K Number
K152111
Device Name
Symmetry Surgical Quad-Lock Container System
Date Cleared
2016-04-14

(260 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Symmetry Surgical Quad-Lock® Container System is indicated for use by hospitals and by health care facilities to: · organize and protect stainless steel, aluminum, plastic* and silicone surgical instruments that will be sterilized · allow sterilization of the contained instruments by prevacuum steam, ethylene oxide, and low temperature hydrogen peroxide sterilization cycles (validated modalities and parameters are shown in Table 1) · When sterilized by prevacuum steam sterilization, the Quad-Lock® Containers maintain the sterility of the contents for up to 180 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised · When sterilized by ethylene oxide or low temperature hydrogen peroxide cycle types the Quad-Lock® Containers maintain the sterility of the contents when sterilized by any of the above for up to 30 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised The system has not been tested for maintenance of sterility after transportation outside the health care facility. The system is intended for use with stainless steel, aluminum, plastic and silicone surgical instruments. *The use of plastic instruments has only been confirmed for steam sterilization. For effective sterilization and drying of any size Symmetry Surgical Quad-Lock® Sterilization Container, the recommended maximum combined weight of the single container, lid. basket/tray contents is defined in Table 1. For each cvcle type the qualified lumen size is the minimum length that has been qualified for use are shown in Table 1. Container System Compatibility by Cycle Type details are shown in Table 2.
Device Description
The Symmetry Surgical Quad-Lock® Container System provides a means to organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments during sterilization and storage. The filter lids, security lids, and container bottoms are made from anodized aluminum. The security lids help ensure sterility during storage and protect the container lid when the containers are stacked. The Container System includes the container base, filter lid, security lid, filters and other accessories.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and sterilization capabilities of a container system, with no mention of AI or ML.

No.
The device is a container system designed to organize, protect, and allow sterilization of surgical instruments, maintaining their sterility for a period during storage and transport within healthcare facilities. It does not treat or diagnose any medical condition in a patient.

No

This device is a container system designed to organize, protect, and allow sterilization of surgical instruments. It is not used for diagnosing medical conditions.

No

The device description clearly indicates it is a physical container system made of anodized aluminum and other materials, designed to organize, protect, and facilitate the sterilization of surgical instruments. It does not describe any software component as the primary medical device function.

Based on the provided information, the Symmetry Surgical Quad-Lock® Container System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is to organize, protect, and allow sterilization of surgical instruments. This is a function related to the preparation and storage of medical devices, not the examination of specimens derived from the human body for the purpose of providing information for diagnosis, monitoring, or treatment.
  • Device Description: The device is a container system for surgical instruments, made of materials like anodized aluminum. This description aligns with a medical device used in the sterilization process, not an IVD.
  • Performance Studies: The performance studies focus on sterilization efficacy, shelf life, reuse testing, biocompatibility, and functional strength. These are relevant to the function of a sterilization container, not the performance of an IVD in analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information.

Therefore, the Symmetry Surgical Quad-Lock® Container System falls under the category of a medical device used in the sterilization process, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Symmetry Surgical Quad-Lock® Container System is indicated for use by hospitals and by health care facilities to:
· organize and protect stainless steel, aluminum, plastic* and silicone surgical instruments that will be sterilized
· allow sterilization of the contained instruments by prevacuum steam, ethylene oxide, and low temperature hydrogen peroxide sterilization cycles (validated modalities and parameters are shown in Table 1)
· When sterilized by prevacuum steam sterilization, the Quad-Lock® Containers maintain the sterility of the contents for up to 180 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised
· When sterilized by ethylene oxide or low temperature hydrogen peroxide cycle types the Quad-Lock® Containers maintain the sterility of the contents when sterilized by any of the above for up to 30 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised
The system has not been tested for maintenance of sterility after transportation outside the health care facility.
The system is intended for use with stainless steel, aluminum, plastic and silicone surgical instruments.

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

KCT

Device Description

The Symmetry Surgical Quad-Lock® Container System provides a means to organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments during sterilization and storage. The filter lids, security lids, and container bottoms are made from anodized aluminum. The security lids help ensure sterility during storage and protect the container lid when the containers are stacked. The Container System includes the container base, filter lid, security lid, filters and other accessories.

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

hospitals and by health care facilities

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 intention of this Traditional 510(k) is to expand the cleared Indications for Use for the Symmetry Surgical Quad-Lock® Container. The device has been previously cleared for steam sterilization. Testing has been completed and supports the safety and effectiveness of the Quad-Lock® Container to support the system for expanded indications using EtO and low temperature H-O2 sterilization modalities.

Summary of Performance Testing:

  • Sterilization efficacy and simulated use testing: Validated sterility assurance level of 10^-6. Results: Pass.
  • Shelf life of sterile container: Maintenance of sterility after 30 days of storage. Results: Pass.
  • Reuse Testing: Microbial Challenge following multiple sterilization cycles verified for up to 100 sterilization cycles. Results: Pass.
  • Biocompatibility, extractables, and leachables: In vitro evaluations for these tests had acceptable results. Results: Pass.
  • Functional strength of handles: Testing performed in accordance with ST77 had acceptable results. Results: Pass.

Clinical Performance Testing:
The intention of this Traditional 510(k) is to expand the cleared Indications for Use for the Symmetry Surgical Quad-Lock® Container Systems. The Codman Quad-Lock Sterilization Container Systems were originally cleared by the FDA under 510(k) K092437 and K120117. There were no Clinical Tests performed.

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.

K092437, K120117

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 seal of the Department of Health & Human Services - USA. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an image of an eagle with three human profiles incorporated into its design. The eagle is facing to the right.

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

April 14, 2016

Symmetry Surgical, Inc. c/o Ms. Michele Lucey Regulatory Affairs Consultant Lakeshore Medical Device Consulting LLC 128 Blye Hill Landing Newbury, NH 03255

Re: K152111

Trade/Device Name: Symmetry Surgical Quad-Lock™ Container System Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization wrap Regulatory Class: Class II Product Code: KCT Dated: March 11, 2016 Received: March 15, 2016

Dear Ms. Michele Lucey:

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.

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

1

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 vours.

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

2

Indications for Use

510(k) Number (if known) K152111

Device Name

Symmetry Surgical Quad-Lock® Container System

Indications for Use (Describe) Indications for Use:

The Symmetry Surgical Quad-Lock® Container System is indicated for use by hospitals and by health care facilities to: · organize and protect stainless steel, aluminum, plastic* and silicone surgical instruments that will be sterilized · allow sterilization of the contained instruments by prevacuum steam, ethylene oxide, and low temperature hydrogen peroxide sterilization cycles (validated modalities and parameters are shown in Table 1)

· When sterilized by prevacuum steam sterilization, the Quad-Lock® Containers maintain the sterility of the contents for up to 180 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised

· When sterilized by ethylene oxide or low temperature hydrogen peroxide cycle types the Quad-Lock® Containers maintain the sterility of the contents when sterilized by any of the above for up to 30 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised

The system has not been tested for maintenance of sterility after transportation outside the health care facility.

The system is intended for use with stainless steel, aluminum, plastic and silicone surgical instruments.

*The use of plastic instruments has only been confirmed for steam sterilization.

For effective sterilization and drying of any size Symmetry Surgical Quad-Lock® Sterilization Container, the recommended maximum combined weight of the single container, lid. basket/tray contents is defined in Table 1. For each cvcle type the qualified lumen size is the minimum length that has been qualified for use are shown in Table 1. Container System Compatibility by Cycle Type details are shown in Table 2.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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3

| Table 1

Sterilization Parameters
Sterilization
ModalityCycle TypeCycle
ParametersInstrument
TypeQualified
Lumen
Size/Maximum
QuantityLoad
Requirements
(Maximum
Weight)
SteamPrevacuumTemperature:
132°C
Exposure
Time: 4
minutes
Drying Time:
30 minutes
Stackable –
Yes, up to
three
containersstainless steel,
aluminum,
titanium,
plastic* and
silicone surgical
instrumentsFull and Three
Quarter Sizes:
3 mm x 400mm
Half Size:
3mm x 250mm
size
4 lumen per
containerFull, Three
Quarter and Half
Sizes:
25 lbs
Ethylene Oxide100% ETOConcentration:
725mg/L
Temperature:
55°C
Exposure
Time: 60
minutes
Humidity: 50-
70%
Aeration time
8 hours at
110°F (43°C)
Stackable – Nostainless steel,
aluminum,
titanium, and
silicone surgical
instrumentsFull and Three
Quarter Sizes:
3 mm x 400mm
Half Size:
2mm x 250mm
4 Lumen per
containerFull, Three
Quarter and Half
Sizes:
25 lbs
Low Temperature H2O2 Sterilizers by Model Name/Cycle Type
Sterilization Parameters for each cycle type are set by the manufacturer
STERRAD 100NXStandardFixed Cycle
Type**
Stackable – Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
2mm x 400mm
Three Quarter and
Half Sizes:
2mm x 250mm
5 Lumen per
containerFull Size:
21.4 lbs
Three Quarter and
Half Sizes:
13.85 lbs
Table 1
Sterilization Parameters
Sterilization
ModalityCycle TypeCycle
ParametersInstrument
TypeQualified
Lumen
Size/Maximum
QuantityLoad
Requirements
(Maximum
Weight)
DUOFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
2mm x 400mm
Three Quarter and
Half Sizes:
2mm x 250mm
5 Lumen per
containerFull Size:
21.4 lbs
Three Quarter and
Half Sizes:
13.2 lbs
FLEXFixed Cycle
Type**
Stackable - NoPorous LumensFull, Three Quarter
and Half Sizes:
One 1mm x 850mm
Flexible Endoscope
per containerFull Size:
16.65 lbs
Three Quarter
Size:
12.40 lbs
Half Size:
10.75 lbs
STERRAD NXStandardFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
1mm x 400mm
Three Quarter and
Half Size:
2mm x 250mm
5 Lumen per
containerFull Size:
21.4 lbs
Three Quarter and
Half Sizes:
13.85 lbs
AdvancedFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull, Three Quarter,
and Half Sizes:
2mm x 250mm
5 Lumen per
containerFull Size:
21.4 lbs
Three Quarter and
Half Sizes:
13.85 lbs
Table 1
Sterilization Parameters
Sterilization
ModalityCycle TypeCycle ParametersInstrument TypeQualified
Lumen
Size/Maximum
QuantityLoad
Requirements
(Maximum
Weight)
STERRAD 100SStandardFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
3mm x 400mm
Three Quarter and
Half Size: 2mm x
250mm
5 Lumen per
containerFull, Three
Quarter, and Half
Sizes:
18.2 lbs
STERIS
V-PRO™ 1 PLUSLumen or
No LumenCycle time = 55
minutes
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
3mm x 400mm
Three Quarter and
Half Sizes: 2mm x
250mm
10 lumen per
containerFull, Three
Quarter, and Half
Sizes:
19.65 lbs

4

5

*The use of plastic instruments has only been confirmed for steam sterilization.

**For all STERRAD manufactured sterilizers all cycle parameters are preset by the manufacturer and cannot be reset by the user.

6

| Table 2

Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
Filter Bottom Container Base
Full LengthHeight
508726100mm (4 inch)YESYESYESYES
508727135mm (5 inch)YESYESYESYES
508728150mm (6 inch)YESYESYESYES
508729200mm (8 inch)YESYESYESYES
508730260mm (10 inch)YESYESYESYES
Three-Quarter
Length
508736100mm (4 inch)YESYESYESYES
508737135mm (5 inch)YESYESYESYES
508738150mm (6 inch)YESYESYESYES
Half Length
508731100mm (4 inch)YESYESYESYES
508732135mm (5 inch)YESYESYESYES
508733150mm (6 inch)YESYESYESYES
508734200mm (8 inch)YESYESYESYES
508735260mm (10 inch)YESYESYESYES
Solid Bottom Container Base
Full Length
508739100mm (4 inch)YESYESNONO
508740135mm (5 inch)YESYESNONO
508741150mm (6 inch)YESYESNONO
Table 2
Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
508742200mm (8 inch)YESYESNONO
508743260mm (10 inch)YESYESNONO
Three-Quarter
Length
508749100mm (4 inch)YESYESNONO
508750135mm (5 inch)YESYESNONO
508751150mm (6 inch)YESYESNONO
Half Length
508744100mm (4 inch)YESYESNONO
508745135mm (5 inch)YESYESNONO
508746150mm (6 inch)YESYESNONO
508747200 (8 inch)YESYESNONO
508748260 (10 inch)YESYESNONO
Filter Lids
Product CodeColor
Full Length
508944GreyYESYESYESYES
508945YellowYESNONONO
508946GreenYESNONONO
508947BlueYESNONONO
508948RedYESNONONO
508949BlackYESNONONO
Three-Quarter
Length
508956GreyYESYESYESYES
508957YellowYESNONONO
Table 2
Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
508958GreenYESNONONO
508959BlueYESNONONO
508960RedYESNONONO
508961BlackYESNONONO
Half Length
508950GreyYESYESYESYES
508951YellowYESNONONO
508952GreenYESNONONO
508953BlueYESNONONO
508954RedYESNONONO
508955BlackYESNONONO
Security Lids
Product CodeColor
Full Length
508869GreyYESYESYESYES
508870YellowYESYESYESYES
508871GreenYESYESYESYES
508872BlueYESYESYESYES
508873RedYESYESYESYES
508874BlackYESYESYESYES
Three-Quarter
Length
508881GreyYESYESYESYES
508882YellowYESYESYESYES
508883GreenYESYESYESYES
508884BlueYESYESYESYES
Table 2
Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
508885RedYESYESYESYES
508886BlackYESYESYESYES
Half Length
508875GreyYESYESYESYES
508876YellowYESYESYESYES
508877GreenYESYESYESYES
508878BlueYESYESYESYES
508879RedYESYESYESYES
508880BlackYESYESYESYES
Basket Configurations
Product CodeHeight
Full Length
50850030mm (1 inch)YESYESYESYES
50850150mm (2 inch)YESYESYESYES
50850270mm (3 inch)YESYESYESYES
508503100mm (4 inch)YESYESYESYES
Three-Quarter
Length
50850830mm (1 inch)YESYESYESYES
50850950mm (2 inch)YESYESYESYES
50851070mm (3 inch)YESYESYESYES
508511100mm (4 inch)YESYESYESYES
Half Length
50850430mm (1 inch)YESYESYESYES
50850550mm (2 inch)YESYESYESYES

7

8

9

10

Table 2
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideContainer System Compatibility by Cycle Type
STERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
50850670mm (3 inch)YESYESYESYES
508507100mm (4 inch)YESYESYESYES
Wire Base Configurations
Product CodeLengthHeight
508512Half26mm (1
inch)YESYESYESYES
508513Three-
Quarter26mm (1
inch)YESYESYESYES
508514Full26mm (1
inch)YESYESYESYES
Protective Mat
Product CodeLength
508550HalfYESNOYES
508551Three-QuarterYESNOYES
508552FullYESNOYES

11

K152111

510(k) Summary As required by 21 CFR 807.92

Date Prepared:April 8, 2016
Company Name:Symmetry Surgical, Inc.
3034 Owen Drive, Antioch TN 37013
1-800-251-3000
1-615-964-5567 (fax)
Contact PersonMichele Lucey
Lakeshore Medical Device Consulting LLC
128 Blye Hill Landing
Newbury NH
603-763-3455
Lucey_m@msn.com
Device Proprietary Name:
Container System Device Common Name:Symmetry Surgical Quad-Lock® Container System
Container Sterilization System
Classification Name:Container Sterilization System
Device Classification:Class II (21 CFR 880.6850) (KCT)
Type of 510(k) Submission:Traditional 510(k)
Basis for Submission:Expand Indications for Use
Predicate Device(s):K092437, K120117 Codman™ Sterilization Container

Device Description:

The Symmetry Surgical Quad-Lock® Container System provides a means to organize and protect stainless steel, aluminum, titanium, plastic and silicone surgical instruments during sterilization and storage. The filter lids, security lids, and container bottoms are made from anodized aluminum. The security lids help ensure sterility during storage and protect the container lid when the containers are stacked. The Container System includes the container base, filter lid, security lid, filters and other accessories.

Indications for Use:

Intended Use:

The Symmetry Surgical Quad-Lock® Container System is indicated for use by hospitals and by health care facilities to:

  • . organize and protect stainless steel, aluminum, titanium, plastic* and silicone surgical instruments that will be sterilized

12

  • allow sterilization of the contained instruments by prevacuum steam, ethylene oxide, and low temperature hydrogen peroxide sterilization cycles (validated modalities and parameters are shown in Table 1)
  • When sterilized by prevacuum steam sterilization, the Quad-Lock® Containers maintain the sterility ● of the contents for up to 180 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised
  • . When sterilized by ethylene oxide or low temperature hydrogen peroxide cycle types the Quad-Lock® Containers maintain the sterility of the contents when sterilized by any of the above for up to 30 days during storage and transport within the healthcare facility, as long as the integrity of the container has not been compromised

The system has not been tested for maintenance of sterility after transportation outside the health care facility.

The system is intended for use with stainless steel, aluminum, plastic* and silicone surgical instruments.

*The use of plastic instruments has only been confirmed for steam sterilization.

For effective sterilization and drying of any size Symmetry Surgical Quad-Lock® Sterilization Container. the recommended maximum combined weight of the single container, lid, basket/tray contents is defined in Table 1. For each cycle type the qualified lumen size is the minimum diameter and maximum length that has been qualified for use are shown in Table 1. Container System Compatibility by Cycle Type details are shown in Table 2.

| Table 1

Sterilization Parameters
Sterilization
ModalityCycle TypeCycle
Parameters*Instrument
TypeQualified
Lumen
Size/Maximum
QuantityLoad
Requirements
(Maximum
Weight)
SteamPrevacuumTemperature:
132°C
Exposure
Time: 4
minutes
Drying Time:
30 minutes
Stackable –
Yes, up to three
containersstainless steel,
aluminum,
titanium, plastic*
and silicone
surgical
instrumentsFull and Three
Quarter Sizes :
3 mm x 400mm
Half Size:
3mm x 250mm
size
4 lumen per
containerFull, Three
Quarter and Half
Sizes:
25 lbs
Ethylene Oxide100% ETOConcentration:
725mg/L
Temperature:
55°C
Exposure
Time: 60
minutes
Humidity: 50-
70%
Aeration time 8stainless steel,
aluminum,
titanium, and
silicone surgical
instrumentsFull and Three
Quarter Sizes:
3 mm x 400mm
Half Size:
2mm x 250mm
4 Lumen per
containerFull, Three
Quarter and Half
Sizes:
25 lbs
Sterilization
ModalityCycle TypeCycle
Parameters*Instrument
TypeQualified
Lumen
Size/Maximum
QuantityLoad
Requirements
(Maximum
Weight)
Table 1
Sterilization Parameters
hours at 110°F
(43°C)
Stackable - No
Low Temperature H2O2 Sterilizers by Model Name/Cycle Type
Sterilization Parameters for each cycle type are set by the manufacturer
STERRAD
100NXStandardFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
2mm x 400mm
Three Quarter and
Half Sizes:
2mm x 250mm
5 Lumen per
containerFull Size:
21.4 lb
Three Quarter
and Half Sizes:
13.85 lbs
DUOFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
2mm x 400mm
Three Quarter and
Half Sizes:
2mm x 250mm
5 Lumen per
containerFull Size:
21.4 lbs
Three Quarter
and Half Sizes:
13.2 lbs
STERRAD
100NXFLEXFixed Cycle
Type**
Stackable - NoPorous LumensFull, Three
Quarter and Half
Sizes:
One 1mm x 850mm
Flexible Endoscope
per containerFull Size:
16.65 lbs
Three Quarter
Size : 12.40 lbs
Half Size:
10.75 lbs
STERRAD NXStandardFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
1mm x 400mm
Three Quarter and
Half Size:
2mm x 250mmFull Size:
21.4 lbs
Three Quarter
and Half Sizes:
13.85 lbs
Table 1
Sterilization Parameters
Sterilization
ModalityCycle TypeCycle
Parameters*Instrument
TypeQualified
Lumen
Size/Maximum
QuantityLoad
Requirements
(Maximum
Weight)
5 Lumen per
container
AdvancedFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull, Three
Quarter, and Half
Sizes:
2mm x 250mm
5 Lumen per
containerFull Size:
21.4 lbs
Three Quarter
and Half Sizes:
13.85 lbs
STERRAD 100SStandardFixed Cycle
Type**
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
3mm x 400mm
Three Quarter and
Half Size: 2mm x
250mm
5 Lumen per
containerFull, Three
Quarter, and Half
Sizes:
18.2 lbs
STERIS
V-PRO™ 1 PLUSLumen or No
LumenCycle time =
55 minutes
Stackable - Nostainless steel,
aluminum,
titanium, and,
silicone surgical
instrumentsFull Size:
3mm x 400mm
Three Quarter and
Half Sizes: 2mm x
250mm
10 lumen per
containerFull, Three
Quarter, and Half
Sizes:
19.65 lbs

13

14

*The use of plastic instruments has only been confirmed for steam sterilization

**For all STERRAD manufactured sterilizers all cycle parameters are preset by the manufacturer and cannot be reset by the user.

15

Table 2
Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
Filter Bottom Container Base
Full LengthHeight
508726100mm (4 inch)YESYESYESYES
508727135mm (5 inch)YESYESYESYES
508728150mm (6 inch)YESYESYESYES
508729200mm (8 inch)YESYESYESYES
508730260mm (10 inch)YESYESYESYES
Three-Quarter
Length
508736100mm (4 inch)YESYESYESYES
508737135mm (5 inch)YESYESYESYES
508738150mm (6 inch)YESYESYESYES
Half Length
508731100mm (4 inch)YESYESYESYES
508732135mm (5 inch)YESYESYESYES
508733150mm (6 inch)YESYESYESYES
508734200mm (8 inch)YESYESYESYES
508735260mm (10 inch)YESYESYESYES
Solid Bottom Container Base
Full Length
508739100mm (4 inch)YESYESNONO
508740135mm (5 inch)YESYESNONO
508741150mm (6 inch)YESYESNONO
508742200mm (8 inch)YESYESNONO
508743260mm (10 inch)YESYESNONO
Three-Quarter
Length
508749100mm (4 inch)YESYESNONO
508750135mm (5 inch)YESYESNONO
508751150mm (6 inch)YESYESNONO
Half Length
508744100mm (4 inch)YESYESNONO
508745135mm (5 inch)YESYESNONO
508746150mm (6 inch)YESYESNONO
508747200 (8 inch)YESYESNONO
508748260 (10 inch)YESYESNONO
Table 2
Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
Filter Lids
Product CodeColor
Full Length
508944GreyYESYESYESYES
508945YellowYESNONONO
508946GreenYESNONONO
508947BlueYESNONONO
508948RedYESNONONO
508949BlackYESNONONO
Three-Quarter
Length
508956GreyYESYESYESYES
508957YellowYESNONONO
508958GreenYESNONONO
508959BlueYESNONONO
508960RedYESNONONO
508961BlackYESNONONO
Half Length
508950GreyYESYESYESYES
508951YellowYESNONONO
508952GreenYESNONONO
508953BlueYESNONONO
508954RedYESNONONO
508955BlackYESNONONO
Security Lids
Product CodeColor
Full Length
508869GreyYESYESYESYES
508870YellowYESYESYESYES
508871GreenYESYESYESYES
508872BlueYESYESYESYES
508873RedYESYESYESYES
508874BlackYESYESYESYES
Three-Quarter
Length
508881GreyYESYESYESYES
508882YellowYESYESYESYES
508883GreenYESYESYESYES
508884BlueYESYESYESYES
Table 2
Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
508885RedYESYESYESYES
508886BlackYESYESYESYES
Half Length
508875GreyYESYESYESYES
508876YellowYESYESYESYES
508877GreenYESYESYESYES
508878BlueYESYESYESYES
508879RedYESYESYESYES
508880BlackYESYESYESYES
Basket Configurations
Product CodeHeight
Full Length
50850030mm (1 inch)YESYESYESYES
50850150mm (2 inch)YESYESYESYES
50850270mm (3 inch)YESYESYESYES
508503100mm (4 inch)YESYESYESYES
Three-Quarter
Length
50850830mm (1 inch)YESYESYESYES
50850950mm (2 inch)YESYESYESYES
50851070mm (3 inch)YESYESYESYES
508511100mm (4 inch)YESYESYESYES
Half Length
50850430mm (1 inch)YESYESYESYES
50850550mm (2 inch)YESYESYESYES
50850670mm (3 inch)YESYESYESYES
508507100mm (4 inch)YESYESYESYES
Wire Base Configurations
Product CodeLengthHeight
508512Half26mm (1 inch)YESYESYESYES
508513Three-Quarter26mm (1 inch)YESYESYESYES
508514Full26mm (1 inch)YESYESYESYES
Table 2
Container System Compatibility by Cycle Type
Product CodeSizePre-
Vacuum
Steam100%
Ethylene
OxideSTERRAD
100S
NX Standard
NX Advanced
100NX Standard
100NX FLEX
100NX DUOSTERIS
V-Pro 1
Plus
Lumen
Container Component Compatibility
Protective Mat
Product CodeLength
508550HalfYESYESNOYES
508551Three-QuarterYESYESNOYES
508552FullYESYESNOYES

16

17

18

19

Technological Characteristics:

The technological characteristics of this device, including design and materials, are similar to the predicate device, Codman" Sterilization Container (K092437, K120117). Table 3 provides a summary of the device characteristics compared to the predicate device:

| Similarities and
Differences | Predicate
Symmetry Surgical Quad-
Lock® Container Systems
(Previously Codman) | Predicate
Symmetry Surgical
Quad-Lock® Container
Systems
(Previously Codman) | Proposed
Symmetry Surgical Quad-Lock® Container Systems |
|------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Table 3 | | | |
| Substantial Equivalence Comparison | | | |
| 510(k) Number | K092437 | K120117 | This Submission |
| Trade Name | Codman Sterilization
Containers | Codman® Sterilization
Containers | Symmetry Surgical Quad-Lock® Container Systems |
| 510(k) Decision
Date | March 25, 2010 | April 16, 2012 | NA |
| FDA Product
Code | KCT | Same | Same |
| Classification
Section | 21CFR880.6850 | Same | Same |
| Classification
Name | Sterilization wrap containers,
trays, cassettes & other
accessories | Same | Same |
| Use Description | Means to organize and protect
instruments during sterilization
and storage | Same | Same |
| Materials | Aluminum alloy, Stainless
Steel & Silicone | Same | Same |
| Indications for
Use | The Symmetry Surgical Quad-
Lock® Sterilization Container
System is indicated for use by
hospitals and by health care
facilities to:
organize and protect
stainless steel,
aluminum, and titanium
general surgical
instruments that will be
sterilized allow sterilization of the
contained instruments by
prevacuum steam
sterilization maintain the sterility of the
contents for up to 180 days
during storage and transport
within the health care facility,
as long as the integrity of the
container has not been
compromised | The Symmetry Surgical
Quad-Lock® Sterilization
Container System is
indicated for use by
hospitals and by health
care facilities to:
organize and protect
stainless steel,
aluminum, titanium,
plastic and silicone
surgical instruments
that will be
sterilized allow sterilization
of the contained
instruments by
prevacuum steam
sterilization maintain the sterility of
the contents for up to 180
days during storage and
transport within the health
care facility, as long as
the integrity of the
container has not been
compromised | The Symmetry Surgical Quad-Lock® is indicated for use
by hospitals and by health care facilities to:
organize and protect stainless steel, aluminum,
titanium, plastic* and silicone surgical instruments
that will be sterilized allow sterilization of the contained instruments by
prevacuum steam, ethylene oxide, and low
temperature hydrogen peroxide sterilization cycles
(validated parameters shown in Table 1) When sterilized by prevacuum steam sterilization,
the Quad-Lock® Containers maintain the sterility
of the contents for up to 180 days during storage
and transport within the healthcare facility, as long
as the integrity of the container has not been
compromised When sterilized by ethylene oxide or low
temperature hydrogen peroxide cycle types the
Quad-Lock® Containers maintain the sterility of
the contents when sterilized by any of the above
for up to 30 days during storage and transport
within the healthcare facility, as long as the
integrity of the container has not been
compromised New modalities have been validated to demonstrate |

20

Table 3
Substantial Equivalence Comparison
Similarities and
DifferencesPredicate
Symmetry Surgical Quad-
Lock® Container Systems
(Previously Codman)Predicate
Symmetry Surgical
Quad-Lock® Container
Systems
(Previously Codman)Proposed
Symmetry Surgical Quad-Lock® Container Systems
compromiseddifferences.
*The inclusion of plastic instruments applies only to
steam sterilization.
MaterialsAluminum, stainless steel,
polycarbonate, silicone, nylonSameSame
StackingCaution: Do not stack the
containers in the sterilizerThe Symmetry Surgical
Quad-Lock® Container
Systems can be stacked
during sterilization with
up to three containers.Same as K120117
Volume to Vent
Ratio
mm³/mm²1004-5316SameSame
Energy modalityNoneSameSame
Maximum Weight
of ContainerFor effective sterilization and
drying of any size Symmetry
Surgical Quad-Lock®
Container Systems, the
recommended maximum
combined weight of the single
container, lid, basket and
basket contents is 25 lb. (11.3
kg).SameFor effective sterilization and drying of any size
Symmetry Surgical Quad-Lock® Container Systems, the
recommended maximum combined weight of the single
container, lid, basket and basket contents is defined for
each container type. The weights are similar to the
predicate.
Container weights are specified in the labeling. No new
issues are raised due to these differences.
Sterilization Parameters
Sterilization
ParametersCycle Type - Pre-vacuum
Temperature - 132°C
Exposure Time – 4 minutes
Drying Time - 30 minutesSameSterilization
Modality Cycle Type Cycle
Parameters Steam Prevacuum Temperature:
132°C
Exposure Time: 4
minutes
Drying Time: 30
minutes
Stackable - Yes,
up to three
containers Ethylene
Oxide 100% ETO Concentration:
725mg/L
Temperature:
55°C
Exposure Time:
60 minutes
Humidity: 50-
70%
Stackable - No

21

| Table 3

Substantial Equivalence Comparison
Similarities and
DifferencesPredicate
Symmetry Surgical Quad-
Lock® Container Systems
(Previously Codman)Predicate
Proposed
Symmetry Surgical Quad-Lock® Container Systems
Low Temperature H2O2 Sterilizers by Model
Name/Cycle Type
Sterilization Parameters for each cycle type
are set by the manufacturer
Stackable - No
Silicone Mat - Not compatible with Low
Temperature H2O2 sterilization cycles
STERRAD 100NX Standard
DUO
FLEX STERRAD NX Standard
Advanced STERRAD 100S Standard V-PRO™ 1 PLUS Lumen
No Lumen New modalities have been validated to demonstrate
efficacy. No new issues are raised due to these
differences.
StorageThe contents of the unopened
containers will maintain
sterility for 180 days.When sterilized by prevacuum steam sterilization,
the Quad-Lock® Containers maintain the sterility
of the contents for up to 180 days during storage
and transport within the healthcare facility, as long
as the integrity of the container has not been
compromised When sterilized by ethylene oxide or low
temperature hydrogen peroxide cycle types the
Quad-Lock® Containers maintain the sterility of
the contents when sterilized by any of the above
for up to 30 days during storage and transport
within the healthcare facility, as long as the
integrity of the container has not been
compromised New modalities have been validated to demonstrate
efficacy. No new issues are raised due to these
differences.
ReuseThe container may be used up
to 100 sterilization cyclesSame
Sterilization
ModalitySteamSteam, Ethylene Oxide, and Low Temperature
Hydrogen Peroxide.
New modalities have been validated to demonstrate
efficacy. No new issues are raised due to these

22

Table 3
Substantial Equivalence Comparison
Similarities and
DifferencesPredicate
Symmetry Surgical Quad-
Lock® Container Systems
(Previously Codman)Predicate
Symmetry Surgical
Quad-Lock® Container
Systems
(Previously Codman)Proposed
Symmetry Surgical Quad-Lock® Container Systems
differences.

Non-Clinical Performance Testing

The intention of this Traditional 510(k) is to expand the cleared Indications for Use for the Symmetry Surgical Quad-Lock® Container. The device has been previously cleared for steam sterilization. Testing has been completed and supports the safety and effectiveness of the Quad-Lock® Container to support the system for expanded indications using EtO and low temperature H-O2 sterilization modalities. The following table summarizes the performance testing that has been completed for each sterilization modality that has been added:

Summary of Performance Testing
Tests PerformedDescriptionResults
Sterilization efficacy and
simulated use testingValidated sterility assurance level of $10^{-6}$Pass
Shelf life of sterile containerMaintenance of sterility after 30 days of
storagePass
Reuse TestingMicrobial Challenge following multiple
sterilization cycles verified for up to100
sterilization cyclesPass
Biocompatibility, extractables,
and leachablesIn vitro evaluations for these tests had
acceptable resultsPass
Functional strength of handlesTesting performed in accordance with ST77
had acceptable resultsPass

Clinical Performance Testing

The intention of this Traditional 510(k) is to expand the cleared Indications for Use for the Symmetry Surgical Quad-Lock® Container Systems. The Codman Quad-Lock Sterilization Container Systems were originally cleared by the FDA under 510(k) K092437 and K120117. There were no Clinical Tests performed.

Statement of Substantial Equivalence

Based on the intended use, indications for use, technological characteristics, performance data and nonclinical tests performed the Symmetry Surgical Quad-Lock® Container Systems are substantially equivalent to the predicate devices, Codman™ Sterilization Containers (K092437 and K120117).