K Number
K153554
Date Cleared
2016-03-21

(98 days)

Product Code
Regulation Number
880.6850
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The Genesis™ Low Temperature Sterilization Container System is a device intended to enclose another medical device that is to be sterilized by a health care provider. It allows sterilization of the enclosed medical device and maintains sterility of the enclosed medical device until used for a maximum of 180 days.

Containers are suitable for various STERRAD and V-PRO low temperature sterilization modalities when used as described in the instructions for use.

Reusable baskets and accessory items (pins, dividers, mats, etc.) are intended to organize and secure enclosed medical devices during sterilization and storage of the container.

Data cards are used to record information regarding a specific sterilization process load. Filter media allows ingress and egress of sterilant while providing a microbial barrier. Tamper evident arrows provide a visual indication that the container system has not been inadvertently opened prior to use. Each arrow contains a modality-specific external process indicator that serves as a visual indication that the system has been exposed to a specific sterilization cycle parameter. Data cards, filters and tamper evident arrows are single use only.

Device Description

The Genesis™ Low Temperature Container System is an assortment of rigid, reusable, stackable containers that are used to enclose other medical devices and maintain sterility of these devices until used. The container system is comprised of a lid, bottom, filter, tamper evident arrows, and data cards.

The container system houses baskets of varying depths and organizing accessory devices that are used to organize and to secure surgical instrumentation and/or other medical devices.

AI/ML Overview

The provided document describes the Genesis™ Low Temperature Reusable Rigid Sterilization Container System, detailing its indications for use and performance data to support its substantial equivalence to a predicate device.

1. Table of Acceptance Criteria and Reported Device Performance:

Acceptance Criteria / TestStandard / FDA GuidanceReported Device Performance
Sterilization Efficacy - Lethality (STERRAD NX Standard, Advanced; STERRAD 100 NX Standard, Flex, Express; V-PRO Non-Lumen, Lumen, Flexible)ANSI AAMI ST 77 2013Testing demonstrated a 12 log reduction and a sterility assurance level (SAL) of 10^-6 using biological (BI) overkill method. This means the device effectively sterilizes the enclosed medical instruments to a high degree of confidence.
Aerosol Challenge (STERRAD NX Advanced, STERRAD 100NX Standard, VPRO 60 Lumen)ANSI AAMI ST 77 2013Containers subjected to an aerosol challenge test with an exposure of 1.0 - 5.0 x 10^6 CFU. Agar vessels placed in each container sample demonstrated no growth of the indicator organism following the incubation period. This indicates the container effectively acts as a microbial barrier and prevents contamination.
Cycled Aerosol / Limits of Reuse (STERRAD 100NX Standard, VPRO 1-Plus/60 Lumen)ANSI AAMI ST 77 2013After 100 simulated full use cycles or the equivalent followed by an aerosol challenge test with an exposure of 1.0 - 5.0 x 10^6 CFU, agar vessels placed in each container sample demonstrated no growth of the indicator organism following the incubation period. This demonstrates the container maintains its microbial barrier effectiveness even after repeated use.
Simulated Use (STERRAD NX Advanced, STERRAD 100NX Flex, VPRO maX Flexible, VPRO 60 Flexible)ANSI AAMI ST 77 2013Testing demonstrated no recovery of viable challenge organism (all sterile results) from the lumens on the test device after processing within a worst-case Genesis Container as part of a worst-case cycle simulated use container validation load. This confirms the device's ability to sterilize challenging configurations, such as lumens, under realistic usage scenarios.
Shelf Life / Package Integrity (STERRAD NX Advanced, STERRAD 100NX Standard, VPRO 60 Lumen) - For maintaining sterility for a maximum of 180 days.ANSI AAMI ST 77 2013All sample devices remained sterile (exhibit no growth) following exposure to a full sterilization cycle and weekly rotation events at a 180-day storage duration. This validates the 180-day sterility maintenance claim.
Filter Material Properties (Bacterial Filtration Efficiency, Trapezoidal Tear Strength, and Burst Strength) before and after sterilization (STERRAD NX Advanced, STERRAD 100NX Standard, VPRO 60 Lumen)Filter properties were reportedAll filter properties were found to be acceptable. This indicates the filter media maintains its physical and functional integrity after sterilization, which is crucial for maintaining the microbial barrier.
Biocompatibility (for accessories used in the system, processed in low-temperature sterilization modalities)ISO 10993-4 2009Blood hemolysis testing demonstrated that any accessories used in the Genesis™ Low Temperature Sterilization Container System are acceptable for use after processing in the low-temperature sterilization modalities. This confirms that the materials interacting with the medical devices after sterilization are safe for patient contact.

2. Sample Size Used for the Test Set and Data Provenance:

The document provides details of the tests performed but does not explicitly state the exact sample sizes for each test set. For instance:

  • Aerosol Challenge: "Containers subjected to an aerosol challenge test with an exposure of 1.0 - 5.0 x 10^6 CFU. Agar vessels placed in each container sample..." implies multiple container samples were used, but the specific number is not given.
  • Cycled Aerosol / Limits of Reuse: "After 100 simulated full use cycles or the equivalent followed by an aerosol challenge test with an exposure of 1.0 - 5.0 x 10^6 CFU. Agar vessels placed in each container sample..." again implies multiple samples over 100 cycles, but the number of distinct items tested is not specified.
  • Simulated Use: "no recovery of viable challenge organism...from the lumens on the test device after processing within a worst case Genesis Container as part of a worst case cycle simulated use container validation load." This suggests a focus on "worst-case" scenarios, likely involving a limited number of "test devices" and container configurations, but the exact count isn't in the provided text.
  • Shelf Life / Package Integrity: "All sample devices remained sterile...following exposure to a full sterilization cycle and weekly rotation events at a 180 day storage duration" implies multiple "sample devices" but the number is not provided.
  • Biocompatibility: "Blood hemolysis testing demonstrated that any accessories used..." does not specify the number of accessories or tests performed.

The data provenance is not specified regarding country of origin; however, the context of an FDA 510(k) submission implies testing conducted under relevant regulatory standards. The studies described are prospective in nature, as they involve performing specific tests (e.g., sterilization cycles, aerosol challenges, simulated use, shelf-life studies) to validate performance criteria for the device.

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications:

The document describes non-clinical performance tests, not clinical studies involving human experts for ground truth establishment. The "ground truth" for these tests is based on objective scientific measurements (e.g., presence/absence of microbial growth, sterility assurance levels, material property changes) as defined by established standards like ANSI AAMI ST 77 2013 and ISO 10993-4 2009. Therefore, there were no human experts establishing ground truth in the way one might for diagnostic imaging.

4. Adjudication Method for the Test Set:

Not applicable, as this is a non-clinical device performance study based on objective measurements against defined standards, not an assessment requiring human interpretation or adjudication for ground truth.

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

No. This document pertains to the performance validation of a sterilization container system, which is a physical medical device, not an AI or diagnostic imaging system. Therefore, an MRMC study comparing human readers with and without AI assistance is not applicable.

6. Standalone (Algorithm Only) Performance:

No. This is a physical medical device, not an algorithm.

7. Type of Ground Truth Used:

The ground truth used in these studies is objective, measurable criteria defined by recognized scientific standards and validated laboratory methods. This includes:

  • Microbiological Negativity: Absence of microbial growth (biological indicators, indicator organisms in aerosol challenge) to establish sterility.
  • Sterility Assurance Level (SAL): Quantitative measure (10^-6) of sterilization effectiveness.
  • Physical and Mechanical Integrity: Maintaining filter properties (BFE, tear strength, burst strength), container integrity.
  • Biocompatibility: Demonstrating no harmful interactions with blood (hemolysis testing).

8. Sample Size for the Training Set:

Not applicable. This is a physical medical device undergoing performance validation, not a machine learning model requiring a training set.

9. How the Ground Truth for the Training Set Was Established:

Not applicable, as there is no training set for a physical device.

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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 text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three human profiles facing right, with flowing lines representing movement or connection.

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

March 21, 2016

CareFusion 2200 Inc. Ms. Jane Weber Manager, Regulatory Affairs 75 N. Fairway Drive Vernon Hills, Illinois 60061

Re: K153554

Trade/Device Name: Genesis™ Low Temperature Reusable Rigid Container System Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: KCT Dated: February 22, 2016 Received: February 23, 2016

Dear Ms. Jane Weber:

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 devicerelated adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in

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the quality systems (OS) 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/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K153554

Device Name

Genesis(TM) Low Temperature Reusable Rigid Sterilization Container System

Indications for Use (Describe)

The Genesis(TM) Low Temperature Reusable Rigid Sterilization Container System is a device intended to be used to enclose another medical device that is to be sterilized by a healthcare provider. It allows sterilization of the enclosed medical su sterility of the enclosed device until used for a maximum of 180 days.

Containers are suitable for various STERRAD and V-PRO low temperature sterilization modalities when used as described in the instructions for use.

Reusable baskets and accessory items (pins, div.) are intended to organize and secure enclosed medical devices during sterilization and storage of the container.

Data cards are used to record information regarding a specific sterilization process load. Filter media allows ingress and egress of sterilant while providing a microbial barrier. Tamper evide a visual indication that the contamer system has not been inadvertently opened prior to use. Each arrow contains a modality-specific external process indication that serves as a visual indication that the system has been exposed to a specific sterilization cycle parameter. Data cards, filters and tamper evident arrows are single use only.

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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Sterilization Cycle Parameters for the Genesis Low Temperature Reusable Rigid Container System by Modality

Sterilization CycleParametersTotal SystemWeightLoad ConfigurationApplicable Containers / AccessoriesContents/ConfigurationSTERRAD NX StandardSTERRAD NX AdvancedSTERRAD 100NX StandardSTERRAD 100NX FlexSTERRAD 100NX ExpressContents/ConfigurationV-PRO 1 Plus, max Non-LumenV-PRO 1, 1 Plus, maX LumenV-PRO maX FlexibleContents/ConfigurationV-PRO 60 Non-LumenV-PRO 60 LumenV-PRO 60 Flexible
STERRAD NX StandardPush button cycle with non-adjustable parameters10.7 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsLumen Devices (1.0 mm x 150 mm) Stainless Steel, Qty. 10Lumen Devices (2.0 mm x 400 mm) Stainless Steel, Qty. 10Devices or Device Configurations entailing conjoined surfaces which meet, touch or uniteSilicone Support Bars*Materials: Compatible with materials cleared for STERRAD NXBasketsYesYesYesYesYesBasketsYesYesYesBasketsYesYesYes
STERRAD NX AdvancedPush button cycle with non-adjustable parameters10.7 lbs.(Endoscope load: no additional load)Perforated Bottom Low Temperature Containers;Stacking BasketsLumen Devices (1.0 mm x 150 mm) Stainless Steel, Qty. 10Lumen Devices (2.0 mm x 400 mm) Stainless Steel, Qty. 10Lumen Devices (1.0 mm x 500 mm) Stainless Steel, Qty. 10Lumen Devices (1.0 mm x 850 mm) PE/PTFE, Qty. 1Devices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD NXStacking BasketsYesYesYesYesYesStacking BasketsYesYesNoStacking BasketsYesYesNo
STERRAD 100NX StandardPush button cycle with non-adjustable parameters21.4 lbs.Perforated Bottom Low Temperature Containers;Stacking basketsLumen Devices (0.7 mm x 500 mm) Stainless Steel, Qty. 10Devices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD100NXLumen: 0.7 mm (ID) x 500 mm (L)Stainless SteelNoNoYes, max 10NoNoSingle Channel 0.77mm (ID) x 500 mm (L) Stainless Steel;NoYes, max 20NoSingle Channel 0.77mm (ID) x 410 mm (L) Stainless Steel;Dual Channel 0.77 mm (ID) x 410 mm (L) Stainless Steel;NoYes, max 12No
STERRAD 100NX FlexPush button cycle with non-adjustable parametersNo additionalloadPerforated Bottom Low Temperature Containers;Lumen Devices (1.0 mm x 850 mm) PE/PTFE, Qty. 2Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD100NXLumen: 1.0 mm (ID) x 150 mm (L)Stainless SteelYes, max 10Yes, max 10Yes, max 10NoNoDual Channel 0.77 mm (ID) x 527 mm (L) Stainless Steel;Triple Channel 1.2 mm (ID) x 275 mm (L), 1.8 mm (ID) x 310 mm (L), 2.8 mm (ID) x 317 mm (L) Stainless SteelNoNoYes
STERRAD 100NX ExpressPush button cycle with non-adjustable parameters10.7 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsDevices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD100NXLumen: 2.0 mm (ID) x 400mm (L)Stainless SteelYes, max 10Yes, max 10Yes, max 10NoNoTriple Channel 1.2 mm (ID) x 275 mm (L), 1.8 mm (ID) x 310 mm (L), 2.8 mm (ID) x 317 mm (L) Stainless SteelNoNoYesQTY. 2 (with no additional load)QTY 1 (with instruments for 24 lbs total load)Flexible Endoscopes:Single Lumen 1.0 mm (ID) x 990 mm (L) ORTwo lumens 1.0 mm (ID) x 990 mm (L)QTY. 1 (with no additional load)
Sterilization CycleParametersTotal SystemWeightLoad ConfigurationLumen: 1.0 mm (ID) x 500 mm (L)Stainless SteelNoYes, max 10Yes, max 10NoNoFlexible Endoscopes:Single Lumen 1.0 mm (ID) x 1050 mm (L) ORTwo lumensOccluded/Mated challengeYesYesYes
V-PRO 1 Plus maX Non-LumenPush button cycle with non-adjustable parameters19.65 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsDevices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PROLumen 1.0 mm (ID) x 850 mm (L)PE/PTFENoYes, max 1NoYes, max 2No1.0 mm (ID) x 998 mm (L)1.0 mm (ID) x 850 mm (L)YesYesYesSilicone Support BarsYesYesYes
V-PRO 1, 1 Plus maX LumenPush button cycle with non-adjustable parameters19.65 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsSingle Channel (0.77 mm x 500mm) Stainless Steel; Dual channel (0.77 mm x 527mm) Stainless Steel; Triple Channel (1.2 mm x 275 mm, 1.8 mm x 310 mm, 2.8 mm x 317 mm) Stainless Steel; Max 20 lumens per loadDevices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PROOccluded/Mated challengeYesYesYesNoYesOccluded/Mated challengeYesYesYesSilicone MatYesYesYes
V-PRO maX FlexiblePush button cycle with non-adjustable parameters2 scopes, orOne scope + instruments for total of 24.0 lbs.Perforated Bottom Low Temperature Containers;Flexible Endoscopes - Qty. 2 w/ no additional load; Qty. 1 w/ instrument load for 24 lbs totalSingle Lumen (1 mm x 1050mm) orTwo lumens, one (1 mm x 998 mm) the other (1 mm x 850 mm)Devices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PROSilicone Support BarsYesYesYesYesYesSilicone Support BarsYesYesYesFilterDST SeriesDST SeriesDST Series
V-PRO 60 Non-LumenPush button cycle with non-adjustable parameters12.0 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsDevices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO 60Silicone MatNoNoNoNoNoSilicone MatYesYesYesData CardsMH1-1MH1-1MH1-1
V-PRO 60 LumenPush button cycle with non-adjustable parameters11.0 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsSingle Channel (0.77 mm x 410 mm) Stainless Steel; Dual Channel (0.77 mm x 410 mm) Stainless Steel; Triple Channel (1.2 mm x 275 mm, 1.8 mm x 310 mm, 2.8 mm x 317 mm) Stainless Steel; Max 12 lumens per loadDevices or Device Configurations entailing conjoined surfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO 60FilterDST seriesDST seriesDST seriesDST seriesDST seriesFilterDST SeriesDST SeriesDST SeriesTamper Evident ArrowPink AH SeriesPink AH SeriesPink AH Series
Data CardsMH1-1MH1-1MH1-1MH1-1MH1-1Data CardsMH1-1MH1-1MH1-1Stack HeightNo stackingNo stackingNo stacking
Sterilization CycleParametersTotal SystemWeightLoad ConfigurationApplicable Containers / AccessoriesTamper Evident ArrowPink AH SeriesPink AH SeriesPink AH SeriesPink AH SeriesPink AH SeriesTamper Evident ArrowPink AH SeriesPink AH SeriesPink AH SeriesMaterialsCompatible with materials cleared for V-PRO 60Compatible with materials cleared for V-PRO 60Compatible with materials cleared for V-PRO 60
V-PRO 60 FlexiblePush button cycle with non-adjustable parametersNo additionalloadPerforated Bottom Low Temperature Containers;Flexible Endoscopes, Qty. 1Single Lumen (1.0 mm x 990 mm) orTwo Lumens (1.0 mm x 990 mm)Devices or Device Configurations entailing conjoined surfaceswhich meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO 60Stack HeightNo stackingNo stackingNo stackingNo stackingNo stackingStack HeightNo stackingNo stackingNo stackingMaximum Total Weight12.0 lbs.11.0 lbs.No additional load
MaterialsCompatible withmaterials clearedfor STERRAD NXCompatible withmaterials clearedfor STERRAD NXLumen load: 10.7Ibs.; Endoscopeload: no additionalloadCompatible withmaterials clearedfor STERRAD 100NXCompatible withmaterials clearedfor STERRAD 100NXNo additional loadCompatible withmaterials clearedfor STERRAD 100NXMaterialsCompatible with materials cleared for V-PROCompatible with materials cleared for V-PROCompatible with materials cleared for V-PRO
Maximum Total Weight10.7 lbs.21.4 lbs.10.7 lbs.Maximum Total Weight19.65 lbs.19.65 lbs.2 scopes, or one scope plus instruments for total of 24 lbs

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K153554 INDICATIONS FOR USE

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K153554 INDICATIONS FOR USE

Examples of instrument types that are conjoined include: a lumen secured to a silicone bar, an instrument placed on a silicone mat, a double action instrument with mated parts held open.

Note: Air tight occluded challenges - devices with surfaces that are completely obstructed - have not been validated for use in the Genesis Low Temperature Reusable Sterilization Container System.

*Materials: For examples of materials supported in the STERRAD 100NX, V-PRO 1, V-PRO 1 Plus, V-PRO maX, and V-PRO 60 sterilization modalities, please refer to the corresponding Instructions for Use from the sterilizer manufacturer.

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53554 INDICATIONS FOR US

Accessories and Device Challenges by STERRAD Sterilization Modalities for all Perforated Bottom Container

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53554 INDICATIONS FOR USE

ccessories and Device Challenges by V-PRO 1 / 1 Plus / maX Sterilization Modalities for all Perforated Bottom Container

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53554 INDICATIONS FOR USE

Accessories and Device Challenges by V-PRO 60 Sterilization Modalities for all Perforated Bottom Containers

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K153554 INDICATIONS FOR USE

Perforated Bottom Containers

Catalog CodeDescriptionContainer Dimension (in)ContainerWeight(Ibs.)
CD0-3LTMini - Perforated Bottom10.2 x 7.2 x 3.22.6
CD0-4LTQuarter Length - Perforated Bottom9.5 x 12.4 x 3.83.7
DINCD1-5LTHalf-Length - Perforated Bottom11.6 x 11.4 x 5.44.8
DINCD1-6LTHalf-Length - Perforated Bottom11.6 x 11.4 x 6.15.0
DINCD2-5LTMid-Length - Perforated Bottom19.2 x 11.4 x 5.46.5
DINCD2-6LTMid-Length - Perforated Bottom19.2 x 11.4 x 6.16.7
DINCD2-8LTMid-Length - Perforated Bottom19.2 x 11.4 x 7.87.2
DINCD3-5LTFull-Length - Perforated Bottom23.1 x 11.4 x 5.47.6
DINCD3-6LTFull-Length - Perforated Bottom23.1 x 11.4 x 6.17.9
DINCD3-7LTFull-Length - Perforated Bottom23.1 x 11.4 x 7.18.2
CD4-3LTSmall Narrow - Perforated Bottom20.8 x 7.3 x 3.94.2
CD4-5LTSmall Narrow - Perforated Bottom20.8 x 7.3 x 5.24.8

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Image /page/11/Picture/0 description: The image shows the CareFusion logo. The logo consists of an orange shield with a white arrow pointing downwards and to the left, followed by the word "CareFusion" in gray. Below the word "CareFusion" are the words "has joined BD" in a smaller, lighter font.

A summary of 510(k) safety and effectiveness information in accordance with 21 CFR 807.92.

I. SUBMITTER INFORMATION
NameCareFusion 2200 Inc
Address75 N. Fairway Dr.Vernon Hills, IL 60061
Phone number(847) 362-8094
Fax number(312) 949-0272
EstablishmentRegistration Number1423507
Name of contact personJane Weber, Regulatory Affairs Manager
Date prepared18-MAR-2016
II. DEVICE INFORMATION
Name of DeviceGenesis™ Low Temperature Reusable Rigid Container System
Common or usual nameSterilization Container
Classification nameSterilization Wrap, Containers, Trays, Cassettes and Other Accessories
Regulatory ClassClass II per 21CFR 880.6850, Product code KCT
Product CodeKCT

III. PREDICATE DEVICE

Genesis™ Rigid Reusable Sterilization Container System, K142529

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

No reference devices were used in this submission.

IV. DEVICE DESCRIPTION

The Genesis™ Low Temperature Container System is an assortment of rigid, reusable, stackable containers that are used to enclose other medical devices and maintain sterility of these devices until used. The container system is comprised of a lid, bottom, filter, tamper evident arrows, and data cards.

The container system houses baskets of varying depths and organizing accessory devices that are used to organize and to secure surgical instrumentation and/or other medical devices.

V. INDICATIONS FOR USE

The Genesis™ Low Temperature Sterilization Container System is a device intended to enclose another medical device that is to be sterilized by a health care provider. It allows sterilization of the enclosed medical device and maintains sterility of the enclosed medical device until used for a maximum of 180 days.

Containers are suitable for various STERRAD and V-PRO low temperature sterilization modalities when used as described in the instructions for use.

Reusable baskets and accessory items (pins, dividers, mats, etc.) are intended to organize and secure enclosed medical devices during sterilization and storage of the container.

Data cards are used to record information regarding a specific sterilization process load. Filter media allows ingress and egress of sterilant while providing a microbial barrier. Tamper evident arrows provide a visual indication that the container system has not been inadvertently opened prior to use. Each arrow

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contains a modality-specific external process indicator that serves as a visual indication that the system has been exposed to a specific sterilization cycle parameter. Data cards, filters and tamper evident arrows are single use only.

VI.COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATEDEVICE
CharacteristicPredicate Device - K142529New/Modified Device
Intended UseA sterilization container system is a deviceintended to be used to enclose anothermedical device that is to be sterilized by ahealth care provider. It is intended to allowsterilization of the enclosed medical deviceand also to maintain sterility of the enclosedmedical device until used.Same
ContainerAnodized aluminum 5000 and 1100 series;stainless steel 300 seriesSame
GasketClosed cell silicone foamSame
FilterSMS polypropylene for all sterilizationmodalitiesSame
Baskets304 Stainless Steel, electropolishedSame
Dividers, bracketsAluminum 5000 seriesSame
Clips, posts, pinsStainless Steel 300 and 400 seriesSame
Silicone bars, matsSilicone ElastomerSame
Volume to Vent Ratio24.0 to 182.3 in3 / in229.3 to 87.3 in3/in²
Sterilization ModalitiesPre-Vacuum Steam100% Ethylene OxideSTERRAD® NX StandardSTERRAD® NX AdvancedSTERRAD® 100NX StandardSTERRAD® 100NX FlexSTERRAD® 100NX ExpressV-PRO 1 LumenV-PRO 1 Plus LumenV-PRO 1 Plus Non-LumenV-PRO maX LumenV-PRO max Non-LumenV-PRO maX FlexibleV-PRO 60 LumenV-PRO 60 Non-LumenV-PRO 60 Flexible
CharacteristicStandard / Test / FDAGuidanceResults Summary
Sterilization Efficacy - LethalitySTERRAD NX (Standard,Advanced)STERRAD 100 NX (Standard, Flex, Express)V-PRO (Non-Lumen, Lumen,Flexible)ANSI AAMI ST 77 2013Containment Devices forReusable MedicalDevice SterilizationTesting demonstrated a 12 log reduction anda sterility assurance level (SAL) of 10-6 usingbiological (BI) overkill method
Aerosol ChallengeSTERRAD NX AdvancedSTERRAD 100NX StandardVPRO 60 LumenANSI AAMI ST 77 2013Containment Devices forReusable MedicalDevice SterilizationContainers subjected to an aerosol challengetest with an exposure of 1.0 - 5.0 x 106 CFU.Agar vessels placed in each container sampledemonstrated no growth of the indicatororganism following the incubation period
Cycled Aerosol / Limits ofReuseSTERRAD 100NX StandardVPRO 1-Plus/60 LumenANSI AAMI ST 77 2013Containment Devices forReusable MedicalDevice SterilizationAfter 100 simulated full use cycles or theequivalent followed by an aerosol challengetest with an exposure of 1.0 - 5.0 x 106 CFU.Agar vessels placed in each container sampledemonstrated no growth of the indicatororganism following the incubation period
Simulated UseSTERRAD NX AdvancedSTERRAD 100NX FlexVPRO maX FlexibleVPRO 60 FlexibleANSI AAMI ST 77 2013Containment Devices forReusable MedicalDevice SterilizationTesting demonstrated no recovery of viablechallenge organism (all sterile results) fromthe lumens on the test device after processingwithin a worst case Genesis Container as partof a worst case cycle simulated use containervalidation load
Shelf Life / Package IntegritySTERRAD NX AdvancedSTERRAD 100NX StandardVPRO 60 LumenANSI AAMI ST 77 2013Containment Devices forReusable MedicalDevice SterilizationAll sample devices remained sterile (exhibitno growth) following exposure to a fullsterilization cycle and weekly rotation eventsat a 180 day storage duration
Filter Material PropertiesSTERRAD NX AdvancedSTERRAD 100NX StandardVPRO 60 LumenFilter properties(Bacterial FiltrationEfficiency, TrapezoidalTear Strength, and BurstStrength) prior to andafter exposure to a fullsterilization cycle werereportedAll filter properties were found to beacceptable
BiocompatibilitySTERRAD NX AdvancedSTERRAD 100NX StandardVPRO 60 LumenISO 10993-4 2009Blood hemolysis testing demonstrated thatany accessories used in the Genesis™ LowTemperature Sterilization Container Systemare acceptable for use after processing in thelow temperature sterilization modalities

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PERFORMANCE DATA – NON CLINICAL VII.

The following non-clinical performance tests were provided in support of the substantial equivalence determination.

There was no clinical testing performed in support of the substantial equivalence determination.

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IX. CONCLUSIONS DRAWN FROM NON-CLINCAL DATA

The Genesis™ Low Temperature Container System has been validated to meet the established performance criteria. The device is substantially equivalent to the predicate device.

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Sterilization Cycle Parameters for the Genesis Low Temperature Reusable Rigid Container System by Modality

Sterilization CycleParametersTotalSystemWeightLoad ConfigurationApplicable Containers / Accessories
STERRAD NX StandardPush button cycle withnon-adjustableparameters10.7 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsLumen Devices (1.0 mm x 150 mm) Stainless Steel, Qty. 10Lumen Devices (2.0 mm x 400 mm) Stainless Steel, Qty. 10Devices or Device Configurations entailing conjoined surfaceswhich meet, touch or uniteSilicone Support Bars*Materials: Compatible with materials cleared for STERRAD NX
STERRAD NX AdvancedPush button cycle withnon-adjustableparameters(Endoscopeload: noadditionalload)Perforated Bottom Low Temperature Containers;Stacking BasketsLumen Devices (1.0 mm x 150 mm) Stainless Steel, Qty. 10Lumen Devices (2.0 mm x 400 mm) Stainless Steel, Qty. 10Lumen Devices (1.0 mm x 500 mm) Stainless Steel, Qty. 10Lumen Devices (1.0 mm x 850 mm) PE/PTFE, Qty. 1Devices or Device Configurations entailing conjoined surfaceswhich meet, touch or unite;Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD NX
STERRAD 100NXStandardPush button cycle withnon-adjustableparameters21.4 lbs.Perforated Bottom Low Temperature Containers;Stacking basketsLumen Devices (0.7 mm x 500 mm) Stainless Steel, Qty. 10Devices or Device Configurations entailing conjoined surfaceswhich meet, touch or unite;Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD100NX
STERRAD 100NX FlexPush button cycle withnon-adjustableparametersNo additionalloadPerforated Bottom Low Temperature Containers;Lumen Devices (1.0 mm x 850 mm) PE/PTFE, Qty. 2Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD100NX
STERRAD 100NXExpressPush button cycle withnon-adjustableparameters10.7 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsDevices or Device Configurations entailing conjoined surfaceswhich meet, touch or unite;Silicone Support Bars*Materials: Compatible with materials cleared for STERRAD100NX
Sterilization CycleParametersLoad Configuration
Total SystemWeightApplicable Containers / Accessories
V-PRO 1 Plus maX Non-LumenPush button cycle withnon-adjustableparameters19.65 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsDevices or Device Configurations entailing conjoinedsurfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO
V-PRO 1, 1 Plus maXLumenPush button cycle withnon-adjustableparameters19.65 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsSingle Channel (0.77 mm x 500mm) Stainless Steel; Dualchannel (0.77 mm x 527mm) Stainless Steel; TripleChannel (1.2 mm x 275 mm, 1.8 mm x 310 mm, 2.8 mm x317 mm) Stainless Steel; Max 20 lumens per loadDevices or Device Configurations entailing conjoinedsurfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO
V-PRO maX FlexiblePush button cycle withnon-adjustableparameters2 scopes,orOne scope +instruments fortotal of 24.0 lbs.Perforated Bottom Low Temperature Containers;Flexible Endoscopes - Qty. 2 w/ no additional load; Qty. 1w/ instrument load for 24 lbs totalSingle Lumen (1 mm x 1050mm) orTwo lumens, one (1 mm x 998 mm) the other (1 mm x 850mm)Devices or Device Configurations entailing conjoinedsurfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO
V-PRO 60 Non-LumenPush button cycle withnon-adjustableparameters12.0 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsDevices or Device Configurations entailing conjoinedsurfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO 60
Sterilization CycleParametersTotal SystemWeightApplicable Containers / Accessories
V-PRO 60 LumenPush button cycle withnon-adjustableparameters11.0 lbs.Perforated Bottom Low Temperature Containers;Stacking BasketsSingle Channel (0.77 mm x 410 mm) Stainless Steel; DualChannel (0.77 mm x 410 mm) Stainless Steel; TripleChannel (1.2 mm x 275 mm, 1.8 mm x 310 mm, 2.8 mm x317 mm) Stainless Steel; Max 12 lumens per loadDevices or Device Configurations entailing conjoinedsurfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO 60
V-PRO 60 FlexiblePush button cycle withnon-adjustableparametersNo additionalloadPerforated Bottom Low Temperature Containers;Flexible Endoscopes, Qty. 1Single Lumen (1.0 mm x 990 mm) orTwo Lumens (1.0 mm x 990 mm)Devices or Device Configurations entailing conjoinedsurfaces which meet, touch or unite;Silicone Support BarsSilicone Mats*Materials: Compatible with materials cleared for V-PRO 60

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Examples of instrument types that are conjoined include: a lumen secured to a silicone bar, an instrument placed on a silicone mat, a double action instrument with mated parts held open.

Note: Air tight occluded challenges - devices with surfaces that are completely obstructed - have not been validated for use in the Genesis Low Temperature Reusable Sterilization Container System.

*Materials: For examples of materials supported in the STERRAD 100NX, V-PRO 1, V-PRO 1 Plus, V-PRO maX, and V-PRO 60 sterilization modalities, please refer to the corresponding Instructions for Use from the sterilizer manufacturer.

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Accessories and Device Challenges by STERRAD Sterilization Modalities for all Perforated Bottom Containers

Contents/ConfigurationSTERRAD NXStandardSTERRAD NXAdvancedSTERRAD 100NXStandardSTERRAD 100NXFlexSTERRAD 100NXExpress
BasketsYesYesYesYesYes
Stacking BasketsYesYesYesNoYes
Lumen: 0.7 mm (ID) x 500 mm (L)Stainless SteelNoNoYes, max 10NoNo
Lumen: 1.0 mm (ID) x 150 mm (L)Stainless SteelYes, max 10Yes, max 10Yes, max 10NoNo
Lumen: 2.0 mm (ID) x 400mm (L)Stainless SteelYes, max 10Yes, max 10Yes, max 10NoNo
Lumen: 1.0 mm (ID) x 500 mm (L)Stainless SteelNoYes, max 10Yes, max 10NoNo
Lumen 1.0 mm (ID) x 850 mm (L)PE/PTFENoYes, max 1NoYes, max 2No
Occluded/Mated challengeYesYesYesNoYes
Silicone Support BarsYesYesYesYesYes
Silicone MatNoNoNoNoNo
FilterDST seriesDST seriesDST seriesDST seriesDST series
Data CardsMH1-1MH1-1MH1-1MH1-1MH1-1
Tamper Evident ArrowPink AH SeriesPink AH SeriesPink AH SeriesPink AH SeriesPink AH Series
Stack HeightNo stackingNo stackingNo stackingNo stackingNo stacking
MaterialsCompatible withmaterials clearedfor STERRAD NXCompatible withmaterials clearedfor STERRAD NXCompatible withmaterials clearedfor STERRAD100NXCompatible withmaterials clearedfor STERRAD100NXCompatible withmaterials clearedfor STERRAD100NX
Maximum Total Weight10.7 lbs.Lumen load: 10.7Ibs .; Endoscopeload: no additionalload21.4 lbs.No additional load10.7 lbs.

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Accessories and Device Challenges by V-PRO 1 / 1 Plus / maX Sterilization Modalities for all Perforated Bottom Containers

Contents/ConfigurationV-PRO 1 Plus,maXNon-LumenV-PRO 1,1 Plus, maX LumenV-PRO maX Flexible
BasketsYesYesYes
Stacking BasketsYesYesNo
Single Channel 0.77mm (ID) x 500 mm (L)Stainless Steel;NoYes, max 20No
Dual Channel 0.77 mm (ID) x 527 mm (L)Stainless Steel;
Triple Channel 1.2 mm (ID) x 275 mm (L),1.8 mm (ID) x 310 mm (L), 2.8 mm (ID) x317 mm (L) Stainless Steel
Flexible Endoscopes:NoNoYes
Single Lumen 1.0 mm (ID) x 1050 mm (L)ORQTY. 2 (with no additional load)
Two lumensQTY 1 (with instruments for 24lbs total load)
1.0 mm (ID) x 998 mm (L) 1.0 mm (ID) x 850 mm (L)
Occluded/Mated challengeYesYesYes
Silicone Support BarsYesYesYes
Silicone MatYesYesYes
FilterDST SeriesDST SeriesDST Series
Data CardsMH1-1MH1-1MH1-1
Tamper Evident ArrowPink AH SeriesPink AH SeriesPink AH Series
Stack HeightNo stackingNo stackingNo stacking
MaterialsCompatible with materialscleared for V-PROCompatible with materialscleared for V-PROCompatible with materialscleared for V-PRO
Maximum Total Weight19.65 lbs.19.65 lbs.2 scopes,or one scope plus instrumentsfor total of 24 lbs.

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Accessories and Device Challenges by V-PRO 60 Sterilization Modalities for all Perforated Bottom Containers

Contents/ConfigurationV-PRO 60Non-LumenV-PRO 60LumenV-PRO 60Flexible
BasketsYesYesYes
Stacking BasketsYesYesNo
Single Channel 0.77mm (ID) x 410 mm (L)Stainless Steel;Dual Channel 0.77 mm (ID) x 410 mm (L)Stainless Steel;Triple Channel 1.2 mm (ID) x 275 mm (L), 1.8 mm (ID) x 310 mm (L), 2.8 mm (ID) x 317 mm(L) Stainless SteelNoYes, max 12No
Flexible Endoscopes:Single Lumen 1.0 mm (ID) x 990 mm (L)ORTwo lumens 1.0 mm (ID) x 990 mm (L)NoNoYes QTY. 1 (with no additional load)
Occluded/Mated challengeYesYesYes
Silicone Support BarsYesYesYes
Silicone MatYesYesYes
FilterDST SeriesDST SeriesDST Series
Data CardsMH1-1MH1-1MH1-1
Tamper Evident ArrowPink AH SeriesPink AH SeriesPink AH Series
Stack HeightNo stackingNo stackingNo stacking
MaterialsCompatible with materialscleared for V-PRO 60Compatible with materialscleared for V-PRO 60Compatible with materialscleared for V-PRO 60
Maximum Total Weight12.0 lbs.11.0 lbs.No additional load

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Perforated Bottom Containers

Catalog CodeDescriptionContainer Dimension(in)ContainerWeight(lbs.)
CD0-3LTMini - Perforated Bottom10.2 x 7.2 x 3.22.6
CD0-4LTQuarter Length - Perforated Bottom9.5 x 12.4 x 3.83.7
DINCD1-5LTHalf-Length - Perforated Bottom11.6 x 11.4 x 5.44.8
DINCD1-6LTHalf-Length - Perforated Bottom11.6 x 11.4 x 6.15.0
DINCD2-5LTMid-Length - Perforated Bottom19.2 x 11.4 x 5.46.5
DINCD2-6LTMid-Length - Perforated Bottom19.2 x 11.4 x 6.16.7
DINCD2-8LTMid-Length - Perforated Bottom19.2 x 11.4 x 7.87.2
DINCD3-5LTFull-Length - Perforated Bottom23.1 x 11.4 x 5.47.6
DINCD3-6LTFull-Length - Perforated Bottom23.1 x 11.4 x 6.17.9
DINCD3-7LTFull-Length - Perforated Bottom23.1 x 11.4 x 7.18.2
CD4-3LTSmall Narrow - Perforated Bottom20.8 x 7.3 x 3.94.2
CD4-5LTSmall Narrow - Perforated Bottom20.8 x 7.3 x 5.24.8

§ 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).