K Number
K141616
Device Name
STERILIZATION CASSETTE
Manufacturer
Date Cleared
2014-09-23

(99 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Oticon Medical Sterilization Cassette is intended to organize and protect non-disposable medical device instrumentation during handling and use in hearing health care surgery. It is intended to be sterilized and stored with non-disposable medical device instrumentation. The Sterilization Cassette is intended to be used in conjunction with a legally marketed sterilization wrap in order to maintain sterility of the enclosed instruments until use. The sterilization cassette is intended for washing, either manually or in an automated process in a washer disinfector, and for sterilization in a pre-vacuum steam sterilizer (min. three pulse, standard) utilizing either of the following cycles: | | Cycle alt 1 | Cycle alt 2 | Cycle alt 3 | |-----------------------|---------------|---------------|---------------| | Temperature | 132°C (270°F) | 134°C (273°F) | 135°C (275°F) | | Exposure time | 4 Minutes | 3 Minutes | 3 Minutes | | Drying time (wrapped) | 20 Minutes | 16 Minutes | 16 Minutes |
Device Description
The Oticon Medical Sterilization Cassette is a stainless steel cassette consisting of a base tray, a lid and an insert with instrument holders made of silicone. The lid is locked to the base tray by a locking tab. Once the lid is closed and locked, enclosed instruments are kept in place by the holders and a silicone rail in the lid. The Sterilization Cassette is designed using materials that can be reused with steam sterilization methods. The base tray, lid and insert have evenly distributed perforations to allow for penetration of sterilant during steam sterilization. For the sterilization process, the cassette is to be used in conjunction with a legally marketed sterilization wrap.
More Information

Not Found

No
The device is a physical sterilization cassette and the description focuses on its materials, design, and sterilization process, with no mention of AI or ML.

No.
The device is a sterilization cassette intended to organize, protect, and facilitate the sterilization of medical instruments, not to provide therapeutic treatment.

No

Explanation: The device is a sterilization cassette intended to organize, protect, and facilitate sterilization of non-disposable medical instrument. It is not described as diagnosing any condition or disease.

No

The device description clearly states it is a physical stainless steel cassette with a base tray, lid, and insert, designed for organizing and sterilizing surgical instruments. It is a hardware device.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is for organizing and protecting non-disposable medical device instrumentation during handling and use in hearing health care surgery, and for sterilization and storage of these instruments. It is a tool for preparing and maintaining the sterility of surgical instruments.
  • IVD Definition: An In Vitro Diagnostic device is defined as a medical device that is intended for use in vitro for the examination of specimens, including blood, tissues, and urine, from the human body to provide information for diagnostic, monitoring, or compatibility purposes.
  • Lack of Diagnostic Function: The Oticon Medical Sterilization Cassette does not examine any specimens from the human body, nor does it provide any diagnostic information. Its function is purely related to the handling and sterilization of surgical instruments.

Therefore, the device falls under the category of a surgical instrument accessory or sterilization device, not an IVD.

N/A

Intended Use / Indications for Use

The Oticon Medical Sterilization Cassette is intended to organize and protect non-disposable medical device instrumentation during handling and use in hearing health care surgery. It is intended to be sterilized and stored with non-disposable medical device instrumentation. The Sterilization Cassette is intended to be used in conjunction with a legally marketed sterilization wrap in order to maintain sterility of the enclosed instruments until use.

The sterilization cassette is intended for washing, either manually or in an automated process in a washer disinfector, and for sterilization in a pre-vacuum steam sterilizer (min. three pulse, standard) utilizing either of the following cycles:

Cycle alt 1Cycle alt 2Cycle alt 3
Temperature132°C (270°F)134°C (273°F)135°C (275°F)
Exposure time4 Minutes3 Minutes3 Minutes
Drying time (wrapped)20 Minutes16 Minutes16 Minutes

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

KCT

Device Description

The Oticon Medical Sterilization Cassette is a stainless steel cassette consisting of a base tray, a lid and an insert with instrument holders made of silicone. The lid is locked to the base tray by a locking tab. Once the lid is closed and locked, enclosed instruments are kept in place by the holders and a silicone rail in the lid.

The Sterilization Cassette is designed using materials that can be reused with steam sterilization methods. The base tray, lid and insert have evenly distributed perforations to allow for penetration of sterilant during steam sterilization. For the sterilization process, the cassette is to be used in conjunction with a legally marketed sterilization wrap.

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

hearing health care surgery

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)

Testing of the Oticon Medical Sterilization Cassette includes (1) verification of automated cleaning and disinfection, (2) verification of manual and ultrasonic cleaning, (3) sterilization validation, and (4) testing for wear following re-use and repeated processing.

The testing demonstrated efficiency of the cleaning and disinfection procedures, and the sterilization tests showed that under the selected processing parameters excellent steam penetration was achieved within the wrapped cassettes. Sterilization testing further demonstrated a sterility assurance level (SAL) of 10-6 of the cassette and its contents when handled according to the recommended instructions.

In all instances, the Sterilization Cassette functioned as intended and the performance observed was as expected. Hence we have come to the conclusion that further testing will not raise new issues of safety or efficacy.

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

Not Found

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

K844002, K012105

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

Not Found

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

Not Found

§ 880.6850 Sterilization wrap.

(a)
Identification. A sterilization wrap (pack, sterilization wrapper, bag, or accessories, is a device intended to be used to enclose another medical device that is to be sterilized by a health care provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, stacked on top of each other.

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

September 23, 2014

Oticon Medical AB Ms. Carolina Wessling Quality Assurance and Regulatory Affairs Manager Ekonomivägen 2 SE-436 33. Askim. SWEDEN

Re: K141616

Trade/Device Name: Sterilization Cassette Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Cassette Regulatory Class: II Product Code: KCT Dated: August 14, 2014 Received: August 19, 2014

Dear Ms. Wessling:

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

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

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,

Tejashri 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

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Indications for Use Statement

510(k) Number (if known): K141616

Device Name: Sterilization Cassette

Indications for Use:

The Oticon Medical Sterilization Cassette is intended to organize and protect non-disposable medical device instrumentation during handling and use in hearing health care surgery. It is intended to be sterilized and stored with non-disposable medical device instrumentation. The Sterilization Cassette is intended to be used in conjunction with a legally marketed sterilization wrap in order to maintain sterility of the enclosed instruments until use.

The sterilization cassette is intended for washing, either manually or in an automated process in a washer disinfector, and for sterilization in a pre-vacuum steam sterilizer (min. three pulse, standard) utilizing either of the following cycles:

Cycle alt 1Cycle alt 2Cycle alt 3
Temperature132°C (270°F)134°C (273°F)135°C (275°F)
Exposure time4 Minutes3 Minutes3 Minutes
Drying time (wrapped)20 Minutes16 Minutes16 Minutes

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Page 1 of 1

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510(k) SUMMARY

Sterilization Cassette

Submitter's Name, Address, Telephone Number, Contact Person and Date Prepared

Submitter name:Oticon Medical AB
Address:Ekonomiv. 2
SE-436 33 Askim
Sweden
Phone:
Facsimile:+46 31 748 6100
+46 31 687 756
Contact Person:
Mobile phone:Carolina Anker Wessling
+46 761 68 63 32
Date Prepared:September 12, 2014

Name of Device and Name/Address of Manufacturer

Sterilization Cassette

Oticon Medical AB Ekonomiv. 2 SE-436 33 Askim Sweden

Common or Usual Name: Sterilization Cassette

Classification Name:Sterilization wrap, containers, trays, cassettes and other accessories
----------------------------------------------------------------------------------------------

Classification: Class II

Classification Regulation: 21 CFR 880.6850 (Product code KCT)

Predicate Devices:

Device510(k) no.Manufacturer
Hu-Friedy IMS Cassette SystemK844002Hu-Friedy Mfg. Co., Inc.
PolyVac Surgical Instrument Delivery SystemK012105Symmetry Medical, Inc.

4

Intended Use / Indications for Use

The Oticon Medical Sterilization Cassette is intended to organize and protect nondisposable medical device instrumentation during handling and use in hearing health care surgery. It is intended to be sterilized and stored with non-disposable medical device instrumentation. The Sterilization Cassette is intended to be used in conjunction with a legally marketed sterilization wrap in order to maintain sterility of the enclosed instruments until use.

The sterilization cassette is intended for washing, either manually or in an automated process in a washer disinfector, and for sterilization in a pre-vacuum steam sterilizer (min. three pulse, standard) utilizing either of the following cycles:

Cycle alt 1Cycle alt 2Cycle alt 3
Temperature132°C (270°F)134°C (273°F)135°C (275°F)
Exposure time4 Minutes3 Minutes3 Minutes
Drying time
(wrapped)20 Minutes16 Minutes16 Minutes

Device Description / Technological Characteristics

The Oticon Medical Sterilization Cassette is a stainless steel cassette consisting of a base tray, a lid and an insert with instrument holders made of silicone. The lid is locked to the base tray by a locking tab. Once the lid is closed and locked, enclosed instruments are kept in place by the holders and a silicone rail in the lid.

The Sterilization Cassette is designed using materials that can be reused with steam sterilization methods. The base tray, lid and insert have evenly distributed perforations to allow for penetration of sterilant during steam sterilization. For the sterilization process, the cassette is to be used in conjunction with a legally marketed sterilization wrap.

Performance Data

Testing of the Oticon Medical Sterilization Cassette includes (1) verification of automated cleaning and disinfection, (2) verification of manual and ultrasonic cleaning, (3) sterilization validation, and (4) testing for wear following re-use and repeated processing.

The testing demonstrated efficiency of the cleaning and disinfection procedures, and the sterilization tests showed that under the selected processing parameters excellent steam penetration was achieved within the wrapped cassettes. Sterilization testing further demonstrated a sterility assurance level (SAL) of 10° of the cassette and its contents when handled according to the recommended instructions.

In all instances, the Sterilization Cassette functioned as intended and the performance observed was as expected. Hence we have come to the conclusion that further testing will not raise new issues of safety or efficacy.

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Substantial Equivalence

The Oticon Medical Sterilization Cassette was compared to the predicate devices Hu-Friedy IMS Cassette System (K844002) and PolyVac Surgical Instrument Delivery System (K012105) by review of intended use and technological characteristics, e.g. product design, device characteristics and materials.

The Oticon Medical Sterilization Cassette is comparable in design to the predicate device sterilization cassettes and has the same intended use/indications, as well as principles of operations. The minor technological differences between the Oticon Medical Sterilization Cassette and the predicate devices raise no new issues of safety or effectiveness. Performance data demonstrate that the Oticon Medical Sterilization Cassette is as safe and effective as the predicate device. Thus, the Oticon Medical Sterilization Cassette is substantially equivalent.

Proposed devicePredicate devicePredicate device
Product name
(510(k) number)Sterilization Cassette
(K141616)PolyVac Surgical
Instrument Delivery
System (K012105)Hu-Friedy IMS Cassette
System (K844002)
ManufacturerOticon Medical ABSymmetry Medical, Inc.Hu-Friedy Mfg. Co., Inc.
Intended Use /
Indications for useThe Oticon Medical
Sterilization Cassette is
intended to organize and
protect non-disposable
medical device
instrumentation during
handling and use in hearing
health care surgery. It is
intended to be sterilized and
stored with non-disposable
medical device
instrumentation. The
Sterilization Cassette is
intended to be used in
conjunction with a legally
marketed sterilization wrap in
order to maintain sterility of
the enclosed instruments untiluse.
The sterilization cassette is
intended for washing, either
manually or in an automated
process in a washer
disinfector, and for
sterilization in a pre-vacuum
steam sterilizer (min. three
pulse, standard) utilizing
either of the following cycles:
Temperature 132°C (270°F) -PolyVac's delivery systems
are intended to protect
medical device
instrumentation and to
facilitate the sterilization
process by allowing steam
penetration and air removal.
When used in conjunction
with an approved sterilization
wrap, sterility of the enclosed
medical device is maintained
until used.
PolyVac's delivery systems
are to be sterilized in one of
the following cycles:
Prevacuum Steam: 132°C - 4
minutes minimum. Dry for 20-
40 minutes as needed
Gravity Steam: 132°C - 30
minutes minimum.
Gravity Steam: 121°C - 55
minutes minimum.
Dry for 20-50 minutes as
needed.The Instrument Management
System is designed to provide
a disciplined approach to
infectious disease control while
helping achieve greater
efficiency and cost-
effectiveness in the care and
maintenance of dental
instruments.
The IMS Cassettes are the
core of the system. The
cassettes can be sterilized by
steam, chemical vapor,
ethylene oxide, or dry heat.
As extracted from IMS
Operator's Manual.
Exposure time 4 minutes –
Dry for 20 minutes.

Temperature 134°C (273°F) –
Exposure time 3 minutes –
Dry for 16 minutes.

Temperature 135°C (275°F) –
Exposure time 3 minutes –
Dry for 16 minutes | | |
| | | | |
| Device description | • Base, tray and lid
• Evenly distributed
perforated hole pattern.
• Silicone holders/rail | • Base, modular insert
trays and lids
• Evenly distributed
perforated hole pattern.
• Silicone mats | • Base, modular insert
trays and lids.
• Evenly distributed
perforated hole pattern.
• Silicone rails |
| Dimensions (I x w x
h) | Cassette outer dimensions
180 x 140 x 42 mm
(approx 7.1 x 5.5 x 1.7
inches) | Base tray 17.3 x 7.25 x 4
inches | Available in over 100
different sizes,
configurations and color
options. |
| Materials | Stainless steel, silicone | Stainless steel, Aluminium,
Radel R plastic, silicone | Stainless steel, silicone |
| Sterilant penetration | Evenly distributed hole
pattern | Evenly distributed hole
pattern | Evenly distributed hole
pattern |
| Microbial barrier
properties | For the sterilization
process, the cassette is to
be used in conjunction
with a legally marketed
sterilization wrap. | To be used in conjunction
with an approved
sterilization wrap. | To be used together with
IMS Autoclave Wrap. |
| Pre-Vac Steam
Sterilization
parameters,
including drying time | Pre-vacuum steam
sterilizer (min. three pulse,
standard) utilizing either of
the following cycles:

Temperature 132°C (270°F) –
Exposure time 4 minutes –
Dry for 20 minutes.

Temperature 134°C (273°F) –
Exposure time 3 minutes –
Dry for 16 minutes.

Temperature 135°C (275°F) –
Exposure time 3 minutes –
Dry for 16 minutes | Prevacuum Steam: 132°C
– 4 minutes minimum. Dry
for 20-40 minutes as
needed | Follow sterilizer
manufacturer's directions
for "wrapped instruments"
to determine length of
cycle, temperature and
drying instructions. |
| Material compatibility
with sterilization
process | Yes | Yes | Yes |
| Reusable | Yes | Yes | Yes |

Comparison Table for Substantial Equivalence

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