K Number
K143333
Device Name
Revital-Ox RESERT Solution Test Strip
Manufacturer
Date Cleared
2015-04-14

(145 days)

Product Code
Regulation Number
880.2800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Revital-Ox™ RESERT™ R60 Solution Test Strip is a high level disinfectant concentration monitor dedicated for use with Revital-Ox™ RESERT™ High Level Disinfectant. The purpose of the Revital-Ox™ RESERT™ R60 Solution Test Strip is to determine whether the concentration of hydrogen peroxide, the active ingredient in Revital-Ox™ RESERT™ High Level Disinfectant, is above the minimum recommended concentration (MRC) of 1.5%.
Device Description
The Revital-Ox™ RESERT™ R60 Solution Test Strip is a chemical indicator strip consisting of an absorbent paper pad impregnated with reactive chemicals that is adhesively bonded to one end of a polymer film. The polymer strip has a window to facilitate viewing of the color change. The Revital-OxTM RESERT™ R60 Solution Test Strip has been developed to monitor Revital-Ox™ RESERT™ High Level Disinfectant solution (originally cleared as Resert XL HLD High Level Disinfectant) that has a minimum recommended concentration (MRC) of 1.5%. The Revital-Ox™ RESERTIM R60 Solution Test Strip is dipped into a working solution of Revital-Ox™ RESERT™ High Level Disinfectant and the resultant color reaction is viewed through the window to determine if the solution is above the MRC and thus still suitable for use.
More Information

Not Found

No
The device is a simple chemical indicator strip that changes color based on a chemical reaction, not AI/ML. The description focuses on chemical composition and performance studies related to chemical reactions and stability.

No
This device is a test strip designed to monitor the concentration of a high-level disinfectant solution, not to treat or diagnose a medical condition in a patient.

No

This device monitors the concentration of a high-level disinfectant solution, not a physiological condition or a disease in humans or animals.

No

The device is a physical chemical indicator strip, not a software application.

Based on the provided information, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "determine whether the concentration of hydrogen peroxide, the active ingredient in Revital-Ox™ RESERT™ High Level Disinfectant, is above the minimum recommended concentration (MRC) of 1.5%." This is a measurement or determination made in vitro (outside of the body) on a solution.
  • Device Description: The device is a chemical indicator strip that reacts with the solution to provide a visual indication of the concentration. This is a common characteristic of IVD tests used for chemical analysis.
  • Performance Studies: The performance studies focus on the device's ability to accurately determine the concentration (pass/fail conditions, specificity, contaminants), which is directly related to its diagnostic function for the disinfectant solution.
  • Key Metrics: The mention of "Specificity" as a key metric further supports its classification as an IVD, as specificity is a crucial performance characteristic for diagnostic tests.

While it's not diagnosing a condition in a human, it is performing a diagnostic test on a solution to determine its suitability for a specific purpose (high-level disinfection). This falls under the scope of IVD devices, which are used to examine specimens from the human body or other materials to provide information for diagnostic, monitoring, or screening purposes. In this case, the "material" being examined is the disinfectant solution.

N/A

Intended Use / Indications for Use

The Revital-OxTM RESERT™ R60 Solution Test Strip is a high level disinfectant concentration monitor dedicated for use with Revital-Ox™ RESERT™ High Level Disinfectant. The purpose of the Revital-Ox™ RESERT™ R60 Solution Test Strip is to determine whether the concentration of hydrogen peroxide, the active ingredient in Revital-Ox™ RESERT™ High Level Disinfectant, is above the minimum recommended concentration (MRC) of 1.5%.

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

JOJ

Device Description

The Revital-Ox™ RESERT™ R60 Solution Test Strip is a chemical indicator strip consisting of an absorbent paper pad impregnated with reactive chemicals that is adhesively bonded to one end of a polymer film. The polymer strip has a window to facilitate viewing of the color change. The Revital-OxTM RESERT™ R60 Solution Test Strip has been developed to monitor Revital-Ox™ RESERT™ High Level Disinfectant solution (originally cleared as Resert XL HLD High Level Disinfectant) that has a minimum recommended concentration (MRC) of 1.5%. The Revital-Ox™ RESERTIM R60 Solution Test Strip is dipped into a working solution of Revital-Ox™ RESERT™ High Level Disinfectant and the resultant color reaction is viewed through the window to determine if the solution is above the MRC and thus still suitable for use.

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

Not Found

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)

  • Performance: Equivalent performance to the predicate in pass and fail conditions for simulated use. Result: Equivalent.
  • Specificity: Incomplete color change when exposed to tap water only or to Revital-Ox™ RESERT™ High Level Disinfectant solution with peroxide below MRC or no peroxide. Result: The proposed strip does not change when exposed to the active ingredient (hydrogen peroxide) alone as the predicate does. The proposed strip requires the active ingredient of the disinfectant to be in its final form thus demonstrating greater specificity to the disinfectant solution than the predicate. The proposed strip performs equivalently to the predicate in water alone or in disinfectant without the active ingredient.
  • Contaminants: Equivalent performance to the predicate in pass and fail conditions in the presence of organic and inorganic contaminants in the test solution. Result: Equivalent.
  • Exposure to aggressive chemicals: Equivalent performance to the predicate in pass and fail conditions. Result: The proposed strip demonstrated failing results under pass conditions after exposure to aggressive chemicals. The product labeling includes a warning to store away from aggressive chemicals. This same warning is in the labeling of the predicate device.
  • Blind study testing: Equivalent performance to the predicate in pass and fail conditions. Result: Equivalent.
  • Shelf life: Meet performance specifications at each time point after storage in different environments. Result: Performance testing of the proposed device out to one year was performed.
  • In-use (open bottle): Meet performance specifications at each time point after storage in different environments. Result: Performance testing of the proposed device up to 11 days was performed.

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

Specificity (as described in the "Summary of Performance Studies")

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.

K102296

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

§ 880.2800 Sterilization process indicator.

(a)
Biological sterilization process indicator —(1)Identification. A biological sterilization process indicator is a device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor adequacy of sterilization. The device consists of a known number of microorganisms, of known resistance to the mode of sterilization, in or on a carrier and enclosed in a protective package. Subsequent growth or failure of the microorganisms to grow under suitable conditions indicates the adequacy of sterilization.(2)
Classification. Class II (performance standards).(b)
Physical/chemical sterilization process indicator —(1)Identification. A physical/chemical sterilization process indicator is a device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor one or more parameters of the sterilization process. The adequacy of the sterilization conditions as measured by these parameters is indicated by a visible change in the device.(2)
Classification. Class II (performance standards).

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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 words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing to the right, with the profiles overlapping each other.

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

April 14, 2015

STERIS Corporation Anthony Piotrkowski Senior Manager, Regulatory Affairs 5960 Heisley Road Mentor, Ohio 44060-1834

Re: K143333

Trade/Device Name: Revital-OxTM RESERT™ R60 Solution Test Strip Regulation Number: 21 CFR 880.2800 Regulation Name: Chemical Indicator/Physical/Chemical sterilization process indicator Regulatory Class: II Product Code: JOJ Dated: March 16, 2015 Received: March 17, 2015

Dear Mr. Piotrkowski:

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 Industry and Consumer Education at its toll-free 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 Industry and Consumer Education 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

Enclosure

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Indications for Use

510(k) Number (if known) K143333

Device Name

Revital-Ox™ RESERT™ R60 Solution Test Strip

Indications for Use (Describe)

The Revital-Ox™ RESERT™ R60 Solution Test Strip is a high level disinfectant concentration monitor dedicated for use with Revital-Ox™ RESERT™ High Level Disinfectant. The purpose of the Revital-Ox™ RESERT™ R60 Solution Test Strip is to determine whether the concentration of hydrogen peroxide, the active ingredient in Revital-Ox™ RESERT™ High Level Disinfectant, is above the minimum recommentration (MRC) of 1.5%.

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)

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STERIS®

510(k) Summary For Revital-Ox™ RESERT™ R60 Solution Test Strip K143333

Sponsor:

STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: (440) 354-2600 Fax No: (440) 357-9198

Manufacturer:

Albert Browne, Ltd. Chancery House 190 Waterside Rd. Hamilton Industrial Park Leicester United Kingdom LE5 1QZ

Contact:

Anthony Piotrkowski Regulatory Affairs Manager Telephone: (440) 392-7473 Fax No: (440) 357-9198 E-mail: tpiotrko@steris.com

April 8, 2015 Summary Date:

STERIS Corporation ■ 5960 Heisley Road ■ Mentor. OH 44060-1834 USA ■ 440-354-2600

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1. Device Name

Trade Name:Revital-Ox™ RESERT™ R60 Solution Test Strip
Common/usual Name:Chemical Indicator
Device Class:Class II
Classification Name:Physical/chemical sterilization process indicator
(21 CFR 880.2800 (b), Product Code JOJ)

2. Predicate Device

K102296 Verify® Chemical Monitoring Strip for Resert™ Solution

  • This predicate has not been subject to a design-related recall. ●

3. Description of Device

The Revital-Ox™ RESERT™ R60 Solution Test Strip is a chemical indicator strip consisting of an absorbent paper pad impregnated with reactive chemicals that is adhesively bonded to one end of a polymer film. The polymer strip has a window to facilitate viewing of the color change. The Revital-OxTM RESERT™ R60 Solution Test Strip has been developed to monitor Revital-Ox™ RESERT™ High Level Disinfectant solution (originally cleared as Resert XL HLD High Level Disinfectant) that has a minimum recommended concentration (MRC) of 1.5%. The Revital-Ox™ RESERTIM R60 Solution Test Strip is dipped into a working solution of Revital-Ox™ RESERT™ High Level Disinfectant and the resultant color reaction is viewed through the window to determine if the solution is above the MRC and thus still suitable for use.

4. Intended Use

The Revital-Ox™ RESERT™ R60 Solution Test Strip is a high level disinfectant concentration monitor dedicated for use with Revital-Ox™ RESERT™ High Level Disinfectant. The purpose of the Revital-OxTM RESERT™ R60 Solution Test Strip is to determine whether the concentration of hydrogen peroxide, the active ingredient in Revital-OxTM RESERT™ High Level Disinfectant, is above the minimum recommended concentration (MRC) of 1.5%.

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ProposedPredicate K102296Comparison
Revital-Ox™ RESERT™ R60
Solution Test StripVerify® Chemical Monitoring Strip
for Resert Solutions Version 2
The Revital-Ox™ RESERT™ R60
Solution Test Strip is a high level
disinfectant concentration monitor
dedicated for use with Revital-Ox™
RESERT™ High Level Disinfectant.
The purpose of the Revital-Ox™
RESERT™ R60 Solution Test Strip is to
determine whether the concentration
of hydrogen peroxide, the active
ingredient in Revital-Ox™ RESERT™
High Level Disinfectant, is above the
minimum recommended
concentration (MRC) of 1.5%.The Verify® Chemical Monitoring Strip
for Resert Solutions Version 2 is a high
level disinfectant concentration
monitor dedicated for use with Resert®
XL HLD High-Level Disinfectant. The
purpose of the Verify® Chemical
Monitoring Strip for Resert Solutions
Version 2 is to determine whether the
concentration of a Resert® XL HLD
High-Level Disinfectant solution is
above the minimum recommended
concentration (MRC) of 1.5%.Change in intended
use is limited to a
name change to
reflect the
brand/name change
of Resert® XL
HLD High-Level
Disinfectant to
Revital-Ox™
RESERT™ High
Level Disinfectant
and to specify that
the strips monitors
the active
ingredient in the
disinfectant
solution.

Table 5-1. Indications for Use Comparison

Bolded text is identical between predicate and proposed devices

5. Description of Safety and Substantial Equivalence

The proposed and predicate devices are single use chemical indicator strips that monitor the hydrogen peroxide concentration in Revital-Ox™ RESERT™ High Level Disinfectant solution.

The purpose of this submission is to clear design changes to the Revital-OxTM RESERT™ R60 Solution Test Strip for ease of read and longer shelf life.

Table 5-2 summarizes the comparison between the proposed device, Revital-OxTM RESERT™ Solution Test Strip, and the predicate.

ProposedPredicateComparison
SubstrateAbsorbent PaperAbsorbent PaperSame
Indicator /
reactionColorimetric sulfite
pH-based reactionColorimetric
starch/iodide reactionThe strip does not contact
patients. Impact of the
difference in reactive
chemistry on safety was
evaluated through literature
review.
Efficacy of the proposed
strip is summarized in
Table 5.3 below
BackingPolypropylenePolypropyleneSame

Table 5-2. Technological Comparison to Predicate

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ProposedPredicateComparison
Color changeYellow to blue/purpleBlue to blackBlinded testing
demonstrated proper
interpretation of strips.
Detectiongreater than 1.5%
hydrogen peroxidegreater than 1.5%
hydrogen peroxideSame
Use
temperature
range20 °C minimum20 -24 °CEfficacy of the proposed
strip at or above 20 °C was
demonstrated through
testing under simulated
use, testing with
contaminants, testing after
exposure to aggressive
chemicals and blind
interpretation of exposed
strips.
ViewingViewing window, paper
on back of stripPaper on front of stripBlinded testing
demonstrated proper
interpretation of strips.
Shelf-life,
unopened1 year6 monthsTesting was performed to
support increased
Shelf-life,
opened11 days to date180 daysunopened bottle shelf life.

Table 5-3 summarizes the verification activities that were performed, with their respective acceptance criteria and results, to demonstrate that the Revital-OxTM RESERT™ R60 Solution Test Strip is substantially equivalent to the claimed predicate device when used according to its instructions for use. The product effectively determines whether or not the concentration of the use solution of Revital-Ox™ RESERT™ High Level Disinfectant is greater than 1.5% hydrogen peroxide. These studies confirm that the device's performance meets the requirements of its pre-defined acceptance criteria and intended uses.

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TestAcceptance CriteriaComparision
PerformanceEquivalent performance to the predicate in pass and fail conditions for simulated use.Equivalent
SpecificityIncomplete color change when exposed to tap water only or to Revital-Ox™ RESERT™ High Level Disinfectant solution with peroxide below MRC or no peroxideThe proposed strip does not change when exposed to the active ingredient (hydrogen peroxide) alone as the predicate does. The proposed strip requires the active ingredient of the disinfectant to be in its final form thus demonstrating greater specificity to the disinfectant solution than the predicate. The proposed strip performs equivalently to the predicate in water alone or in disinfectant without the active ingredient.
ContaminantsEquivalent performance to the predicate in pass and fail conditions in the presence of organic and inorganic contaminants in the test solutionEquivalent
Exposure to aggressive chemicalsEquivalent performance to the predicate in pass and fail conditionsThe proposed strip demonstrated failing results under pass conditions after exposure to aggressive chemicals. The product labeling includes a warning to store away from aggressive chemicals. This same warning is in the labeling of the predicate device.
Blind study testingEquivalent performance to the predicate in pass and fail conditionsEquivalent
Shelf lifeMeet performance specifications at each time point after storage in different environmentsPerformance testing of the proposed device out to one year was performed.
In-use (open bottle)Meet performance specifications at each time point after storage in different environmentsPerformance testing of the proposed device up to 11 days was performed.

Table 5-3 Performance Test Summary

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6. Conclusion

The Revital-Ox™ RESERT™ R60 Solution Test Strip intended for use with Revital-Ox™ RESERT™ High Level Disinfectant is substantially equivalent to the predicate device, Verify® Chemical Monitoring Strip for Resert™ Solution. Based on the nonclinical tests performed the subject device is as safe, as effective and performs at least as safely and effectively as the legally marketed predicate devices, Class II (21 CFR 880.2800, Product code JOJ).