K Number
K170427
Device Name
Anprolene SteriTest
Date Cleared
2017-10-31

(260 days)

Product Code
Regulation Number
880.2800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Anprolene SteriTest consists of a self-contained biological indicator inoculated with viable Bacillus atrophaeus bacterial spores that is placed in a dedicated BI receptacle in the sterilizer. It monitors the efficacy of the 12 hour sterilization cycle at 20-29°C in the Anprolene AN75 Ethylene Oxide Gas Sterilizer. Critical process parameters for the cycle are summarized in Table 1.
Device Description
The Anprolene® SteriTest consists of a single-use self-contained biological indicator (SCBI) placed in a reusable BI receptacle. It is designed for monitoring the efficacy of the 12 hour sterilization cycle at 20-29°C in an Anprolene AN75 Ethylene Oxide Gas Sterilizer. The SCBI, the EZTest - Gas Biological Indicator, consists of a plastic vial that serves as the culture tube and a cap including a filter material port to allow ethylene oxide to enter the vial. The plastic vial contains Bacillus atrophaeus spores inoculated onto a paper carrier, and a glass ampoule containing modified soybean casein digest broth and phenol red acting as a pH indicator. There is a chemical indicator printed on the unit label of the SCBI to indicate EO exposure. Following manufacturer's instructions, the operator inserts the SCBI into the reusable BI receptacle on the purge probe of the Anprolene AN75 Ethylene Oxide Gas Sterilizer, and initiates a 12 hour cycle at 20-29°C. After cycle completion, the SCBI is retrieved and activated by crushing the glass ampoule. The chemical indicator on the SCBI changes from blue to a green/brown color depending on the duration of ethylene oxide exposure. The activated SCBI and an unprocessed control are incubated at 30-35℃ for 48 hours, and monitored for any color change and/or turbidity. Evidence of microbial growth by color change from red-orange to yellow and/or turbidity must be interpreted as a failure to meet the conditions necessary for sterilization (failed cycle); no color change or turbidity indicates conditions for sterilization were achieved (passed cycle).
More Information

Not Found

No
The device is a biological indicator that relies on chemical and biological reactions (color change, microbial growth) to indicate sterilization efficacy, not AI/ML.

No
This device is a biological indicator used to monitor the efficacy of a sterilization process, not to treat a disease or condition in a patient.

No

Explanation: The device is a biological indicator used to monitor the efficacy of a sterilization cycle, not to diagnose a medical condition in a patient.

No

The device description clearly outlines a physical biological indicator (SCBI) consisting of a plastic vial, paper carrier with spores, glass ampoule with broth, and a chemical indicator. This is a hardware-based device used to monitor sterilization efficacy.

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

Here's why:

  • IVD Definition: An IVD device is defined as a medical device intended for use in vitro for the examination of specimens, including blood, tissue, and urine, derived from the human body, solely or principally for the purpose of providing information concerning a physiological state, state of health, or disease or congenital abnormality.
  • Anprolene SteriTest Function: The Anprolene SteriTest is used to monitor the efficacy of a sterilization process for medical devices. It does this by using a biological indicator (bacterial spores) to determine if the sterilization cycle successfully killed the microorganisms.
  • No Human Specimen Testing: The device does not examine any specimens derived from the human body. Its function is entirely related to the sterilization process of other medical devices.

Therefore, the Anprolene SteriTest falls under the category of a sterilization process indicator, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The Anprolene SteriTest consists of a self-contained biological indicator inoculated with viable Bacillus atrophaeus bacterial spores that is placed in a dedicated BI receptacle in the sterilizer. It monitors the efficacy of the 12 hour sterilization cycle at 20-29°C in the Anprolene AN75 Ethylene Oxide Gas Sterilizer. Critical process parameters for the cycle are summarized in Table 1.

Product codes

FRC

Device Description

The Anprolene® SteriTest consists of a single-use self-contained biological indicator (SCBI) placed in a reusable BI receptacle. It is designed for monitoring the efficacy of the 12 hour sterilization cycle at 20-29°C in an Anprolene AN75 Ethylene Oxide Gas Sterilizer.
The SCBI, the EZTest - Gas Biological Indicator, consists of a plastic vial that serves as the culture tube and a cap including a filter material port to allow ethylene oxide to enter the vial. The plastic vial contains Bacillus atrophaeus spores inoculated onto a paper carrier, and a glass ampoule containing modified soybean casein digest broth and phenol red acting as a pH indicator. There is a chemical indicator printed on the unit label of the SCBI to indicate EO exposure.
Following manufacturer's instructions, the operator inserts the SCBI into the reusable BI receptacle on the purge probe of the Anprolene AN75 Ethylene Oxide Gas Sterilizer, and initiates a 12 hour cycle at 20-29°C. After cycle completion, the SCBI is retrieved and activated by crushing the glass ampoule. The chemical indicator on the SCBI changes from blue to a green/brown color depending on the duration of ethylene oxide exposure. The activated SCBI and an unprocessed control are incubated at 30-35℃ for 48 hours, and monitored for any color change and/or turbidity. Evidence of microbial growth by color change from red-orange to yellow and/or turbidity must be interpreted as a failure to meet the conditions necessary for sterilization (failed cycle); no color change or turbidity indicates conditions for sterilization were achieved (passed cycle).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Not Found

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

Not Found

Summary of Performance Studies

The Anprolene SteriTest was validated using applicable tests in FDA 2007 "Guidance for Industry and FDA Staff: Biological Indicator (BI) Premarket Notification [510(k)] Submissions'', and AAMI/ANSI/ISO 11138-1 "Sterilization of health care products – Biological indicators -Part 1: General requirements" (FDA Recognition Number 14-296).

For the EZTest - Gas Biological Indicators, tests include viable spore population assay, resistance characteristics study, carrier and primary packaging materials (growth inhibition) evaluation, holding time assessment, and reduced incubation time validation. The results of all studies met the established acceptance criteria when applicable.

Under identical exposure conditions, the resistance characteristics of the EZTest - Gas Biological Indicators are equivalent when measured in a Biological Indicator Resistometer in the presence or absence of a vacuum.

The Anprolene SteriTest represents a rigorous challenge to the Anprolene AN75 sterilization process. Its resistance characteristics are greater than the same EZTest-Gas Biological Indicator placed in the worst-case locations of the maximum fabric, metal, and plastic loads. The Anprolene SteriTest was partially positive in each half dose cycle, and negative in each full dose cycle, when tested in each worst-case load. The performance of the Anprolene SteriTest in the 12 hour cycle at 20-29°C in an Anprolene AN75 Ethylene Oxide Gas Sterilizer is summarized in Table 5-3.

Table 5-3. Summary of bench tests performed to demonstrate safety and effectiveness of the Anprolene SteriTest
Test: Functionality
Description: 1) Critical parameters include temperature, time, and gas concentration at a relative humidity of 35-90%; 2) Device is appropriate for monitoring the efficacy of the sterilization process claimed.
Result: Pass

Test: Shelf Life
Description: Maintains performance specifications (resistance characteristics and correctly indicate pass/fail in cycles) throughout the stated shelf life of 2 years; Stability demonstrates reasonable assurance for effectiveness.
Result: Pass

Key Metrics

Not Found

Predicate Device(s)

K151585

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.2800 Sterilization process indicator.

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

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Image /page/0/Picture/0 description: The image shows the logos of the Department of Health & Human Services and the U.S. Food & Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. Food & Drug Administration" in blue text. The word "Administration" is on the second line.

October 31, 2017

Andersen Sterilizers, Inc. William Andersen President 3154 Caroline Drive Haw River, NC 27258

Re: K170427

Trade/Device Name: Anprolene SteriTest, AN7508.14 Regulation Number: 21 CFR 880.2800 Regulation Name: Sterilization Process Indicator Regulatory Class: Class II Product Code: FRC Dated: September 28, 2017 Received: October 6, 2017

Dear William Andersen:

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

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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 (DICE) at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevicesforYou/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 (DICE) 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,

Michael J. Ryan -S

for Tina Kiang, PhD Acting 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) K170427

Device Name Anprolene SteriTest, AN7508.14

Indications for Use (Describe)

The Anprolene SteriTest consists of a self-contained biological indicator inoculated with viable Bacillus atrophaeus bacterial spores that is placed in a dedicated BI receptacle in the sterilizer. It monitors the efficacy of the 12 hour sterilization cycle at 20-29°C in the Anprolene AN75 Ethylene Oxide Gas Sterilizer. Critical process parameters for the cycle are summarized in Table 1.

Table 1. Critical sterilization cycle parameters in the Anprolene AN75 Ethylene Oxide Gas Sterilizer

EO AmountTemperatureRelative HumidityEO Exposure TimeTotal Cycle Time
17.6 g ± 5%20-29°C35-90%12 hours14 hours

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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K170427 510(k) Summary

| 5.1 Applicant's Name and Address | Andersen Sterilizers, Inc.
Establishment Registration Number 3004634710
3154 Caroline Drive
Haw River, NC 27258 |
|----------------------------------|--------------------------------------------------------------------------------------------------------------------------|
| 5.2 Contact Person | William K. Andersen, BE, MD, FAAOS
President
Phone: 336-376-8622, Fax: 336-376-5428 |
| 5.3 Date of Preparation | September 28, 2017 |
| 5.4 Device | |
| | Proprietary Name: Anprolene® SteriTest, AN7508.14 |
| | Common Name: Biological Sterilization Process Indicator |
| | Classification: Class II (21 CFR 880.2800) |
| | Product Code: FRC |
| 5.5 Predicate Device | |
| | Device Name: EOGas 4® SteriTest, AN7408.14 |
| | 510(k) number: K151585 |
| | Manufacturer: Mesa Laboratories, Inc. |

The predicate AN7408.14 EOGas 4 SteriTest (K151585) is approved for use in the EOGas 4 Ethylene Oxide Gas Sterilization System manufactured by Andersen Sterilizers, Inc.

The predicate device was modified to create the AN7508.14 Anprolene SteriTest, indicated for use in the Anprolene AN75 Ethylene Oxide Gas Sterilization System by Andersen Sterilizers, Inc. The sterilization temperature and time claims of the predicate device have been modified; no modifications were made to the manufacturing method, technology, or intended use.

5.6 Device Description

The Anprolene® SteriTest consists of a single-use self-contained biological indicator (SCBI) placed in a reusable BI receptacle. It is designed for monitoring the efficacy of the 12 hour sterilization cycle at 20-29°C in an Anprolene AN75 Ethylene Oxide Gas Sterilizer.

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The SCBI, the EZTest - Gas Biological Indicator, consists of a plastic vial that serves as the culture tube and a cap including a filter material port to allow ethylene oxide to enter the vial. The plastic vial contains Bacillus atrophaeus spores inoculated onto a paper carrier, and a glass ampoule containing modified soybean casein digest broth and phenol red acting as a pH indicator. There is a chemical indicator printed on the unit label of the SCBI to indicate EO exposure.

Following manufacturer's instructions, the operator inserts the SCBI into the reusable BI receptacle on the purge probe of the Anprolene AN75 Ethylene Oxide Gas Sterilizer, and initiates a 12 hour cycle at 20-29°C. After cycle completion, the SCBI is retrieved and activated by crushing the glass ampoule. The chemical indicator on the SCBI changes from blue to a green/brown color depending on the duration of ethylene oxide exposure. The activated SCBI and an unprocessed control are incubated at 30-35℃ for 48 hours, and monitored for any color change and/or turbidity. Evidence of microbial growth by color change from red-orange to yellow and/or turbidity must be interpreted as a failure to meet the conditions necessary for sterilization (failed cycle); no color change or turbidity indicates conditions for sterilization were achieved (passed cycle).

5.7 Indications for Use

The Anprolene SteriTest consists of a self-contained biological indicator inoculated with viable Bacillus atrophaeus bacterial spores that is placed in a dedicated BI receptacle in the sterilizer. It monitors the efficacy of the 12 hour sterilization cycle at 20-29°C in the Anprolene AN75 Ethylene Oxide Gas Sterilizer. Critical process parameters for the cycle are summarized in Table 5-1.

Table 5-1. Critical sterilization cycle parameters in the Anprolene AN75 sterilizer
-----------------------------------------------------------------------------------------

| Ethylene Oxide | Temperature | Relative
Humidity | Ethylene Oxide
Exposure Time | Total Cycle Time |
|----------------|-------------|----------------------|---------------------------------|------------------|
| 17.6 g ± 5% | 20-29°C | 35-90% | 12 hours | 14 hours |

5.8 Device Comparison

The Anprolene SteriTest is substantially equivalent to the predicate device, the EOGas 4 SteriTest: both indicators are intended for the same use, use the same technology, are designed in the same way, and perform substantially equivalently.

The predicate EOGas 4 SteriTest is designed to monitor the efficacy of the 3 hour sterilization cycle at 50°C in the EOGas 4 Ethylene Oxide Gas Sterilizer, and the subject Anprolene SteriTest is designed to monitor the efficacy of the 12 hour sterilization cycle at 20-29°C in the Anprolene AN75 Ethylene Oxide Gas Sterilizer. The difference raises no issues related to safety or effectiveness of the subject device in the sterilization cycle. A comparison between the devices is listed in Table 5-2.

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ElementPredicate EOGas 4 SteriTest (K151585)Subject Anprolene SteriTest
Intended UseSterilization method: EO gas
Process parameters: EO concentration, time,
temperature, and relative humidityIdentical
OrganismBacillus atrophaeus (ATCC 9372)Identical
Spore Population≥1.0 x 106Identical
BI DesignPaper strip containing indicator organism;
Glass ampoule containing growth medium;
Capped vial serving as a culture tube;
A pH indicator in medium for color change;
A process indicator indicating EO exposureIdentical
BI Receptacle
DesignCreates a greater challenge to the 3 hour cycle at
50±3°C in the EOGas 4 sterilizer than the same
BI placed in the worst-case location in the same
loadCreate a greater challenge to the
12 hour cycle at 20-29°C in the
Anprolene AN75 sterilizer than
the same BI placed in the worst-
case location in the same load
MaterialsPaper, glass, polypropylene, and aluminumIdentical
ConfigurationSCBI in a receptacleIdentical
Indications for
UseThe EOGas 4 SteriTest consists of a self-
contained biological indicator inoculated with
viable Bacillus atrophaeus bacterial spores that
is placed in a dedicated BI receptacle in the
sterilizer. It monitors the efficacy of the 3 hour
sterilization cycle at 50±3℃ in the EOGas 4
Ethylene Oxide Gas Sterilizer.The Anprolene SteriTest
consists of a self-contained
biological indicator inoculated
with viable Bacillus atrophaeus
bacterial spores that is placed in
a dedicated BI receptacle in the
sterilizer. It monitors the
efficacy of the 12 hour
sterilization cycle at 20-29°C in
the Anprolene AN75 Ethylene
Oxide Gas Sterilizer.
Shelf Life2 years for the biological indicator2 years for the biological
indicator

Table 5-2. Device Comparison

5.9 Performance Testing

The Anprolene SteriTest was validated using applicable tests in FDA 2007 "Guidance for Industry and FDA Staff: Biological Indicator (BI) Premarket Notification [510(k)] Submissions'', and AAMI/ANSI/ISO 11138-1 "Sterilization of health care products – Biological indicators -Part 1: General requirements" (FDA Recognition Number 14-296).

For the EZTest - Gas Biological Indicators, tests include viable spore population assay, resistance characteristics study, carrier and primary packaging materials (growth inhibition)

6

evaluation, holding time assessment, and reduced incubation time validation. The results of all studies met the established acceptance criteria when applicable.

Under identical exposure conditions, the resistance characteristics of the EZTest - Gas Biological Indicators are equivalent when measured in a Biological Indicator Resistometer in the presence or absence of a vacuum.

The Anprolene SteriTest represents a rigorous challenge to the Anprolene AN75 sterilization process. Its resistance characteristics are greater than the same EZTest-Gas Biological Indicator placed in the worst-case locations of the maximum fabric, metal, and plastic loads. The Anprolene SteriTest was partially positive in each half dose cycle, and negative in each full dose cycle, when tested in each worst-case load. The performance of the Anprolene SteriTest in the 12 hour cycle at 20-29°C in an Anprolene AN75 Ethylene Oxide Gas Sterilizer is summarized in Table 5-3.

Table 5-3. Summary of bench tests performed to demonstrate safety and effectiveness of the Anprolene SteriTest

TestDescriptionResult
Functionality1) Critical parameters include temperature, time, and gas concentration at a
relative humidity of 35-90%;
  1. Device is appropriate for monitoring the efficacy of the sterilization
    process claimed. | Pass |
    | Shelf Life | Maintains performance specifications (resistance characteristics and correctly
    indicate pass/fail in cycles) throughout the stated shelf life of 2 years;
    Stability demonstrates reasonable assurance for effectiveness. | Pass |

In conclusion, the Anprolene SteriTest is substantially equivalent to the legally marketed predicate, the EOGas 4 SteriTest (K151585).