K Number
K163313
Device Name
ASTRA TEE Transesophageal Probe Reprocessor, ASTRA VR Endovaginal/Endorectal Probe Reprocessor
Date Cleared
2017-06-09

(198 days)

Product Code
Regulation Number
892.1570
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For the ASTRA TEE® - The ASTRA TEE® automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 transesophageal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants. For the ASTRA VR™ - The ASTRA VR™ automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 endovaginal/endorectal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants.
Device Description
The ASTRA Product Family of automated reprocessors are floor standing electromechanical lab equipment that facilitate high-level liquid disinfection of ultrasound probes that have been enzymatically pre-cleaned.
More Information

Empty List

No
The summary describes an automated reprocessor for disinfecting ultrasound probes, focusing on electromechanical functions and disinfection parameters. There is no mention of AI, ML, image processing, or data analysis that would indicate the use of such technologies.

No
The device is an automated reprocessor designed to disinfect ultrasound probes, not directly treat a patient's condition.

No
The device is described as an automated reprocessor for high-level disinfection and rinsing of ultrasound probes, not for diagnosing conditions.

No

The device description explicitly states it is "floor standing electromechanical lab equipment," indicating it is a hardware device with software components, not a software-only device.

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

Here's why:

  • Intended Use: The intended use is to facilitate high-level disinfection and rinsing of ultrasound probes. This is a process performed on medical devices (the probes) to prepare them for use, not a test performed on a biological sample to diagnose a condition or provide information about a patient's health.
  • Device Description: The device is described as "floor standing electromechanical lab equipment that facilitate high-level liquid disinfection." This aligns with equipment used for reprocessing medical devices, not for performing diagnostic tests.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing diagnostic information about a patient
    • Using reagents or assays for testing

The device's function is to clean and disinfect medical equipment, which falls under the category of medical device reprocessing, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

For the ASTRA TEE® -

The ASTRA TEE® automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 transesophageal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants.

For the ASTRA VR™ -

The ASTRA VR™ automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 endovaginal/endorectal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants.

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

ITX

Device Description

The ASTRA Product Family of automated reprocessors are floor standing electromechanical lab equipment that facilitate high-level liquid disinfection of ultrasound probes that have been enzymatically pre-cleaned.

Model types
The ASTRA family of products contains two models 1) ASTRA TEE® for Transesophageal Probes and 2) ASTRA VR™ for Endovaginal/Endorectal probes.

Physical Characteristics
The two models are floor standing units with the following physical characteristics:

ASTRA TEE®

  • 12.0" (30.5 cm) Width:
  • Depth: 14.0″ (35.6 cm)
  • 65.0" (165.0 cm) Height:
  • . Weight: 73 lbs. (33.1 kg)

ASTRA VR™

  • Width: 12.0″ (30.5 cm)
  • . Depth: 14.0″ (35.6 cm)
  • Height: 53.0" (134.6 cm)
  • Weight: 73 lbs. (33.1 kg)

Materials
The ASTRA TEE® and ASTRA VR™ automated reprocessors are comprised of the same materials. Only the shape and length of the disinfection chamber and the probe cable restraining designs differ in order to properly accommodate the differences between TEE and VR ultrasound probes. Materials for various components include:

  • Metal cabinetry and door Galvannealed steel
  • Adjustable feet Steel, polyethylene
  • Plastic tubes and fittings Polyvinyl Chloride (PVC), Polyethylene, Polypropylene, EPDM, . Stainless Steel, Polycarbonate, Polyurethane, Polysulfone
  • Valves - EPR, Polyvinyl Chloride, Stainless Steel
  • Plastic disinfection tubes and chamber – Polycarbonate, ABS, Polypropylene.
  • Electromechanical sensors, switches, user interface - polyphernylene Sulfide resin, Acryl resin, Polycarbonate resin, stainless steel, silicone, silver, polyester.
  • Plastic cover – Polycarbonate
  • Diaphragm Pumps - Polypropylene, EPDM, Santoprene
  • Electronics and wire harnesses – RoHS compliant electronics, PVC, Copper
  • Metal fasteners – Stainless Steel
  • Air Filter – Polyester, Silicone, Carbon
  • Water filter - Polysulfone, Polypropylene, Silicone

Device Operational Overview
The ASTRA Product Family of automated reprocessors are designed to control the temperature of the high-level liquid disinfectant (HLD), the disinfection time and the rinse cycles used to disinfect ultrasound probes in accordance with HLD manufactures' instructions. The system automatically loads the appropriate preset parameters based on the barcode of the scanned HLD bottle. After the probes are enzymatically pre-cleaned per hospital protocol, reprocessing in the ASTRA is initiated through the use of a simple user interface. The operator presses Enter to start the cycle and uses the onboard barcode reader to scan and load 1 or 2 probes and to scan their ID. The operator then enters the HLD's MRC status at the next prompt. The user will be notified of the probe's disinfection status upon completion of the disinfection cycle. The ASTRA systems use select FDA cleared high-level liquid disinfectant to safely and effectively disinfect medical devices. By automating the disinfection process through validated software and hardware, the ASTRA Product Family of automated reprocessors help users improve their disinfection outcomes by controlling and tracking the critical process parameters and recording the key operational data.

The ASTRA TEE® and ASTRA VR™ are automated reprocessors which are identical with the exception of the disinfection chamber configuration necessary to compensate for two different types of ultrasound probes. The ASTRA TEE® is an automated reprocessor which enables highlevel disinfection and rinsing for transesophageal (TEE) ultrasound probes. The ASTRA VR™ is an automated reprocessor which enables high-level disinfection and rinsing for endovaginal and/or endorectal ultrasound probes.

Both ASTRA systems utilize predefined programs based upon the high-level liquid disinfectant (HLD) used during the disinfection and potable water rinsing cycles. The system controls the HLD temperature and cycle times which are fixed, no user configuration is available. The device will perform the defined automated disinfection and rinsing cycles based upon the HLD specifications. The microprocessor controlled interface monitors temperature and liquid levels of the HLD in the disinfection chamber and the reservoir. Optical sensors are used for HLD reservoir presence and probe identification. Additional user inputs include unique probe identification (for disinfection records) and the results entry of the Minimum Recommended Concentration (MRC) test using test strips and minimum concentration levels as defined by the HLD manufacturer. A sensor located on the disinfection chamber door is used to initiate the cycle after the user has input the required information. User retrievable data/information regarding reprocessing is accessible through a USB port.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

transesophageal, endovaginal, endorectal

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

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

The ASTRA Product Family of automated reprocessors share common hardware and software with minor differences necessary to accommodate the different ultrasound probes (TEE and VR) and different HLDs. The intended use and function of the automated reprocessors are the same and they are substantially equivalent to the predicate in design and function. The ASTRA series of automated reprocessors control the HLD temperature, soak time, and rinse cycle to facilitate >=6 Log reduction of M. terrae on enzymatically cleaned probes, thus achieving equivalent performance to the ASTRA systems cleared under K150504.

Clinical/Non-Clinical Performance Testing Summary

  • The ASTRA system maintains time and temperature required for disinfection as per HLD manufacturers' specifications.
  • The ASTRA system passed Safety and EMC testing
  • The ASTRA system passed Simulated use and Residual testing
  • The ASTRA system passed In-use testing

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.

K150504

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

§ 892.1570 Diagnostic ultrasonic transducer.

(a)
Identification. A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.(b)
Classification. Class II.

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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 features a stylized caduceus symbol, which is a staff with two snakes entwined around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol. The logo is black and white.

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

June 9, 2017

CIVCO Medical Instruments Co., Inc. Mr. Kevin Mader Quality Assurance and Regulatory Affairs Manager 6 Winter Avenue Deep River, Connecticut 06417

Re: K163313

Trade/Device Name: ASTRA TEE® Transesophageal Probe Reprocessor and ASTRA VRTM Endovaginal/Endorectal Probe Reprocessor Regulation Number: 21 CFR 892.1570 Regulation Name: Diagnostic ultrasonic transducer Regulatory Class: Class II Product Code: ITX Dated: May 10, 2017 Received: May 11, 2017

Dear Kevin Mader:

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 device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

1

forth in 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" (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,

Lori A. Wiggins -S6

Lori A. Wiggins, MPT, CLT Acting 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) K163313

Device Name

ASTRA TEE® Transesophageal Probe Reprocessor

Indications for Use (Describe)

The ASTRA TEE® automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 transesophageal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants.

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.

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

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

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

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

3

Indications for Use

510(k) Number (if known)

K163313

Device Name

ASTRA VR™ Endovaginal/Endorectal Probe Reprocessor

Indications for Use (Describe)

The ASTRA VR™ automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 endovaginal and/or endorectal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants.

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.

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

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

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

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

4

Image /page/4/Picture/0 description: The image shows the logo for CIVCO Medical Solutions. The logo features a stylized globe on the left, with the company name "CIVCO" in blue, sans-serif font to the right. Below "CIVCO" is the text "MEDICAL SOLUTIONS" in a smaller font, also in blue.

K163313

510(k) SUMMARY

| Submitter | Civco Medical Instruments Co., Inc. d/b/a Civco Medical
Solutions
6 Winter Avenue
Deep River, CT 06417 |
|-------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------|
| Establishment
Registration/Owner
Operator No.'s | 3010661106/1937223 |
| Contact Person | Kevin Mader
Manager of Quality & Regulatory
kevin.mader@civco.com
(319) 248-7777 (Phone)
(860) 526-3081 (fax) |
| Date Prepared | June 1st 2017 |
| Trade Name(Common Name) | ASTRA TEE® (Transesophageal Probe Reprocessor)
ASTRA VR™ (Endovaginal/Endorectal Probe Reprocessor) |
| Regulation Name | Diagnostic Ultrasonic Transducer, 21 CFR 892.1570 |
| Classification | Class II |
| Product Code | ITX |
| Predicate Device(s) | ASTRA TEE™ (Transesophageal Probe Reprocessor)
ASTRA VR™ (Endovaginal/Endorectal Probe Reprocessor)
K150504 |

Intended Use

For the ASTRA TEE® -

The ASTRA TEE® automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 transesophageal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants.

For the ASTRA VR™ -

The ASTRA VR™ automated reprocessor facilitates high-level disinfection and rinsing of 1 or 2 endovaginal/endorectal ultrasound probes using FDA cleared and Civco Medical Solutions approved high-level liquid disinfectants.

The intended use statements are the same to the predicate devices (K150504) with the following minor differences:

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Image /page/5/Picture/1 description: The image shows the logo for CIVCO Medical Solutions. The logo features a stylized globe on the left, followed by the word "CIVCO" in large, bold letters. Below "CIVCO" are the words "MEDICAL SOLUTIONS" in smaller letters. The logo is in blue.

  • GUS was removed due to marketing reasons (i.e. the GUS trademark does not encompass probe reprocessors).
  • -The ™ for ASTRA TEE was replaced with ® (update as per registrations as per USPTO)
  • -'PCI Medical' was replaced with 'Civco Medical Solutions' (due to change in ownership of the company and products)

The differences in wording used does not change the intended use of the device and hence does not raise new questions of safety or efficacy.

Device Description

The ASTRA Product Family of automated reprocessors are floor standing electromechanical lab equipment that facilitate high-level liquid disinfection of ultrasound probes that have been enzymatically pre-cleaned.

Model types

The ASTRA family of products contains two models 1) ASTRA TEE® for Transesophageal Probes and 2) ASTRA VR™ for Endovaginal/Endorectal probes.

Physical Characteristics

The two models are floor standing units with the following physical characteristics:

ASTRA TEE®

  • 12.0" (30.5 cm) Width:
  • Depth: 14.0″ (35.6 cm)
  • 65.0" (165.0 cm) Height:
  • . Weight: 73 lbs. (33.1 kg)

ASTRA VR™

  • Width: 12.0″ (30.5 cm)
  • . Depth: 14.0″ (35.6 cm)
  • Height: 53.0" (134.6 cm)
  • Weight: 73 lbs. (33.1 kg)

Materials

The ASTRA TEE® and ASTRA VR™ automated reprocessors are comprised of the same materials. Only the shape and length of the disinfection chamber and the probe cable restraining designs differ in order to properly accommodate the differences between TEE and VR ultrasound probes. Materials for various components include:

  • Metal cabinetry and door Galvannealed steel ●

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Image /page/6/Picture/1 description: The image shows the logo for CIVCO Medical Solutions. The logo features a stylized globe on the left, with the company name "CIVCO" in large, sans-serif font to the right. Below "CIVCO" are the words "MEDICAL SOLUTIONS" in a smaller font size.

  • Adjustable feet Steel, polyethylene
  • Plastic tubes and fittings Polyvinyl Chloride (PVC), Polyethylene, Polypropylene, EPDM, . Stainless Steel, Polycarbonate, Polyurethane, Polysulfone
  • . Valves - EPR, Polyvinyl Chloride, Stainless Steel
  • . Plastic disinfection tubes and chamber – Polycarbonate, ABS, Polypropylene.
  • . Electromechanical sensors, switches, user interface - polyphernylene Sulfide resin, Acryl resin, Polycarbonate resin, stainless steel, silicone, silver, polyester.
  • Plastic cover – Polycarbonate
  • Diaphragm Pumps - Polypropylene, EPDM, Santoprene
  • Electronics and wire harnesses – RoHS compliant electronics, PVC, Copper
  • Metal fasteners – Stainless Steel
  • Air Filter – Polyester, Silicone, Carbon
  • Water filter - Polysulfone, Polypropylene, Silicone

Component selection was carefully performed to select materials that have appropriate electrical safety rating, fire safety rating, and to be compatible with select FDA cleared HLDs. No material changes were made from the predicate device.

Differences

Both reprocessors are derived from the same base unit (identical software, electronics, plumbing, valves, sensors, warming pad, cabinet, etc.) which is configurable to become either a ASTRA TEE® or ASTRA VR™ based on customer demand. To configure a base unit, TEE and VR specific components (e.g. disinfection chamber, chamber door, cable holder, etc.) are used to accommodate the differences between TEE and VR ultrasound probe geometries.

Device Operational Overview

The ASTRA Product Family of automated reprocessors are designed to control the temperature of the high-level liquid disinfectant (HLD), the disinfection time and the rinse cycles used to disinfect ultrasound probes in accordance with HLD manufactures' instructions. The system automatically loads the appropriate preset parameters based on the barcode of the scanned HLD bottle. After the probes are enzymatically pre-cleaned per hospital protocol, reprocessing in the ASTRA is initiated through the use of a simple user interface. The operator presses Enter to start the cycle and uses the onboard barcode reader to scan and load 1 or 2 probes and to scan their ID. The operator then enters the HLD's MRC status at the next prompt. The user will be notified of the probe's disinfection status upon completion of the disinfection cycle. The ASTRA systems use select FDA cleared high-level liquid disinfectant to safely and effectively disinfect medical devices. By automating the disinfection process through validated software and hardware, the ASTRA Product Family of automated reprocessors help users improve their

7

Image /page/7/Picture/1 description: The image shows the logo for CIVCO Medical Solutions. The logo features a blue globe-like graphic on the left, followed by the company name in blue, with "CIVCO" in larger letters and "MEDICAL SOLUTIONS" in smaller letters below. The logo has a clean and professional design.

disinfection outcomes by controlling and tracking the critical process parameters and recording the key operational data.

The ASTRA TEE® and ASTRA VR™ are automated reprocessors which are identical with the exception of the disinfection chamber configuration necessary to compensate for two different types of ultrasound probes. The ASTRA TEE® is an automated reprocessor which enables highlevel disinfection and rinsing for transesophageal (TEE) ultrasound probes. The ASTRA VR™ is an automated reprocessor which enables high-level disinfection and rinsing for endovaginal and/or endorectal ultrasound probes.

Both ASTRA systems utilize predefined programs based upon the high-level liquid disinfectant (HLD) used during the disinfection and potable water rinsing cycles. The system controls the HLD temperature and cycle times which are fixed, no user configuration is available. The device will perform the defined automated disinfection and rinsing cycles based upon the HLD specifications. The microprocessor controlled interface monitors temperature and liquid levels of the HLD in the disinfection chamber and the reservoir. Optical sensors are used for HLD reservoir presence and probe identification. Additional user inputs include unique probe identification (for disinfection records) and the results entry of the Minimum Recommended Concentration (MRC) test using test strips and minimum concentration levels as defined by the HLD manufacturer. A sensor located on the disinfection chamber door is used to initiate the cycle after the user has input the required information. User retrievable data/information regarding reprocessing is accessible through a USB port.

Performance Characteristics

The ASTRA Product Family of automated reprocessors utilizes the same technology and highlevel disinfection approach employed by the predicate devices, cleared under K150504. Only the software has been re-activated to recognize the additional HLDs (Cidex OPA and Resert XL) originally targeted as part of K150504 for approval as part of this current Traditional 510k submission. The ASTRA controls time, temperature, and rinse parameters used to facilitate a ≥6 Log reduction by the select FDA approved HLDs. As a result, this submission primarily focuses on the performance specification of the instrument and controls (time, temperature, and rinse) common to both devices as it relates to the select HLDs.

The ASTRA systems control the HLD temperature, soak time, and rinse cycle to facilitate ≥6 Log reduction of M. terrae on enzymatically cleaned probes.

Device NameManufacturer510(k)Performance Attribute
ASTRA TEE™ (Transesophageal
Probe Reprocessor)Civco Medical
SolutionsK163313Control the HLD temperature,
soak time, and rinse cycle to
achieve ≥6 Log reduction of M. terrae using Metricide OPA
Plus, Cidex OPA, and Resert XL
ASTRA VR™
(Endovaginal/Endorectal
Probe Reprocessor)

6 Winter Avenue Deep River Connecticut, 06417 - Tel: (319) 248-7777 Fax: (860) 526-3081

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Image /page/8/Picture/1 description: The image shows the logo for CIVCO Medical Solutions. The logo features a blue globe-like design on the left, followed by the company name in blue, bold letters. Below the company name, the words "MEDICAL SOLUTIONS" are written in smaller, thinner letters.

Performance Specifications

The ASTRA Product Family of automated reprocessors share common hardware and software with minor differences necessary to accommodate the different ultrasound probes (TEE and VR) and different HLDs. The intended use and function of the automated reprocessors are the same and they are substantially equivalent to the predicate in design and function. The ASTRA series of automated reprocessors control the HLD temperature, soak time, and rinse cycle to facilitate ≥6 Log reduction of M. terrae on enzymatically cleaned probes, thus achieving equivalent performance to the ASTRA systems cleared under K150504.

Device NameManufacturer510(k)Performance Attribute
ASTRA TEE®/ASTRA VR™
Ultrasound Probe
ReprocessorsCivco Medical
SolutionsK150504Control the HLD temperature,
soak time, and rinse cycle to
facilitate ≥6 Log reduction of
M. terrae using Metricide OPA
Plus

Clinical/Non-Clinical Performance Testing Summary

  • The ASTRA system maintains time and temperature required for disinfection as per HLD manufacturers' specifications.
  • The ASTRA system passed Safety and EMC testing
  • The ASTRA system passed Simulated use and Residual testing
  • The ASTRA system passed In-use testing

Technology Comparison to Predicate Devices

The ASTRA Product Family of automated reprocessors utilizes the same technology employed by the predicate device, ASTRA TEE® and ASTRA VR™ cleared under K150504. The ASTRA systems control the HLD temperature, soak time, and rinse cycle for the safe and effective disinfection of ultrasound probes.

9

Image /page/9/Picture/0 description: The image shows the logo for CIVCO Medical Solutions. The logo features a stylized globe on the left, with the company name "CIVCO" in large, bold letters to the right. Below "CIVCO" are the words "MEDICAL SOLUTIONS" in smaller letters. The logo is in blue and white.

Summary of Predicate Comparisons (affected items/changes are in BOLD font)
CharacteristicPredicate –
ASTRA TEE®
PCI medicalPredicate –
ASTRA VR™
PCI medicalASTRA TEE®
Civco MedicalASTRA VR™
Civco Medical
Regulatory
510(k) NumberK150504K150504K163313K163313
Product CodeITXITXSame as predicateSame as predicate
Regulation Number21 CFR 892.157021 CFR 892.1570Same as predicateSame as predicate
Regulation NameDiagnostic ultrasonic
transducerDiagnostic ultrasonic
transducerSame as predicateSame as predicate
Intended Use/
Indications for Use
(differences in bold
font)The GUS ASTRA TEE™
automated reprocessor
facilitates high-level
disinfection and rinsing
of 1 or 2
transesophageal
ultrasound probes
using FDA cleared and
PCI Medical approved
high-level liquid
disinfectants.The GUS ASTRA VR™
automated reprocessor
facilitates high-level
disinfection and rinsing
of 1 or 2 endovaginal
and/or endorectal
ultrasound probes
using FDA cleared and
PCI Medical approved
high-level liquid
disinfectants.The ASTRA TEE®
automated reprocessor
facilitates high-level
disinfection and rinsing
of 1 or 2
transesophageal
ultrasound probes
using FDA cleared and
Civco Medical
Solutions approved
high-level liquid
disinfectants.The ASTRA VR™
automated
reprocessor facilitates
high-level disinfection
and rinsing of 1 or 2
endovaginal and/or
endorectal ultrasound
probes using FDA
cleared and Civco
Medical Solutions
approved high-level
liquid disinfectants.
Prescription UseNoNoSame as predicateSame as predicate
Types of probesTransesophageal (TEE)
probesEndorectal,
endovaginal (VR)
probesSame as predicateSame as predicate
Technology and Materials
Theory of Operation• Control time,
temperature and
fluid levels to
maintain optimal
conditions for
disinfection and
rinsing as
established by
HLD
manufacturers• Control time,
temperature and
fluid levels to
maintain optimal
conditions for
disinfection and
rinsing as
established by
HLD
manufacturersSame as predicateSame as predicate
Disinfection time
control• Timing Chip &
Software• Timing Chip &
SoftwareSame as predicateSame as predicate
Disinfection
temperature control• Temperature
sensor & Software• Temperature
sensor & SoftwareSame as predicateSame as predicate
HLD warming
capability• Yes (Warmer pad)• Yes (Warmer pad)Same as predicateSame as predicate
Liquid Level Control
(HLD and rinse)• Sensors
(upper/lower) &
Software• Sensors
(upper/lower) &
SoftwareSame as predicateSame as predicate
Overflow Protection• Sensor (overflow)
& Software• Sensor (overflow)
& SoftwareSame as predicateSame as predicate
Summary of Predicate Comparisons (affected items/changes are in BOLD font)
CharacteristicPredicate -
ASTRA TEE®
PCI medicalPredicate -
ASTRA VR™
PCI medicalASTRA TEE®
Civco MedicalASTRA VR™
Civco Medical
(microswitch) &
Software(microswitch) &
Software
HLD Vapor Control
Door, fan & filter
Door, fan & filterSame as predicateSame as predicate
User Interface
Text based
interface
4 button keypad
USB port
Barcode Scanner
Text based
interface
4 button keypad
USB port
Barcode ScannerSame as predicateSame as predicate
HLD MRC
Verification
Operator must
verify MRC
Operator must
verify MRCSame as predicateSame as predicate
Material
Components
Diaphragm Pump
Solenoid valves
Polyethylene
tubing
Push Fit fittings
Powder coated
sheet metal
cabinet with ABS
plastic
components
Diaphragm Pump
Solenoid valves
Polyethylene
tubing
Push Fit fittings
Powder coated
sheet metal
cabinet with ABS
plastic
componentsSame as predicateSame as predicate
Compatible HLDs
(differences in bold
font)
Uses FDA cleared
HLDs (Metricide
OPA) per
manufacturer's
specifications
Uses FDA cleared
HLDs (Metricide
OPA) per
manufacturer's
specificationsUses FDA cleared
HLD (Metricide
OPA, Cidex OPA
and Resert XL) per
manufacturer's
specificationsUses FDA cleared
HLD (Metricide
OPA, Cidex OPA
and Resert XL)
per
manufacturer's
specifications
Disinfectant Usage
(differences in bold
font)Approved for re-use
per HLD
Manufacturer's
specifications
OPA up to 14 days
Or when MRC test
failsApproved for re-use
per HLD
Manufacturer's
specifications
OPA up to 14 days
Or when MRC test
failsSame as predicate with
the addition of "Resert
XL up to 21 days"
Cidex OPA usage
specifications are
identical to Metricide
OPASame as predicate with
the addition of "Resert
XL up to 21 days"
Cidex OPA usage
specifications are
identical to Metricide
OPA
Rinse waterPotable water filtered
with FDA cleared
0.2µm bacteria
retention filterPotable water filtered
with FDA cleared
0.2µm bacteria
retention filterSame as predicateSame as predicate
RinsingPer HLD
Manufacturer's
specificationsPer HLD
Manufacturer's
specificationsSame as predicateSame as predicate
Summary of Predicate Comparisons (affected items/changes are in BOLD font)
CharacteristicPredicate -
ASTRA TEE®
PCI medicalPredicate -
ASTRA VR™
PCI medicalASTRA TEE®
Civco MedicalASTRA VR™
Civco Medical
Do Technical differences raise new questions of safety & efficacy to that of the predicate device?
Base TechnologyTime and temperature
managementTime and temperature
managementSame as predicateSame as predicate
Liquid Level Control• HLD level control
by sensor
• Rinse level control
by sensor• HLD level control
by sensor
• Rinse level control
by sensorSame as predicateSame as predicate
User interface• Barcode scanner
accepts input data• Barcode scanner
accepts input dataSame as predicateSame as predicate
Device characteristics that ensure comparable safety & efficacy to the predicate device (non-clinical
testing)
Control of Critical
parametersDevice repeatedly
maintains time and
temperature required
for disinfectionDevice repeatedly
maintains time and
temperature required
for disinfectionSame as predicateSame as predicate
Efficacy (Disinfection
and Residual testing)Pass as per simulated
use (6log reduction of
M. terrae ), In-use
Testing (complete kill)
and residual testing
(ISO10993-5 cytotoxic
effect of M. terrae ), In-use
Testing (complete kill)
and residual testing
(ISO10993-5 cytotoxic
effect of