance Surgical Gowns fabric in the
critical zone also complies with ASTM F-1670-08 Standard Test Method for
Resistance of Materials Used in Protective Clothing to Penetration by Synthetic
Blood. The above differences in design and AAMI liquid protection level raise
no new issues of safety and efficacy since the Aero Blue* Performance
Surgical Gowns are designed, tested, and labeled in compliance with the
AAMI PB70: 2012 Liquid Barrier Level 3 liquid barrier requirements. |
| Summary of
Non-Clinical
Testing: | The Aero Blue* Performance Surgical Gowns have been tested for
compliance in the critical zone with the requirements of Level 3 liquid barrier
performance requirements of ANSI/AAMI PB70: 2012 "Liquid barrier
performance and classification of protective apparel and drapes intended for
use in health care facilities". The back of the gown, which is in the non-critical
zone, provides ANSI/AAMI PB70: 2012 Level 1 liquid barrier protection. The
Aero Blue* Performance Surgical Gowns also meet ASTM F1670-08;
Standard Test Method for Resistance of Materials Used in Protective Clothing
to Penetration by Synthetic Blood in the critical zone fabric. The Aero Blue*
Performance Surgical Gowns also meet the requirements of Flame Resistant
CPSC 1610 Class 1. The Aero Blue* Performance Surgical Gown has also
been tested in compliance with the biocompatibility requirements of ISO 10993
for surface devices with limited contact with breached or compromised
surfaces. The Aero Blue* Performance Surgical Gowns are also tested in
compliance with ISO 11810 for resistance to laser ignition. |

All results of testing met acceptance criteria

:

.

2

Summary of Non-Clinical Testing

| Standard or Reference | Test Method | Data Generated | Meets
Requirement |
|---------------------------------------------------------------------------|---------------------------|------------------------------|----------------------|
| Standard for the Flammability for
Clothing Textiles | 16 CFR 1610 | Flammability | Pass |
| ISO 10993-5:2009 Biological
Evaluation of Medical Devices-
Part 5: | Cytotoxicity | Cytotoxicity | Pass |
| ISO 10993-10:2010 Biological
Evaluation of Medical Devices-
Part 10 | Skin Irritation Study | Irritation | Pass |
| ISO 10993-10:2010 Biological
Evaluation of Medical Devices-
Part 10 | Sensitization Test | Sensitization | Pass |
| ISO 10993-7:2008, Ethylene
Oxide sterilization residuals | EO residuals | EO residuals | Pass |
| Laser Ignition Resistance | ISO 11810-1 (2005) | Laser resistance | Pass |
| Spray Impact
(critical zones) | AATCC 42:2007 | Water resistance | Pass |
| Liquid Barrier Performance | AAMI PB70:2012
Level 3 | Water Resistance | Pass |
| Hydrostatic Head
(critical zones) | AATCC 127:2008 | Water resistance | Pass |
| Spray Impact
(non- critical zones) | AATCC 42:2007 | Water resistance | Pass |
| Grab Tensile, Peak Stretch, and
Peak Energy - Nonwovens | ASTM D5034
(2009) | Tensile Strength | Pass |
| Abrasion Resistance and Surface
Bonding of SMS Laminates | WSP 20.5 (2008) | Abrasion resistance | Pass |
| Synthetic Blood Penetration | ASTM-1670-08
(2008) | Resistance to
penetration | Pass |
| Mass Per Area (Basis Weight) of
Materials | D3776 (2009) | Fabric basis weight | Pass |
| Water Vapor Transmission Rate
Through Nonwovens and Plastic
Films | WSP
70.4 (2008) | Water Vapor
Transmission | Pass |
| Degree Peel Strength of
Laminated Nonwovens - Raw
Materials | STM-00197(2010) | Peel Strength | Pass |
| Resistance to Linting Dry Particle
Generation | INDA WSP 160.1
(2009) | Particulate | Pass |

Substantial Equivalence Table

| Attribute | Predicate Device:
Kimberly-ClarkMicroCool
Breathable High Performance
Surgical Gown K103406, (AAMI
Liquid Barrier Level 4) | Subject of this 510(k):
K140539 Aero Blue* Performance
Surgical Gown, (AAMI Liquid
Barrier Level 3) |
|---------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications
for Use | Kimberly-Clark* MicroCool* Surgical
Gowns, are sterile, single use surgical
apparel intended to be worn by
healthcare professionals to help | Aero Blue* Surgical Gowns, are
sterile, single use surgical apparel
intended to be worn by healthcare
professionals to help protect both the |
| | | |
| Attribute | Predicate Device:
Kimberly-ClarkMicroCool
Breathable High Performance
Surgical Gown K103406, (AAMI
Liquid Barrier Level 4) | Subject of this 510(k):
K140539 Aero Blue* Performance
Surgical Gown, (AAMI Liquid
Barrier Level 3) |
| | protect both the patient and the
healthcare worker from the transfer of
microorganisms, body fluids, and
particulate matter.
The MicroCool* Surgical Gown meet
the Level 4 requirements of the AAMI
Liquid Barrier classifications.
The Kimberly-Clark* MicroCool*
Surgical Gowns, are also sold as bulk
non-sterile, single use items, to
repackager/relabeler establishments
for further packaging and Ethylene
Oxide (EtO) sterilization. | patient and the healthcare worker
from the transfer of microorganisms,
body fluids, and particulate matter.
The Aero Blue* Performance
Surgical Gowns meet the Level 3
requirements of the AAMI PB70:
2012 Liquid Barrier classifications.
The Aero Blue* Surgical Gowns, are
also sold as bulk non-sterile, single
use items, to repackager/relabeler
establishments for further packaging
and Ethylene Oxide (EtO)
sterilization. |
| How
supplied | Sterile (10-6) or bulk non-sterile | Same |
| Sterilization
Method | Ethylene Oxide | Same |
| SAL | 10-6 | Same |
| Gown color | Blue | Same |
| Gown sizes | Small, Large, X-Large, XX-Large,
XXX-Large | Same |
| Construction
Overview | The MicroCool* Breathable High
Performance Surgical Gown is
manufactured from a breathable,
repellent, non-woven, polypropylene
fabric. The gown is constructed from a
spunbond/film/spunbond/meltblown/sp
unbond (SFSMS) design that is
adhesively laminated. The gown
meets AAMI-4 liquid barrier
requirements | The Aero Blue* Performance
Surgical Gown under submission is
manufactured from a moisture-vapor
breathable, repellent, non-woven
fabric using a polymer blend of
polypropylene and polyethylene.
The front body and sleeve fabric is a
three layer film laminate. This fabric
is an SFSMS design Spunbond/
Film/Spunbond-Meltblown-
Spunbond that is adhesively bonded
together. Front of Gown meets
meet AAMI-3 liquid barrier
requirements, while back of Gown in
the non-critical zone is composed of
a breathable SMS fabric with an
AAMI level 1 liquid barrier protection |
| Does not
contain
Natural
Rubber
Latex | Yes | Same |
| Performance
Testing | ANSI/AAMI PB70: 2003 Level 4 Liquid
Barrier Requirements - Pass | N/A |
| | ANSI/AAMI PB70: 2012 Level 3 Liquid
Barrier Requirements - N/A | ANSI/AAMI PB70: 2012 Level 3
Liquid Barrier Requirements - Pass |
| | RTM - 6405/STM00204/WSP 70.4
2008 -Water Vapor Transmission Rate
of Materials - Pass | Same |
| | RTM 6176/WSP 160.1 2009 - Test
Method for Resistance to Linting -
Pass | Same |
| | ASTM D 5034 - 2009 Standard Test
Method For Breaking Strength and
Elongation of Textile Fabrics (Grab
Test) - Pass | Same |
| | Peel Strength - EQ-STM
5671/STM00197 2010 - Pass | Same |
| | Hydrohead Low Surface Tension EQ-
STM 4507-2012 Pass | Same |
| | STM- 00149 (ASTM-4966/WSP 20.5
2008, Abrasion Test - Pass | Same |
| | Biocompatibility - Pass | Same |
| | 16 CFR, Chapter II--Consumer
Product Safety Commission Part 1610
-Standard For The Flammability of
Clothing Textiles Class I - Pass | Same |

.

3

:

'

:

4

  • Conclusion The performance testing submitted for the Aero Blue* Performance Surgical Gowns demonstrates substantial equivalence to the predicate Kimberly Clark* Microcool* Breathable High Performance Surgical Gown (K103406) in intended use, design, materials, performance and biocompatibility attributes.
    *Registered Trademark or Trademark of Kimberly-Clark Worldwide, Inc. or its affiliates.

·

5

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MID 20993-000

June 9, 2014

Kimberly-Clark Corporation David M. Lee. JD Associate Director of Regulatory Affairs Bldg. 300/l 1400 Holcomb Bridge Road Roswell. Georgia 30076

Re: K140539

Trade/Device Name: Acro Blue Performance Surgical Gowns Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Gown Regulatory Class: Class II Product Code: FYA Dated: May 8, 2014 Received: May 9, 2014

Dear Mr. Lee,

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.

Image /page/5/Picture/10 description: The image shows the seal of the Department of Health & Human Services USA. The seal is circular with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is a stylized image of an eagle with its wings spread.

6

Page 2 - Mr. Lee

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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

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

Sincerely yours,

Tejastri Purobit-Sheth, M.D. Toiashri Provisit-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

Enclosure

7

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement on last page.

510(k) Number (if known)

K140539

Device Name

Aero Blue* Performance Surgical Gowns

Indications for Use (Describe)

Intended Use: The Aero Blue* Performance Surgical Gowns are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids, and particulate matter.

The Aero Blue* Performance Surgical Gowns meet the Level 3 requirements of the AAMI PB70: 2012 Liquid Barrier classifications.

The Aero Blue* Performance Surgical Gowns are also sold as bulk non-sterile, single use items, to repackager/relabeler establishments for further packaging and Ethylene Oxide (EtO) sterilization.

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

□ Prescription Use (Part 21 CFR 801 Subpart D)

7% 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)Elizabeth F.
Claverie -SDigitally signed by Elizabeth F. Claverie -S
DN: c=US, o=U.S. Government, ou=HHS,
ou=FDA, ou=People,
0.9.2342.19200300.100.1.1=1300055864,
cn=Elizabeth F. Claverie -S
Date: 2014.06.06 12:04:26 -04'00'

FORM FDA 3881 (1/14)

8

The Aero Blue* Performance Surgical Gowns product codes, sizes, and a brief product description are provided below.

STERILE PRODUCT

Code

Product Description
41732Aero Blue Performance Surgical Gown, Small/Medium, Sterile
41733Aero Blue Performance Surgical Gown, Large, Sterile
41734Aero Blue Performance Surgical Gown, X-Large, Sterile
41735Aero Blue Performance Surgical Gown, XX-Large, Sterile
41736Aero Blue Performance Surgical Gown, XXX-Large, Sterile
41724Aero Blue Performance Surgical Gown, X-Long, Large, Sterile
41726Aero Blue Performance Surgical Gown, X-Long, X-Large, Sterile

NON-STERILE PRODUCT

Product Code

Product Description

41739Aero Blue Performance Surgical Gown, Large
41737Aero Blue Performance Surgical Gown, Large Handi-Bin
41738Aero Blue Performance Surgical Gown, X-Large, Handi-Bin
41740Aero Blue Performance Surgical Gown, X-Large
41741Aero Blue Performance Surgical Gown, XX-Large
41722Aero Blue Performance Surgical Gown in Overwrap, Large, Handi-Bin
41723Aero Blue Performance Surgical Gown in Overwrap, X-Large, Handi-Bin
41725Aero Blue Performance Surgical Gown, X-Long Large
41727Aero Blue Performance Surgical Gown, X-Long, X-Large

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