K Number
K152564
Device Name
Gemini Sterilization Wrap
Date Cleared
2016-07-07

(302 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Gemini Sterilization Wraps are 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 such content until used. Gemini Sterilization Wrap is validated for use in steam or STERRAD sterilization processes in the following sterilization modes and cycles: TABLE 1: Pre-vacuum team at 270°F/132°C for 4 minutes with the following dry times by weight TABLE 2: Gravity steam at 250°F/121°C for 30 minutes with the following dry times by weight TABLE 3: STERRAD® Sterilization
Device Description
Gemini Sterilization Wrap is offered to the marketplace as bulk packages of single ply sheets for use by customers in accordance with standard hospital practices which require that two sheets are used each time a medical device or collection of medical devices are wrapped. Gemini Sterilization Wrap items are square or rectangular sheets of fabric produced using a five-layer SSMMS (spunbond-spunbond-meltblown-meltblown-spunbond) process. The standard blue wrap fabric is made of polypropylene with the addition of less than 2% of phthalocyanine blue pigmentation and less than 0.35% titanium dioxide white pigmentation. The wrap allows for aseptic opening of the sterilized package. Gemini Sterilization Wrap is available in sizes ranging from 12"x12" to 54"x90" across the five different material weights/models.
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 technology.

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

No
The device is a sterilization wrap intended to maintain sterility, not to diagnose a condition or disease.

No

The device description clearly states it is a physical fabric wrap made of polypropylene, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the wraps are used to enclose other 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 description details the physical characteristics of the wraps (material, size, color) and their use in a healthcare setting for wrapping medical devices. There is no mention of analyzing biological samples or providing diagnostic information.
  • 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 or measuring analytes
    • Providing diagnostic information about a patient's health status
    • Use in a laboratory setting for diagnostic purposes

The device is a sterilization accessory used in a healthcare setting to ensure the sterility of other medical devices. This falls under the category of general medical devices, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

Gemini Sterilization Wraps are 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 such content until used. Gemini Sterilization Wrap is validated for use in steam or STERRAD sterilization processes in the following sterilization modes and cycles:

TABLE 1: Pre-vacuum team at 270°F/132°C for 4 minutes with the following dry times by weight

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

TABLE 2: Gravity steam at 250°F/121°C for 30 minutes with the following dry times by weight

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

TABLE 3: STERRAD® Sterilization

Gemini Wrap ModelGemini Wrap WeightSTERRAD® Cycles
GEM11XXLightweightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM21XXRegular WeightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM31XXMedium WeightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM41XXHeavyweightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM51XXSuper HeavyweightSTERRAD® 50, 200S and 100NXTM DUO Cycles

The Gemini Sterilization Wrap intended loads with pre-vacuum steam sterilization, gravity steam sterilization and the Advanced Sterilization Products STERRAD® Sterilization systems are provided in Table 4.

The Gemini Sterilization Wrap Recommendations for use with Pre-vacuum steam cycles, Gravity steam cycles, and the Advanced Sterilization Products STERRAD® Sterilization systems are provided in Table 5.

TABLE 4: Validated Pre-Vacuum Steam, Gravity Steam, and Advanced Sterilization Product
STERRAD® 50, 200S and STERRAD® 100 NXTM DUO Cycles

CycleMaximum recommended Chamber LoadIntended Load
Pre-Vacuum Steam & Gravity Steam CyclesLightweight 6 lbs.2 huck towels (17 in. x 29 in.), 3 fluid-resistant drapes (108 in. x 72 in.)
Regular Weight 9 lbs.16 huck towels (17 in. x 29 in.), 1 fluid resistant table cover (90 in. x 60 in.). 5 lbs. of metal mass.
Medium Weight 13 lbs.4 tray liners (20 in. x 25 in.) stacked 23 in. x 11 in. x 3.5 in. tray containing 11 lbs. of metal mass.
Heavyweight 17 lbs.4 tray liners (20 in. x 25 in.) stacked 23 in. x 11 in. x 3.5 in. tray containing 15 lbs. of metal mass.
Super Heavyweight 25 lbs.4 tray liners (20 in. x 25 in.) stacked 23in. x 11in. x 3.5 in. tray containing 20 lbs. of metal mass.
STERRAD® 5010.7 lbs.Reusable metal and non-metal medical devices, including up to 10 lumens of the following dimensions per chamber load: An inside diameter of 1 mm or larger and a length of 125 mm or shorter of single-channel stainless steel lumens. An inside diameter of 2 mm or larger and a length of 250 mm or shorter of single-channel stainless steel lumens. An inside diameter of 3mm or larger and length of 400 mm or shorter of single-channel stainless steel lumens An inside diameter of 6 mm or larger and a length of 310 mm or shorter of single-channel Teflon-Polyethylene lumens. Refer to the STERRAD® 50 Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 10 lumens per load).
STERRAD® 200S10.7 lbs.Reusable metal and non-metal medical devices, including up to 12 lumens of the following dimensions per chamber load: An inside diameter of 1 mm or larger and a length of 125 mm or shorter of single-channel stainless steel lumens. An inside diameter of 2 mm or larger and a length of 250 mm or shorter of single-channel stainless steel lumens. An inside diameter of 3mm or larger and length of 400 mm or shorter of single-channel stainless steel lumens An inside diameter of 6 mm or larger and a length of 310 mm or shorter of single-channel Teflon-Polyethylene lumens. Refer to the STERRAD® 200 Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 36.48 lbs. per load).
STERRAD® 100NXTM DUO cycle10.7 lbs.One or two single-channel Flexible Endoscope with accessory devices that are normally connected to it, with or without a silicone mat. The flexible endoscope may contain: A single-channel Teflon®/Polyethylene lumen with an inside diameter of 1 mm or larger and a length of 850 mm or shorter. Accessory devices that are normally connected to a flexible endoscope during use. Flexible endoscopes without lumens. Refer to the STERRAD® 100NXTM Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 13.2 lbs. per load).

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

FRG

Device Description

There have been no changes to the Gemini Sterilization Wrap. The materials of construction, colorants, sizes and product specifications have not changed and are identical to what was cleared under K113353.
As previously described in K113353, Gemini Sterilization Wrap is offered to the marketplace as bulk packages of single ply sheets for use by customers in accordance with standard hospital practices which require that two sheets are used each time a medical device or collection of medical devices are wrapped.

Gemini Sterilization Wrap items are square or rectangular sheets of fabric produced using a five-layer SSMMS (spunbond-spunbond-meltblown-meltblown-spunbond) process.

The standard blue wrap fabric is made of polypropylene with the addition of less than 2% of phthalocyanine blue pigmentation and less than 0.35% titanium dioxide white pigmentation. The wrap allows for aseptic opening of the sterilized package.

Gemini Sterilization Wrap is available in sizes ranging from 12"x12" to 54"x90" across the five different material weights/models.

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

health care 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)

Non-Clinical Testing:

  • Maintenance of Sterility (Package Integrity)
    • Steam Pre-Vacuum & Steam Gravity Cycles (Real Time Event Related Two Years Shelf Life): Passed
    • STERRAD® (Real Time Event Related 180 Days Shelf Life): Passed
  • Pre-Vacuum Steam and Gravity Sterilant Penetration: Passed
  • STERRAD® 50 Cycle, STERRAD® 200 S Cycle and STERRAD® 100NX™ DUO Cycle) Sterilant Penetration: Passed
  • Post Sterilization Biocompatibility Testing (Primary Skin Irritation Testing - ISO 10993-10): Passed

Additional performance testing conducted on the lightest weight and the heaviest weight Gemini Sterilization Wrap both pre-sterilization and after exposure to a STERRAD® 100NX™ DUO cycle:

  • Air permeability - per ASTM D737-04 R2012
  • Basis weight - per ASTM D3776
  • Material burst strength - per ASTM D3786
  • Resistance to water penetration - per AATCC127
  • Tensile strength and elongation - per ASTM D5034
  • Tear strength - per ASTM D5587

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.

K113353

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

Not Found

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

Not Found

§ 880.6850 Sterilization wrap.

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

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features the department's name in a circular arrangement around a symbol. The symbol consists of three stylized human profiles facing to the right, stacked on top of each other, representing health and human services.

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

July 7, 2016

Medline Industries, Inc. Ms. Jennifer Mason Senior Regulatory Affairs Specialist 1 Medline Place Mundelein, IL 60060

Re: K152564 Trade/Device Name: Gemini Sterilization Wrap Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization wrap Regulatory Class: Class II Product Code: FRG Dated: May 31, 2016 Received: June 1. 2016

Dear Ms. Jennifer Mason:

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 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

1

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

2

Indications for Use

510(k) Number (if known) K152564

Device Name Gemini Sterilization Wrap

Indications for Use (Describe)

Gemini Sterilization Wraps are 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 such content until used. Gemini Sterilization Wrap is validated for use in steam or STERRAD sterilization processes in the following sterilization modes and cycles:

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

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

TABLE 1: Pre-vacuum team at 270°F/132°C for 4 minutes with the following dry times by weight

TABLE 2: Gravity steam at 250°F/121°C for 30 minutes with the following dry times by weight

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

TABLE 3: STERRAD® Sterilization

Gemini Wrap ModelGemini Wrap WeightSTERRAD® Cycles
GEM11XXLightweightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM21XXRegular WeightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM31XXMedium WeightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM41XXHeavyweightSTERRAD® 50, 200S and 100NXTM DUO Cycles
GEM51XXSuper HeavyweightSTERRAD® 50, 200S and 100NXTM DUO Cycles

The Gemini Sterilization Wrap intended loads with pre-vacuum steam sterilization, gravity steam sterilization and the Advanced Sterilization Products STERRAD® Sterilization systems are provided in Table 4.

The Gemini Sterilization Wrap Recommendations for use with Pre-vacuum steam cycles, Gravity steam cycles, and the Advanced Sterilization Products STERRAD® Sterilization systems are provided in Table 5.

TABLE 4: Validated Pre-Vacuum Steam, Gravity Steam, and Advanced Sterilization Product
STERRAD® 50, 200S and STERRAD® 100 NXTM DUO Cycles

| Cycle | Maximum
recommended
Chamber Load | | Intended Load |
|--------------------------------------------------|----------------------------------------|------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Pre-Vacuum
Steam &
Gravity Steam
Cycles | Lightweight | 6 lbs. | 2 huck towels (17 in. x 29 in.), 3 fluid-resistant drapes (108 in. x
72 in.) |
| | Regular
Weight | 9 lbs. | 16 huck towels (17 in. x 29 in.), 1 fluid resistant table cover (90
in. x 60 in.). 5 lbs. of metal mass. |
| | Medium
Weight | 13 lbs. | 4 tray liners (20 in. x 25 in.) stacked 23 in. x 11 in. x 3.5 in. tray
containing 11 lbs. of metal mass. |
| | Heavyweight | 17 lbs. | 4 tray liners (20 in. x 25 in.) stacked 23 in. x 11 in. x 3.5 in. tray containing 15 lbs. of metal mass. |
| | Super
Heavyweight | 25 lbs. | 4 tray liners (20 in. x 25 in.) stacked 23in. x 11in. x 3.5 in. tray containing 20 lbs. of metal mass. |
| STERRAD®
50 | 10.7 lbs. | | Reusable metal and non-metal medical devices, including up to
10 lumens of the following dimensions per chamber load:
An inside diameter of 1 mm or larger and a length of 125 mm or shorter of single-channel stainless steel lumens. An inside diameter of 2 mm or larger and a length of 250 mm or shorter of single-channel stainless steel lumens. An inside diameter of 3mm or larger and length of 400 mm or shorter of single-channel stainless steel lumens An inside diameter of 6 mm or larger and a length of 310 mm or shorter of single-channel Teflon-Polyethylene lumens. Refer to the STERRAD® 50 Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 10 lumens per load). |
| STERRAD®
200S | 10.7 lbs. | | Reusable metal and non-metal medical devices, including up to
12 lumens of the following dimensions per chamber load:
An inside diameter of 1 mm or larger and a length of 125 mm or shorter of single-channel stainless steel lumens. An inside diameter of 2 mm or larger and a length of 250 mm or shorter of single-channel stainless steel lumens. An inside diameter of 3mm or larger and length of 400 mm or shorter of single-channel stainless steel lumens An inside diameter of 6 mm or larger and a length of 310 mm or shorter of single-channel Teflon-Polyethylene lumens. Refer to the STERRAD® 200 Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 36.48 lbs. per load). |
| STERRAD®
100NXTM
DUO cycle | 10.7 lbs. | | One or two single-channel Flexible Endoscope with accessory devices that are normally connected to it, with or without a silicone mat. The flexible endoscope may contain:
A single-channel Teflon®/Polyethylene lumen with an inside diameter of 1 mm or larger and a length of 850 mm or shorter. Accessory devices that are normally connected to a flexible endoscope during use. Flexible endoscopes without lumens. Refer to the STERRAD® 100NXTM Sterilizer User's Guide for |
| | | complete instructions on load(s) and cycle(s), including chamber | |
| | | loading instructions (i.e., 13.2 lbs. per load). | |

4

5

TABLE 5: Wrap Model Recommendations for Use with Pre-vacuum steam cycles, Gravity steam cycles, and the Advanced Sterilization Products STERRAD® Sterilization Systems

| Gemini Wrap
Weight | Gemini
Wrap
Model | Intended Load | Pre-Vacuum,
Gravity, and EO | Maximum Recommended Wrapped
Package Content2
ASP STERRAD®
50, 200S and
100NX™ DUO
Cycles |
|-----------------------|-------------------------|------------------------------------------------------------------------------------------|--------------------------------|---------------------------------------------------------------------------------------------------------|
| Light Weight | GEM11XX | Light weight package (for
example: standard linen
packs) | 6 lbs. | 10.7 lbs. |
| Regular
Weight | GEM21XX | Light to moderate weight
package (for example:
general use medical
instruments) | 9 lbs. | 10.7 lbs. |
| Medium
Weight | GEM31XX | Moderate to heavy weight
package (for example:
general use medical
instruments) | 13 lbs. | 10.7 lbs. |
| Heavy Weight | GEM41XX | Heavy weight package
(for example: general use
medical instruments) | 17 lbs. | 10.7 lbs. |
| Super Heavy
Weight | GEM51XX | Very heavy weight
package (for example:
general use medical
instruments) | 25 lbs. | 10.7 lbs. |

1 Individual results may differ due to factors such as variations in handling practices, wrapping techniques, and folding methods. Results may also differ due to the use of irregularly shaped contents, which may put added stress on the wrap. Each healthcare facility should determine for itself which wrap model is most appropriate for each intended use.

2 It is recommended to not exceed the maximum wrapped package content weights indicated for each wrap model. Furthermore, it is recommended to not exceed the number, weight, and size of individual content types that were validated for the Gemini Sterilization Wraps (i.e .: the weight of the metal mass).

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Image /page/6/Picture/0 description: The image shows the Medline logo. The logo is set against a blue background. The word "MEDLINE" is in white, sans-serif font, and it is positioned to the left of a white, stylized star shape. The star shape has four points, with the top and bottom points being longer than the side points.

K152564 510(k) SUMMARY [AS REQUIRED BY 21CFR807.92(c)]

Submitter / 510(k) Sponsor

Medline Industries, Inc. 1 Medline Place Mundelein, IL 60060

Registration Number: 1417592

Contact Person

Jennifer Mason Senior Regulatory Affairs Specialist Phone: 847-643-3652 Email: jamason@medline.com

Summary Preparation Date July 7, 2016

Type of 510(k) Submission Traditional

Device Name / Classification

Name of Device: Gemini Sterilization Wrap Proprietary Name: Gemini Sterilization Wrap Common Name: Sterilization Wrap Classification Name: Wrap, Sterilization Product Code: FRG Classification Panel: General Hospital Regulation: 21 CFR 880.6850

Predicate Device

Gemini Sterilization Wrap K113353

Device Description

There have been no changes to the Gemini Sterilization Wrap. The materials of construction, colorants, sizes and product specifications have not changed and are identical to what was cleared under K113353.

7

Image /page/7/Picture/0 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in a sans-serif font, with a white starburst symbol behind the text. The background of the logo is a solid dark blue color. There is a small gray rectangle in the upper right corner of the image.

Medline Industries, Inc.
One Medline Place
Mundelein, IL 60060

As previously described in K113353, Gemini Sterilization Wrap is offered to the marketplace as bulk packages of single ply sheets for use by customers in accordance with standard hospital practices which require that two sheets are used each time a medical device or collection of medical devices are wrapped.

Gemini Sterilization Wrap items are square or rectangular sheets of fabric produced using a five-layer SSMMS (spunbond-spunbond-meltblown-meltblown-spunbond) process.

The standard blue wrap fabric is made of polypropylene with the addition of less than 2% of phthalocyanine blue pigmentation and less than 0.35% titanium dioxide white pigmentation. The wrap allows for aseptic opening of the sterilized package.

Gemini Sterilization Wrap is available in sizes ranging from 12"x12" to 54"x90" across the five different material weights/models.

Indications for Use

Gemini Sterilization Wrap is 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 such content until used. Gemini Sterilization Wrap is validated for use in steam or STERRAD® sterilization processes in the following sterilization modes and cycles:

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

TABLE 1: Pre-vacuum steam at 270°F/132°C for 4 minutes with the following dry times by weight

TABLE 2: Gravity steam at 250°F/121°C for 30 minutes with the following dry times by weight

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

8

Image /page/8/Picture/0 description: The image is a logo for Medline. The logo is set against a blue square background. The word "MEDLINE" is written in white, block letters on the left side of the square. To the right of the word is a white symbol that looks like a stylized cross or star.

TABLE 3: STERRAD® Sterilization

Gemini Wrap ModelGemini Wrap WeightSTERRAD® Cycles
GEM11XXLightweightSTERRAD® 50, 200 S and
100NX™ DUO Cycles
GEM21XXRegular WeightSTERRAD® 50, 200 S and
100NX™ DUO Cycles
GEM31XXMedium WeightSTERRAD® 50, 200 S and
100NX™ DUO Cycles
GEM41XXHeavyweightSTERRAD® 50, 200 S and
100NX™ DUO Cycles
GEM51XXSuper HeavyweightSTERRAD® 50, 200 S and
100NX™ DUO Cycles

The Gemini Sterilization Wrap intended loads with pre-vacuum steam sterilization, gravity steam sterilization and the Advanced Sterilization Products STERRAD® Sterilization systems are provided in Table 4.

The Gemini Sterilization Wrap Recommendations for use with Pre-vacuum steam cycles, Gravity steam cycles, and the Advanced Sterilization Products STERRAD® Sterilization systems are provided in Table 5.

200S, 100NX™ DUO Cycles
CycleMaximum recommended
Chamber LoadIntended Load
Pre-Vacuum
Steam & Gravity
Steam CyclesLightweight
6 lbs.2 huck towels (17 in. x 29 in.), 3 fluid-resistant drapes (108 in. x 72 in.)
Regular Weight
9 lbs.16 huck towels (17 in. x 29 in.), 1 fluid resistant table cover (90 in. x 60 in.). 5 lbs. of metal mass.
Medium Weight
13 lbs.4 tray liners (20 in. x 25 in.) stacked 23 in. x 11 in. x 3.5 in. tray containing
11 lbs. of metal mass.
Heavyweight
17 lbs.4 tray liners (20 in. x 25 in.) stacked 23 in. x 11 in. x 3.5 in. tray containing
15 lbs. of metal mass.
Super
Heavyweight
25 lbs.4 tray liners (20 in. x 25 in.) stacked 23in. x 11in. x 3.5 in. tray containing
20 lbs. of metal mass.
STERRAD® 5010.7 lbs.Reusable metal and non-metal medical devices, including up to 10 lumens
of the following dimensions per chamber load:
• An inside diameter of 1mm or larger and a length of 125 mm or
shorter of single-channel stainless steel lumens.
• An inside diameter of 2 mm or larger and a length of 250 mm or
shorter of single-channel stainless steel lumens.
TABLE 4: Validated Pre-Vacuum Steam, Gravity Steam, and Advanced Sterilization Products STERRAD® 50,
200S, 100NXTM DUO Cycles

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Image /page/9/Picture/0 description: The image features the logo of Medline, a healthcare company. The logo is set against a blue square background. A white, stylized star-like symbol is prominently displayed, with the word "MEDLINE" horizontally aligned and superimposed on the star. The font is sans-serif and appears to be in bold.

An inside diameter of 3mm or larger and length of 400 mm or shorter of single-channel stainless steel lumens An inside diameter of 6 mm or larger and a length of 310 mm or shorter of single-channel Teflon-Polyethylene lumens. Refer to the STERRAD® 50 Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 10 lumens per load).
STERRAD® 200 S10.7 lbs.Reusable metal and non-metal medical devices, including up to 12 lumens of the following dimensions per chamber load: An inside diameter of 1mm or larger and a length of 125 mm or shorter of single-channel stainless steel lumens. An inside diameter of 2 mm or larger and a length of 250 mm or shorter of single-channel stainless steel lumens. An inside diameter of 3mm or larger and length of 400 mm or shorter of single-channel stainless steel lumens An inside diameter of 6 mm or larger and a length of 310 mm or shorter of single-channel Teflon-Polyethylene lumens. Refer to the STERRAD® 200 Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 36.48 lbs. per load).
STERRAD® 100NXTM DUO cycle10.7 lbs.One or two single-channel Flexible Endoscope with accessory devices that are normally connected to it, with or without a silicone mat. The flexible endoscope may contain: A single-channel Teflon®/Polyethylene lumen with an inside diameter of 1 mm or larger and a length of 850 mm or shorter. Accessory devices that are normally connected to a flexible endoscope during use. Flexible endoscopes without lumens. Refer to the STERRAD® 100NXTM Sterilizer User's Guide for complete instructions on load(s) and cycle(s), including chamber loading instructions (i.e., 13.2 lbs. per load).

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Image /page/10/Picture/0 description: The image is a logo for Medline. The logo is a blue square with the word "MEDLINE" in white letters on the left side of the square. To the right of the word is a white symbol that looks like a compass. The compass is pointing in four directions.

TABLE 5: Wrap Model Recommendations for Use with Pre-vacuum steam cycles, Gravity steam cycles, and the Advanced Sterilization Products STERRAD® Sterilization Systems

| Gemini Wrap
Weight | Gemini
Wrap
Model | Intended Load | Maximum Recommended Wrapped
Package Content2 | |
|-----------------------|-------------------------|------------------------------------------------------------------------------------------|-------------------------------------------------|--------------------------------------------------------|
| Light Weight | GEM11XX | Light weight package (for
example: standard linen
packs) | 6 lbs. | ASP STERRAD®
50, 200 S and
100NXTM DUO
Cycles |
| Regular
Weight | GEM21XX | Light to moderate weight
package (for example:
general use medical
instruments) | 9 lbs. | 10.7 lbs. |
| Medium
Weight | GEM31XX | Moderate to heavy weight
package (for example:
general use medical
instruments) | 13 lbs. | 10.7 lbs. |
| Heavy Weight | GEM41XX | Heavy weight package
(for example: general use
medical instruments) | 17 lbs. | 10.7 lbs. |
| Super Heavy
Weight | GEM51XX | Very heavy weight
package (for example:
general use medical
instruments) | 25 lbs. | 10.7 lbs. |

1 Individual results may

differ due to factors such as variations in handling practices, wrapping techniques, and folding methods. Results may also differ due to the use of irregularly shaped contents, which may put added stress on the wrap. Each healthcare facility should determine for itself which wrap model is most appropriate for each intended use.

4 It is recommended to not exceed the maximum wapped package content weights indicated for each wrap model. Furthermore, it is recommended to not exceed the number, weight, and size of individual content types that were validated for the Gemini Sterilization Wraps (i.e.: the weight of the metal mass).

Maintenance of Sterility (Shelf Life)

The Gemini Sterilization Wrap has a shelf life of two years following steam sterilization and 180 days following STERRAD® sterilization.

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Image /page/11/Picture/0 description: The image features the Medline logo set against a blue background. The logo consists of the word "MEDLINE" in a sans-serif font, positioned to the left of a white, stylized starburst or cross-like symbol. The symbol is composed of four triangular shapes converging at a central point. A small portion of a gray rectangle is visible in the upper right corner of the image.

Validated Sterilization Cycles

Gemini Sterilization Wrap is validated for use in steam or STERRAD® sterilization processes in the following sterilization modes and cycles:

TABLE 6: Pre-vacuum steam at 270°F/132°C for 4 minutes with the following dry times by weight (cleared under K113353)

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

TABLE 7: Gravity steam at 250°F/121°C for 30 minutes with the following dry times by weight (cleared under K113353)

Gemini Wrap ModelGemini Wrap WeightDry Time
GEM11XXLightweight20 Minutes
GEM21XXRegular Weight20 Minutes
GEM31XXMedium Weight20 Minutes
GEM41XXHeavyweight30 Minutes
GEM51XXSuper Heavyweight30 Minutes

Advanced Sterilization Products STERRAD® Sterilization System

  • STERRAD® 50, 200 S and 100NX™ DUO Subject of this 510(k) .

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Image /page/12/Picture/0 description: The image shows the logo for Medline, a healthcare company. The logo features the word "MEDLINE" in a bold, sans-serif font, placed to the left of a stylized starburst symbol. The starburst is white, and the background is a solid dark blue. The overall design is clean and professional, conveying a sense of trust and reliability.

Summary of Technological Characteristics

TABLE 8: COMPARISON OF PROPOSED AND PREDICATE DEVICES

| Device Characteristic | Proposed Device | Predicate Device | Comparison
Analysis |
|------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|
| Product Name | Gemini Sterilization Wrap | Gemini Sterilization Wrap | Same |
| 510(k) Reference | | K113353 | Same |
| Product Owner | Medline Industries, Inc. | Medline Industries, Inc. | Same |
| Product Code | FRG | FRG | Same |
| Intended Use | Gemini Sterilization Wrap is
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
such content. | Gemini Sterilization Wrap is
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
such content. | Same |
| Regulation Number | 21 CFR 880.6850 | 21 CFR 880.6850 | Same |
| Design Features | Square or rectangular sheets
mfd. by spunbond-meltblown
process | Square or rectangular sheets
mfd. by spunbond-meltblown
process | Same |
| Design Configurations | 12 in. x 12 in. to 54 in. x 90 in. | 12 in. x 12 in. to 54 in. x 90 in. | Same |
| Materials | Polypropylene with
phthalocyanine blue and
titanium dioxide | Polypropylene with
phthalocyanine blue and
titanium dioxide | Same |
| Wrapping Technique | Sequential/simultaneous
double wrapping | Sequential/simultaneous
double wrapping | Same |
| Prescription vs. OTC | OTC | OTC | Same |
| Sterilization | Pre-Vacuum Steam Cycle: 4
Minutes Exposure at
270°F/132C° with minimum
20 minutes dry time

Gravity Steam Cycle: 30
Minutes Exposure at
250°F/121°C with minimum
20 minutes dry time

STERRAD® 50, 200 S and
100NXTM DUO cycle | Pre-Vacuum Steam Cycle: 4
Minutes Exposure at
270°F/132C° with minimum
20 minutes dry time

Gravity Steam Cycle: 30
Minutes Exposure at
250°F/121°C with minimum
20 minutes dry time

N/A | Same

Different |
| | STERRAD® NXTM,
(Standard Cycle, Advanced
Cycle) | STERRAD® NXTM,
(Standard Cycle, Advanced
Cycle) | Same |
| | STERRAD® 100S,
Standard Cycle | STERRAD® 100S,
Standard Cycle | Same |
| | STERRAD® 100NXTM,
(Standard Cycle, Flex Cycle,
EXPRESS Cycle) | STERRAD® 100NXTM,
(Standard Cycle, Flex Cycle,
EXPRESS Cycle) | Same |
| Maintenance of Sterility
(Shelf Life) | Steam – 2 years | Steam – 180 days | Different |
| Single Use vs. Reusable | STERRAD® – 180 days | STERRAD® – 180 days | Same |
| | Single Use | Single Use | Same |

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Image /page/13/Picture/0 description: The image shows the Medline logo. The logo consists of the word "MEDLINE" in a sans-serif font, with a stylized white cross behind the text. The background is a solid dark blue color. The logo is simple and clean, and the colors are professional and trustworthy.

Discussion of Similarities and Differences

The proposed Gemini Sterilization Wrap is substantially equivalent in intended use, materials, device features / specifications and function in comparison to the predicate (K113353) Gemini Sterilization Wrap. As noted in the table above, these characteristic comparisons render the devices identical. The difference between subject/predicate devices is related to:

  • Maintenance of Sterility (Shelf Life): Extending the maintenance of sterility from 180 days to two years for steam sterilization based on real time stability studies. The completed stability studies were identical to the in-process stability studies described within K113353.
  • Addition of STERRAD® Systems: STERRAD® 50 Cycle, STERRAD® 200 S Cycle and STERRAD® 100NX™ Duo Cycle.

This product modification involving the subject and predicate devices does not significantly alter the Gemini Sterilization Wrap or raise questions regarding safety or effectiveness.

Information within this Premarket Notification demonstrates that there are no significant differences in technological characteristics between Medline's Gemini Sterilization Wrap and the cited predicate device K113353.

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Image /page/14/Picture/0 description: The image shows the Medline logo. The logo features the word "MEDLINE" in white, sans-serif font, positioned to the left of a white, four-pointed star-like symbol. The background is a solid dark blue color. The logo is simple and clean, with a focus on the company name and a symbolic representation.

ne Medline Place Mundelein II 60060

Summary of Non-Clinical Testing

TABLE 9: Summary of Performance Testing

StudyPerformance Results
Maintenance of
Sterility ( Package
Integrity)Steam Pre-Vacuum & Steam Gravity Cycles
(Real Time Event Related Two Years Shelf
Life)Passed
STERRAD® (Real Time Event Related 180
Days Shelf Life)Passed
Pre-Vacuum Steam and Gravity Sterilant PenetrationPassed
STERRAD® 50 Cycle, STERRAD® 200 S Cycle and
STERRAD® 100NX™ DUO Cycle) Sterilant PenetrationPassed
Post Sterilization Biocompatibility Testing (Primary Skin Irritation
Testing - ISO 10993-10)Passed

The following performance testing was conducted on the lightest weight and the heaviest weight Gemini Sterilization Wrap both pre-sterilization and after exposure to a STERRAD® 100NX™ DUO cycle.

Air permeability - per ASTM D737-04 R2012 Basis weight - per ASTM D3776 Material burst strength - per ASTM D3786 Resistance to water penetration - per AATCC127 Tensile strength and elongation - per ASTM D5034 Tear strength - per ASTM D5587

The safety and effectiveness of Medline's Gemini Sterilization Wrap is adequately supported by the substantial equivalence information, materials information, and Design Control activities referenced within this Premarket Notification.

Summary of Clinical Testing

Not applicable.

Basis for Determination of Substantial Equivalence/Conclusion

Based on the intended use, technological characteristics, performance data, and nonclinical tests performed, the subject Gemini Sterilization Wrap are substantially equivalent to, and are as safe and as effective as, the legally marketed predicate device, Gemini Sterilization Wrap, cleared under K113353 under regulation 21 CFR 880.6850, product code FRG.