K Number
K141712
Device Name
KIMGUARD ONE STEP STERILIZATION WRAP
Manufacturer
Date Cleared
2014-12-18

(176 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
KIMGUARD* ONE-STEP* Sterilization Wraps are intended to enclose another medical device that is to be sterilized by a healthcare provider using: - . Sterilucent PSD-85 Hydrogen Peroxide Sterilizer that include: - Lumen Cycle and o - Non-Lumen Cycle. o KIMGUARD* ONE-STEP* Sterlization Wrap (KC100, KC200, KC300 and KC600) are intended to allow sterilization of the enclosed medical device(s) and also maintain sterility of the enclosed device(s) until used. Test results validated that KIMGUARD ONE-STEP® Sterilization Wraps (KC100, KC300, KC400, KC500, and KC600) allowed sterilization of the enclosed devices by the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (i.e., both the Lumen and Non-Lumen Cycles). Additionally, the KIMGUARD ONE-STEP® Sterilization Wrap was validated to allow effective aeration under the pre-programmed PSD-85 Sterilization Cycles. The PSD-85 Lumen Cycle has been validated to sterilize a load of up to ten (10) pounds (combined pouch and wrapped tray load) containing a maximum of ten (10) single channel stainless steel lumens per load with the following dimensions: - · An inside diameter of 1 mm or larger and a length of 60 mm or shorter; - An inside diameter of 2 mm or larger and a length of 250 mm or shorter; · An inside diameter of 3 mm or larger and a length of 350 mm or shorter. The PSD-85 Non-Lumen Cycle has been validated to sterilize a load of up to 25 pounds (combined pouch and wrapped tray load). All models of the KIMGUARD ONE-STEP® Sterilization Wrap (KC100, KC300, KC400, KC500, and KC600) have been validated for use with the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer cycles in Table 1.
Device Description
KIMGUARD* ONE-STEP* Sterilization Wrap is comprised of two sheets of KIMGUARD* Sterilization Wrap that is ultrasonically seamed on two edges. This seamed configuration allows for convenient wrapping of an article using two sheets simultaneously. The sheets of sterilization wrap are square or rectangular fabric produced using a threelayer SMS (spunbound-meltblown-spunbound) process. The wrap fabric is composed of polypropylene with the addition of less than 2% by weight of phthalocyanine blue pigment, less than 1% by weight titanium dioxide pigment, and less than 0.008% by weight of antistatic treatment. The wrap allows a sterilized package to be opened aseptically.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and sterilization efficacy of the wrap material, with no mention of AI or ML.

No
This device is a sterilization wrap intended to maintain sterility of other medical devices, not to provide therapy itself.

No

Explanation: The device, KIMGUARD* ONE-STEP* Sterilization Wraps, is intended to enclose medical devices for sterilization and maintain their sterility. It does not perform any diagnostic function.

No

The device description clearly states it is a physical wrap made of fabric (polypropylene) and pigments, intended to enclose other medical devices for sterilization. It is a tangible, physical product, not software.

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

Here's why:

  • Intended Use: The intended use is to enclose medical devices for sterilization and maintain their sterility. This is a function related to the preparation and storage of medical devices, not the diagnosis of diseases or conditions using samples from the human body.
  • Device Description: The device is a sterilization wrap made of fabric. This material and construction are consistent with packaging for medical devices, not diagnostic reagents or instruments.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting specific analytes or markers
    • Providing diagnostic information
    • Using reagents or assays

The device's function is purely related to the physical process of sterilization and maintaining sterility of other medical devices.

N/A

Intended Use / Indications for Use

KIMGUARD* ONE-STEP* Sterilization Wraps are intended to enclose another medical device that is to be sterilized by a healthcare provider using:

  • . Sterilucent PSD-85 Hydrogen Peroxide Sterilizer that include:
    • Lumen Cycle and o
    • Non-Lumen Cycle. o

KIMGUARD* ONE-STEP* Sterlization Wrap (KC100, KC200, KC300 and KC600) are intended to allow sterilization of the enclosed medical device(s) and also maintain sterility of the enclosed device(s) until used.

Test results validated that KIMGUARD ONE-STEP® Sterilization Wraps (KC100, KC300, KC400, KC500, and KC600) allowed sterilization of the enclosed devices by the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (i.e., both the Lumen and Non-Lumen Cycles). Additionally, the KIMGUARD ONE-STEP® Sterilization Wrap was validated to allow effective aeration under the pre-programmed PSD-85 Sterilization Cycles.

The PSD-85 Lumen Cycle has been validated to sterilize a load of up to ten (10) pounds (combined pouch and wrapped tray load) containing a maximum of ten (10) single channel stainless steel lumens per load with the following dimensions:

  • · An inside diameter of 1 mm or larger and a length of 60 mm or shorter;
  • An inside diameter of 2 mm or larger and a length of 250 mm or shorter;

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

The PSD-85 Non-Lumen Cycle has been validated to sterilize a load of up to 25 pounds (combined pouch and wrapped tray load).

All models of the KIMGUARD ONE-STEP® Sterilization Wrap (KC100, KC300, KC400, KC500, and KC600) have been validated for use with the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer cycles in Table 1.

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

FRG

Device Description

KIMGUARD* ONE-STEP* Sterilization Wrap is comprised of two sheets of KIMGUARD* Sterilization Wrap that is ultrasonically seamed on two edges. This seamed configuration allows for convenient wrapping of an article using two sheets simultaneously.

The sheets of sterilization wrap are square or rectangular fabric produced using a threelayer SMS (spunbound-meltblown-spunbound) process. The wrap fabric is composed of polypropylene with the addition of less than 2% by weight of phthalocyanine blue pigment, less than 1% by weight titanium dioxide pigment, and less than 0.008% by weight of antistatic treatment. The wrap allows a sterilized package to be opened aseptically.

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 provider

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The nonclinical studies demonstrate that the KIMGUARD* ONE-STEP* Sterilization Wrap performs as intended as a sterilization packaging system of medical devices when terminally sterilized in the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (Lumen and Non-Lumen Cycles). These studies demonstrate that the KIMGUARD* ONE-STEP* Sterilization Wrap met the same criteria as the predicate devices and are substantially equivalent.

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.

K112805

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 is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's symbol, which is a stylized representation of a human figure. The symbol is composed of three overlapping profiles facing to the right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the symbol.

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

December 18,2014

Halyard Health (Formerly known as Kimberly-Clark Health Care) C/O Mr. Peter Kalkbrenner Sterilucent, Inc. Director of Engineering 1400 Marshall Street, NE Minneapolis, MN 55413

Re: K141712

Trade/Device Name: KIMGUARD* ONE-STEP* Sterilization Wrap (Models KC100, KC200, KC300, KC400, KC500, and KC600) Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: II Product Code: FRG Dated: November 19, 2014 Received: November 20, 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 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,

Susan Runno DDS, MA

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)

K141712

Device Name

KIMGUARD* ONE-STEP* Sterlization Wrap (Models KC100, KC300, KC400, KC500, and KC600)

Indications for Use (Describe)

KIMGUARD ONE-STEP® Sterilization Wraps are intended to enclose another medical device that is to be sterilized by a healthcare provider using:

  • . Sterilucent PSD-85 Hydrogen Peroxide Sterilizer that include:
    • Lumen Cycle and o
    • Non-Lumen Cycle. o

KIMGUARD* ONE-STEP* Sterlization Wrap (KC100, KC200, KC300 and KC600) are intended to allow sterilization of the enclosed medical device(s) and also maintain sterility of the enclosed device(s) until used.

Test results validated that KIMGUARD ONE-STEP® Sterilization Wraps (KC100, KC300, KC400, KC500, and KC600) allowed sterilization of the enclosed devices by the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (i.e., both the Lumen and Non-Lumen Cycles). Additionally, the KIMGUARD ONE-STEP® Sterilization Wrap was validated to allow effective aeration under the pre-programmed PSD-85 Sterilization Cycles.

The PSD-85 Lumen Cycle has been validated to sterilize a load of up to ten (10) pounds (combined pouch and wrapped tray load) containing a maximum of ten (10) single channel stainless steel lumens per load with the following dimensions:

  • · An inside diameter of 1 mm or larger and a length of 60 mm or shorter;
  • An inside diameter of 2 mm or larger and a length of 250 mm or shorter;

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

The PSD-85 Non-Lumen Cycle has been validated to sterilize a load of up to 25 pounds (combined pouch and wrapped tray load).

All models of the KIMGUARD ONE-STEP® Sterilization Wrap (KC100, KC300, KC400, KC500, and KC600) have been validated for use with the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer cycles in Table 1.

3

| TABLE 1: Validated Sterilucent PSD-85 Hydrogen Peroxide Sterilizer Cycle
(Note: The instructions provided below are not intended to replace the detailed Instructions for Use provided

with the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer.)
PSD-85 CycleIntended Loads
LumenReusable metal and nonmetal devices including devices with diffusion-restricted spaces such
as the hinged portion of forceps and scissors and up to 10 single channel stainless steel
lumened devices of the following dimensions per chamber load:
An inside diameter of 1 mm or larger and a length of 60 mm or shorter An inside diameter of 2 mm or larger and a length of 250 mm or shorter An inside diameter of 3 mm or larger and a length of 350 mm or shorter (Refer to the PSD-85 User Manual for complete instructions on load(s) and cycle(s), including
chamber loading instructions (i.e. 10 lbs per load)
Non-LumenNon-lumened reusable metal and nonmetal devices including devices with stainless steel
diffusion-restricted spaces such as the hinged portion of forceps and scissors.
(Refer to the PSD-85 User Manual for complete instructions on load(s) and cycle(s), including
chamber loading instructions (i.e. 25 lbs per load))

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)

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

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"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

4

This 510(k) Summary is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

Applicant's Name, Address, Telephone, FAX, Contact Person Halyard Health (formerly known as Kimberly-Clark Health Care) 1400 Holcomb Bridge Road Roswell, GA 30076-2190, USA Establishment Registration Number: 1033422 Contact Name: Thomas Kozma, Director of Regulatory Affairs E-mail: thomas.kozma@hyh.com Phone: 770.587.8393 FAX: 920.225.3408 Date Prepared: November 19, 2014 TRADE NAME: KIMGUARD ONE-STEP* Sterilization Wrap (Models KC100, KC200, KC300, KC400, KC500, and KC600) CLASSIFICATION NAME: Sterilization Wrap Common/Usual Name: Sterilization Wrap FRG Product Code: DEVICE CLASSIFICATION: Class II per 21 CFR §880.6850 Predicate Devices: K112805 - KIMGUARD® ONE-STEP* Sterilization Wrap (Models KC100, KC200, KC300, KC400, KC500, and KC600).

INDICATIONS FOR USE

KIMGUARD ONE-STEP® Sterilization Wraps are intended to enclose another medical device that is to be sterilized by a healthcare provider using:

  • Sterilucent PSD-85 Hydrogen Peroxide Sterilizer that include: ●
    • o Lumen Cycle and
    • o Non-Lumen Cycle.

KIMGUARD* ONE-STEP* Sterilization Wrap (KC100, KC200, KC300, KC400, KC500 and KC600) are intended to allow sterilization of the enclosed medical device(s) and also maintain sterility of the enclosed device(s) until used.

Test results validated that KIMGUARD ONE-STEP® Sterilization Wraps (KC100, KC200, KC300, KC400, KC500, and KC600) allowed sterilization of the enclosed devices by the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (i.e., both the Lumen and Non-Lumen Cycles). Additionally, the KIMGUARD ONE-STEP® Sterilization Wrap was validated to allow effective aeration under the pre-programmed PSD-85 Sterilization Cycles.

5

The PSD-85 Lumen Cycle has been validated to sterilize a load of up to ten (10) pounds (combined pouch and wrapped tray load) containing a maximum of ten (10) single channel stainless steel lumens per load with the following dimensions:

  • · An inside diameter of 1 mm or larger and a length of 60 mm or shorter;
  • An inside diameter of 2 mm or larger and a length of 250 mm or shorter:
  • An inside diameter of 3 mm or larger and a length of 350 mm or shorter.

The PSD-85 Non-Lumen Cycle has been validated to sterilize a load of up to 25 pounds (combined pouch and wrapped tray load).

All models of the KIMGUARD ONE-STEP® Sterilization Wrap (KC100, KC200, KC300, KC400, KC500, and KC600) have been validated for use with the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer cycles in Table 1.

All models of the KIMGUARD ONE-STEP® Sterilization Wrap (KC100, KC200, KC300, KC400, KC500, and KC600) have been validated for use with the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer cycles in Table 1.

| TABLE 1: Validated Sterilucent PSD-85 Hydrogen Peroxide Sterilizer Cycle
(Note: The instructions provided below are not intended to replace the detailed

Instructions for Use provided with the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer.)
PSD-85 CycleIntended Loads
LumenReusable metal and nonmetal devices including devices with diffusion-restricted
spaces such as the hinged portion of forceps and scissors and up to 10 single
channel stainless steel lumened devices of the following dimensions per chamber
load:
An inside diameter of 1 mm or larger and a length of 60 mm or shorter An inside diameter of 2 mm or larger and a length of 250 mm or shorter An inside diameter of 3 mm or larger and a length of 350 mm or shorter (Refer to the PSD-85 User Manual for complete instructions on load(s) and
cycle(s), including chamber loading instructions (i.e. 10 lbs per load)
Non-LumenNon-lumened reusable metal and nonmetal devices including devices with
stainless steel diffusion-restricted spaces such as the hinged portion of forceps
and scissors.
(Refer to the PSD-85 User Manual for complete instructions on load(s) and
cycle(s), including chamber loading instructions (i.e. 25 lbs per load))

DESCRIPTION OF DEVICE

KIMGUARD* ONE-STEP* Sterilization Wrap is comprised of two sheets of KIMGUARD* Sterilization Wrap that is ultrasonically seamed on two edges. This seamed configuration allows for convenient wrapping of an article using two sheets simultaneously.

The sheets of sterilization wrap are square or rectangular fabric produced using a threelayer SMS (spunbound-meltblown-spunbound) process. The wrap fabric is composed of polypropylene with the addition of less than 2% by weight of phthalocyanine blue pigment, less than 1% by weight titanium dioxide pigment, and less than 0.008% by weight of antistatic treatment. The wrap allows a sterilized package to be opened aseptically.

6

Substantial Equivalence to Predicate Device

KIMGUARD ONE-STEP* Sterilization Wrap (i.e., subject of this Premarket Notification) is substantially equivalent to the predicate Kimberly-Clark KIMGUARD* ONE-STEP* Sterilization Wraps (K112805) in technology, design, and materials.

The following table compares the subject KIMGUARD* ONE-STEP* Sterilization Wrap to the predicate KIMGUARD* ONE-STEP* Sterilization Wrap.

| Characteristics | Predicate Devices:
KIMGUARD* ONE-STEP* Sterilization
Wrap (KC100, KC200, KC300, KC400,
KC500, & KC600) (K112805) | Proposed Device:
KIMGUARD* ONE-STEP* Sterilization Wrap
(KC100, KC200, KC300, KC400, KC500, &
KC600) |
|-------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacturer | Kimberly-Clark Corporation | Kimberly Clark Corporation [SAME] |
| Regulation/Product
Code | Sterilization Wrap: 880.6850 / FRG | Sterilization Wrap: 880.6850 / FRG
[SAME] |
| Indications for Use | The device is intended to be used to enclose
another medical device that is to be sterilized by a
healthcare provider by the Amsco® V-PRO™ 1
Plus Low Temperature Sterilization System's
Lumen (identical to the V-PRO™ 1 Cycle) and
Non-Lumen Cycles, and the V-PRO™ Low
Temperature Sterilization System's Flexible Cycle.
The wrap is intended to allow sterilization of the
enclosed medical device(s) and also to maintain
sterility of the enclosed device(s) until opened
within the period of time for which performance
data demonstrating maintenance of sterility has
been provided. The KIMIGUARD ONE-STEP*
Sterilization Wrap was validated to be effectively
aerated during the pre-programmed V-PRO™, V-
PRO™ 1 Plus, and V-PRO™ Flexible Cycles. | KIMGUARD* ONE-STEP* Sterilization Wrap
(KC100, KC200, KC300, KC400, KC500 and
KC600) are intended to enclose another medical
device that is to be sterilized by a healthcare
provider using:
• Sterilucent PSD-85 Hydrogen Peroxide
Sterilizer that includes:
• Lumen Cycle
• Non-Lumen Cycle
KIMGUARD* ONE-STEP* Sterilization Wrap
(KC100, KC200, KC300, KC400, KC500 and
KC600) are intended to allow sterilization of the
enclosed medical device(s) and also maintain
sterility of the enclosed device(s) until used. |
| Sterilization
Parameters | Hydrogen Peroxide-based Amsco® V-PRO™
1 Plus Low Temperature Sterilization
System's Lumen (identical to the V-PRO™ 1
Cycle) and Non-Lumen Cycles, and the V-
PRO™ Low Temperature Sterilization
System's Flexible Cycle | Sterilucent PSD-85 Hydrogen Peroxide
Sterilizer that includes:
• Lumen Cycle
• Non-Lumen Cycle |
| Maintenance of
Package Sterility | For models KC100, KC200, KC300, K400,
KC500, and KC600 for at least 30 days. | Real-time testing following sterilization using
Sterilucent PSD-85 Hydrogen Peroxide
Sterilizer supports maintenance of package
sterility for 180 days for all models of
KIMGUARD* ONE-STEP* Sterilization Wrap. |
| Technology | Tortuous sheet material used to enclose
medical devices that are to be sterilized by a
healthcare provider to allow sterilization of
the enclosed medical device(s) and maintain
sterility of the enclosed device(s) until used. | Tortuous sheet material used to enclose
medical devices that are to be sterilized by a
healthcare provider to allow sterilization of
the enclosed medical device(s) and maintain
sterility of the enclosed device(s) until used.
[SAME] |
| Device Design | Two sheets of nonwoven polypropylene
fabric. Each sheet is composed of three
thermally- bonded layers consisting of a
Meltblown polypropylene layer surrounded by
Spunbound polypropylene layers (SMS) | Two sheets of nonwoven polypropylene
fabric. Each sheet is composed of three
thermally- bonded layers consisting of a
Meltblown polypropylene layer surrounded
by Spunbound polypropylene layers (SMS)
[SAME] |
| Characteristics | Predicate Devices:
KIMGUARD* ONE-STEP* Sterilization
Wrap (KC100, KC200, KC300, KC400,
KC500, & KC600) (K112805) | Proposed Device:
KIMGUARD* ONE-STEP* Sterilization Wrap
(KC100, KC200, KC300, KC400, KC500, &
KC600) |
| Method for bonding
SMS layers | Thermal bonding with round pin, hexagonal,
triangle bond pattern ("daisy" pattern) | Thermal bonding with round pin, hexagonal,
triangle bond pattern ("daisy" pattern)
[SAME] |
| Materials | Polypropylene with blue and white
pigments | Polypropylene with blue and white
pigments
[SAME] |
| Distribution | Non-Sterile and
Over-the-Counter | Non-Sterile and
Over-the-Counter
[SAME] |
| Single Use Device | Yes | Yes
[SAME] |

Device Comparison Table (Technological. Design, & Materials)

7

SUMMARY OF NONCLINICAL TESTS

Performance of KIMGUARD* ONE-STEP* Sterilization Wrap (KC100. KC200. KC300, KC400. KC500, KC600) has been tested in accordance with the applicable requirements recommended in Pre-Market Notification [510(k)] Submissions for Medical Sterilization Packaging Systems in Health Care Facilities; Draft Guidance for Industry and FDA (March 7, 2002). All results of testing met acceptance criteria demonstrating that the KIMGUARD* ONE-STEP* Sterilization Wrap allows sterilization of contents by Sterilucent PSD-85 Hydrogen Peroxide Sterilizer and maintains sterility of contents until used.

Summary of Testing PerformedResults
Sterilucent System Sterilant PenetrationPassed
Material Compatibility/Biocompatibility - post-sterilization
(Cytotoxicity- ISO Elution, ISO Intracutaneous Reactivity,
ISO guinea Pig Maximization Sensitization)Passed
Performance Testing - Post-SterilizationPassed
Maintenance of Package Integrity (180 Days)Passed

OVERALL PERFORMANCE CONCLUSIONS

The nonclinical studies demonstrate that the KIMGUARD* ONE-STEP* Sterilization Wrap performs as intended as a sterilization packaging system of medical devices when terminally sterilized in the Sterilucent PSD-85 Hydrogen Peroxide Sterilizer (Lumen and Non-Lumen Cycles). These studies demonstrate that the KIMGUARD* ONE-STEP* Sterilization Wrap met the same criteria as the predicate devices and are substantially equivalent.