K Number
K171533
Device Name
Reliance Solo Sterilization Wrap, Reliance Tandem Sterilization Wrap
Date Cleared
2017-06-29

(35 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Ahlstrom Reliance® Tandem and Solo Sterilization Wraps are intended to be used to enclose another medical device that is to be sterilized by a healthcare provider via the following: - Pre-vacuum Steam 270°F/132°C for 4 minutes - Gravity Steam 250°F/121°C for 30 minutes - 100% Ethylene Oxide (EO) with a concentration of 725-735 mg/L @ 131°F/55°C and 40% - 80% relative humidity for 60 minutes - Advanced Sterilization Products (ASP) STERRAD® 100S - Advanced Sterilization Products (ASP) STERRAD® 100NX (Standard, Express and Flex cycles) - STERIS Amsco® V-PRO 1, STERIS Amsco® V-PRO 1 Plus, STERIS Amsco® V-PRO maX Low Temperature Sterilization Systems (Lumen, Non Lumen and Flexible Cycles) The wrap is intended to allow sterilization of the enclosed medical device(s) and maintain sterility of the enclosed device(s) until used.
Device Description
The Reliance® Solo and Reliance® Tandem Sterilization Wraps are square or rectangular nonwoven sheets produced using a three-layer SMS (spunbond-meltblown-spunbond) process. The Reliance® SMS Sterilization Wraps are separated into two distinct product offerings: Reliance® Tandem: Consists of single sheets of SMS wrap, where two sheets are used together for the sequential wrapping of one or a collection of medical devices that will be sterilized following standard healthcare practices. Reliance® Solo: Consists of two sheets of SMS wrap, ultrasonically bonded together along two edges for convenient simultaneous wrapping of one or a collection of medical devices that will be sterilized following standard healthcare practices. The Reliance® Solo and Reliance® Tandem Sterilization Wraps are composed of polypropylene with the addition of blue or green pigment and an anti-static treatment. Reliance® Tandem and Reliance® Solo wraps allow a sterilized package of medical devices to be opened aseptically.
More Information

Not Found

No
The device is a sterilization wrap, a physical material used for packaging medical devices for sterilization. The description focuses on the material composition and physical properties, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The device is a sterilization wrap intended to enclose other medical devices for sterilization and maintain their sterility, not to provide therapy itself.

No

The device is a sterilization wrap intended to enclose medical devices for sterilization and maintain their sterility, not to diagnose medical conditions.

No

The device description clearly states the device is a physical, nonwoven sheet made of polypropylene, intended for wrapping medical devices for sterilization. It is a tangible product, not software.

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

Here's why:

  • Intended Use: The intended use is to enclose medical devices for sterilization and maintain their sterility. This is a function related to the preparation and storage of medical devices, not the diagnosis of disease or other conditions.
  • Device Description: The device is a nonwoven wrap made of polypropylene. This material and structure are consistent with packaging for medical devices, not with components used in in vitro diagnostic tests (e.g., reagents, calibrators, control materials, specimen collection devices).
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing specimens from the human body (blood, urine, tissue, etc.).
    • Providing information for the diagnosis, monitoring, or treatment of a disease or condition.
    • Containing reagents or other components used in a laboratory test.

The device's function is purely related to the physical protection and maintenance of sterility for other medical devices.

N/A

Intended Use / Indications for Use

Ahlstrom Reliance® Tandem and Solo Sterilization Wraps are intended to be used to enclose another medical device that is to be sterilized by a healthcare provider via the following:

  • Pre-vacuum Steam 270°F/132°C for 4 minutes
  • Gravity Steam 250°F/121°C for 30 minutes
  • 100% Ethylene Oxide (EO) with a concentration of 725-735 mg/L @ 131°F/55°C and 40% - 80% relative humidity for 60 minutes
  • Advanced Sterilization Products (ASP) STERRAD® 100S
  • Advanced Sterilization Products (ASP) STERRAD® 100NX (Standard, Express and Flex cycles) ●
  • STERIS Amsco® V-PRO 1, STERIS Amsco® V-PRO 1 Plus, STERIS Amsco® V-PRO maX Low ● Temperature Sterilization Systems (Lumen, Non Lumen and Flexible Cycles)

The wrap is intended to allow sterilization of the enclosed medical device(s) and maintain sterility of the enclosed device(s) until used.

Pre-Vacuum Steam Sterilization:

  • Validated for dry time of 20 minutes for Models T100/S100, T200/S200, T300/S300.
  • Validated for dry time of 30 minutes for Models T400/S400, T500/S500, T600/S600. .
  • All models of Reliance® Tandem and Solo validated for pre-vacuum steam sterilization with stainless steel ● lumens as part of the load with a maximum weight of 251bs dependent on the model.

Gravity Steam Sterilization:

  • Validated for dry times of 20 minutes for Models T100/S100, T200/S200, T300/S300. ●
  • Validated for dry times of 30 minutes for Models T400/S400. .
  • Models T100/S100, T200/S200, T400/S400 of Reliance® Tandem and Solo validated for gravity steam sterilization with stainless steel lumens as part of the load with a maximum weight of 251bs dependent on the model.
  • o Models T500/S500 and T600/S600 are not validated for use for gravity steam sterilization.

Ethylene Oxide Sterilization:

  • Validated for aeration time of 8 hours at 55°C ●
  • All models of Reliance® Tandem and Solo validated for ethylene oxide sterilization with stainless steel lumens . as part of the load with a maximum weight of 25lbs dependent on the model.

Advanced Sterilization Products (ASP) STERRAD® 100S Sterilization

  • All models of Reliance® Tandem and Solo validated with ASP STERRAD® 100S sterilization with stainless ● steel lumens as part of the load with a maximum weight of 10.7lbs dependent on the model.
    Advanced Sterilization Products (ASP) STERRAD® 100NX Sterilization

  • All models of Reliance® Tandem and Solo validated with ASP STERRAD® 100NX sterilization cycles detailed ● in Table 1.

Product codes

FRG

Device Description

The Reliance® Solo and Reliance® Tandem Sterilization Wraps are square or rectangular nonwoven sheets produced using a three-layer SMS (spunbond-meltblown-spunbond) process. The Reliance® SMS Sterilization Wraps are separated into two distinct product offerings:

Reliance® Tandem: Consists of single sheets of SMS wrap, where two sheets are used together for the sequential wrapping of one or a collection of medical devices that will be sterilized following standard healthcare practices.

Reliance® Solo: Consists of two sheets of SMS wrap, ultrasonically bonded together along two edges for convenient simultaneous wrapping of one or a collection of medical devices that will be sterilized following standard healthcare practices.

The Reliance® Solo and Reliance® Tandem Sterilization Wraps are composed of polypropylene with the addition of blue or green pigment and an anti-static treatment. Reliance® Tandem and Reliance® Solo wraps allow a sterilized package of medical devices to be opened aseptically.

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

healthcare provider

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

Not Found

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

Not Found

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

Performance data for the Reliance® Tandem and Reliance® Solo Sterilization wrap was included under K160755. This submission includes data to demonstrate continued conformance with the microbial barrier properties recommended in Premarket Notification {510(k)} Submissions for Medical Sterilization Packaging Systems in Health Care Facilities; Draft Guidance for Industry and FDA (March 7, 2002). Reliance® Tandem and Solo Sterilization Wraps have been tested for the ability to maintain sterility of pack contents after sterilization for up to 180 days under standard conditions. All results of testing met acceptance criteria.

Standards Utilized

  • AAMI / ANSI ST79: 2010 & A1:2010 & A2:2011 & A3:2012 & A4:2013, Comprehensive Guide To Steam Sterilization And Sterility Assurance In Health Care Facilities.
  • ASTM F2101-14, Standard Test Method For Evaluating The Bacterial Filtration Efficiency (BFE) Of Medical Face Mask Materials, Using A Biological Aerosol Of Staphylococcus Aureus. (General Plastic Surgery/General Hospital)

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K160755

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.6850 Sterilization wrap.

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

0

Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the circle is an image of three faces in profile, stacked on top of each other, with a stylized representation of a human form below them.

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

June 29, 2017

Ahlstrom Nonwovens LLC % Lauren Chrapowitzky Consultant AJW Technology Consultants. Inc 445 Apollo Beach Blvd Apollo Beach, Florida 33572

Re: K171533

Trade/Device Name: Reliance® Solo Sterilization Wrap, Reliance® Tandem Sterilization Wran Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: FRG Dated: May 5, 2017 Received: May 30, 2017

Dear Lauren Chrapowitzky:

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

1

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 the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/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,

James P.
Bertram -S

for

Lori 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) K171533

Device Name

Reliance® Tandem and Reliance® Solo Sterilization Wrap

Indications for Use (Describe)

Ahlstrom Reliance® Tandem and Solo Sterilization Wraps are intended to be used to enclose another medical device that is to be sterilized by a healthcare provider via the following:

  • Pre-vacuum Steam 270°F/132°C for 4 minutes
  • Gravity Steam 250°F/121°C for 30 minutes
  • 100% Ethylene Oxide (EO) with a concentration of 725-735 mg/L @ 131°F/55°C and 40% - 80% relative humidity for 60 minutes
  • Advanced Sterilization Products (ASP) STERRAD® 100S
  • Advanced Sterilization Products (ASP) STERRAD® 100NX (Standard, Express and Flex cycles) ●
  • STERIS Amsco® V-PRO 1, STERIS Amsco® V-PRO 1 Plus, STERIS Amsco® V-PRO maX Low ● Temperature Sterilization Systems (Lumen, Non Lumen and Flexible Cycles)

The wrap is intended to allow sterilization of the enclosed medical device(s) and maintain sterility of the enclosed device(s) until used.

Pre-Vacuum Steam Sterilization:

  • Validated for dry time of 20 minutes for Models T100/S100, T200/S200, T300/S300.
  • Validated for dry time of 30 minutes for Models T400/S400, T500/S500, T600/S600. .
  • All models of Reliance® Tandem and Solo validated for pre-vacuum steam sterilization with stainless steel ● lumens as part of the load with a maximum weight of 251bs dependent on the model.

Gravity Steam Sterilization:

  • Validated for dry times of 20 minutes for Models T100/S100, T200/S200, T300/S300. ●
  • Validated for dry times of 30 minutes for Models T400/S400. .
  • Models T100/S100, T200/S200, T400/S400 of Reliance® Tandem and Solo validated for gravity steam sterilization with stainless steel lumens as part of the load with a maximum weight of 251bs dependent on the model.
  • o Models T500/S500 and T600/S600 are not validated for use for gravity steam sterilization.

Ethylene Oxide Sterilization:

  • Validated for aeration time of 8 hours at 55°C ●
  • All models of Reliance® Tandem and Solo validated for ethylene oxide sterilization with stainless steel lumens . as part of the load with a maximum weight of 25lbs dependent on the model.

Advanced Sterilization Products (ASP) STERRAD® 100S Sterilization

  • All models of Reliance® Tandem and Solo validated with ASP STERRAD® 100S sterilization with stainless ● steel lumens as part of the load with a maximum weight of 10.7lbs dependent on the model.

Advanced Sterilization Products (ASP) STERRAD® 100NX Sterilization

  • All models of Reliance® Tandem and Solo validated with ASP STERRAD® 100NX sterilization cycles detailed ● in Table 1.

3

Table 1: Validated Advanced Sterilization Products (ASP) STERRAD® 100NX Cycles
Advanced Sterilization Products (ASP)
STERRAD® System and CycleIntended Load
100NX Standard CycleReusable metal and non-metal medical devices,
including up to 10 lumens of the following
dimensions per chamber load:
• An inside diameter of 0.7mm or larger and
a length of 500mm or shorter of single-
channel stainless steel lumens.
100NX Flex CycleOne or two single-channel flexible endoscopes with
or without a silicone mat. Flexible endoscope may
contain:
• A single channel Teflon/PE/PTFE lumen
with an inside diameter of 1 mm or larger
and a length of 850mm or shorter. (A
maximum of two flexible endoscopes, one
per tray per sterilization cycle)
100NX Express CycleNon-lumened reusable metal and non-metal
medical devices requiring surface sterilization, or
sterilization of mated stainless steel and titanium
surfaces, and rigid or semi-rigid endoscopes
without lumens.

Table 1: Validated Advanced Sterilization Products (ASP) STERRAD® 100NX Cycles

STERIS Amsco® V-PRO 1, STERIS Amsco® V-PRO 1 Plus, STERIS Amsco® V-PRO maX Low Temperature Sterilization Systems

  • All models of Reliance® Tandem and Solo Sterilization Wraps have been validated for use with STERIS V-● PRO® cycles detailed in Table 2.
  • Reliance® Tandem and Solo Sterilization Wraps were validated to be effectively aerated during the preprogrammed STERIS Amsco V-PRO® Sterilization Cycles.
STERIS Amsco® V-PRO CycleIntended Load
Lumen CycleReusable metal and non-metal medical devices,
including up to 20 stainless steel lumens with
dimensions of 3.0mm diameter or larger and a
length of 400mm or shorter.
Non Lumen CycleNon lumened reusable metal and non-metal
medical devices.
Flexible CycleSingle lumen surgical flexible endoscopes and
bronchoscopes in the following load configuration:
1.) One tray containing a flexible endoscope with a
light cord (if not integral to endoscope) and mat.
The flexible endoscope having an inside diameter
of 1 mm or larger and a length of 850 mm or
shorter.
2.) An additional tray containing non-lumened
medical devices.

Table 2: Validated STERIS Amsco® V-PRO Cycles

4

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510(k) SUMMARY (as required by 807.92) K171533

I. SUBMITTER

Ahlstrom Nonwovens LLC 2 Elm Street Windsor Locks, CT 06096

Contact Person: Gary Jackson Date Prepared: 31 January 2017

REGULATORY CORRESPONDENT

AJW Technology Consultants, Inc 445 Apollo Beach, Blvd Apollo Beach, FL 33572

Phone: 813-645-2855 Fax: 813-645-2856

Contact Person: Lauren Chrapowitzky Email: laurenc@ajwtech.com

II. DEVICE

Name of Device: Reliance® Tandem and Reliance® Solo Sterilization Wrap Common or Usual Name: Sterilization Wrap Classification Name: Sterilization Wrap Device Panel: General Hospital Regulatory Class: Il Product Code: FRG Regulation Number: 880.6850

III. PREDICATE DEVICE

The Ahlstrom Nonwovens LLC Reliance® Tandem and Reliance® Solo Sterilization Wrap, cleared under K160755, is the predicate device for this submission.

IV. DEVICE DESCRIPTION

The Reliance® Solo and Reliance® Tandem Sterilization Wraps are square or rectangular nonwoven sheets produced using a three-layer SMS (spunbond-meltblown-spunbond) process. The Reliance® SMS Sterilization Wraps are separated into two distinct product offerings:

Reliance® Tandem: Consists of single sheets of SMS wrap, where two sheets are used together for the sequential wrapping of one or a collection of medical devices that will be sterilized following standard healthcare practices.

6

Reliance® Solo: Consists of two sheets of SMS wrap, ultrasonically bonded together along two edges for convenient simultaneous wrapping of one or a collection of medical devices that will be sterilized following standard healthcare practices.

The Reliance® Solo and Reliance® Tandem Sterilization Wraps are composed of polypropylene with the addition of blue or green pigment and an anti-static treatment. Reliance® Tandem and Reliance® Solo wraps allow a sterilized package of medical devices to be opened aseptically.

Table 1: Dimensional Specifications of Reliance® Tandem and Reliance® Solo Wrap Models
----------------------------------------------------------------------------------------------
DimensionsT100/S100T200/S200T300/S300T400/S400T500/S500T600/S600
9 in. x 9 in.×
12 in. x 12 in.××
15 in. x 15 in.××
18 in. x 18 in.×××××
20 in. x 20 in.×
24 in. x 24 in.×××××
30 in. x 30 in.×××××
36 in. x 36 in.××××××
40 in. x 40 in.××××××
45 in. x 45 in.×××××
48 in. x 48 in.××××××
54 in. x 54 in.××××××
60 in. x 60 in.×
54 in. x 72 in.××××××
54 in. x 90 in.×

Wrap Model Recommendations

Table 2 provides the recommended wrapped package content weights by model and sterilization modality for the Reliance® Tandem and Solo products.

Table 2: Wrap Model Recommendations 1

7

Maximum Recommended Wrapped Package Content Weights2
Sterilization
Wrap
ModelsIntended LoadPre-Vacuum
and Gravity*
Steam and
EOAdvanced
Sterilization
Products (ASP)
Sterrad®
100SAdvanced
Sterilization
Products
(ASP)
Sterrad®
100NXSteris
Amsco®
V-PRO
Lumen and
Non Lumen
CycleSteris
Amsco®
V-PRO
Flex
Cycle
T100
and
S100Very Light Weight
Package (for example:
gauze or towel packs or
batteries)3 lbs*10.7 lbs10.7 lbs10.7 lbs3 lbs
T200
and
S200Light Weight Package
(for example: standard
linen packs or
telescope with light
cord)6 lbs*10.7 lbs10.7 lbs10.7 lbs6.5 lbs
T300
and
S300Light to Moderate
Weight
Package (for example:
general use medical
instruments)9 lbs*10.7 lbs10.7 lbs10.7 lbs9 lbs
T400
and
S400Moderate to Heavy
Weight Package (for
example: general use
medical instruments)13 lbs*10.7 lbs10.7 lbs10.7 lbs9 lbs
T500
and
S500Heavy Weight Package
(for example: general
use medical17 lbs10.7 lbs10.7 lbs10.7 lbs9 lbs
S500instruments)
T600
and
S600Very Heavy Weight
Package (for example:
general use medical
instruments)25 lbs10.7 lbs10.7 lbs10.7 lbs9 lbs

8

*Gravity Steam Sterilization is validated for models T100/S200, T300/S300, T400/S400 only. T500/S500 and T600/S600 models are not validated for gravity steam.

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

² It is recommended to not exceed the maximum wrapped package content weights indicated for each wrap model. In addition, it is recommended to not exceed the number, weight and size of individual content types that were validated Ahlstrom Nonwovens Sterilization Wraps (i.e. wrapped contents).

V. INDICATIONS FOR USE

Ahlstrom Reliance® Tandem and Solo Sterilization Wraps are intended to be used to enclose another medical device that is to be sterilized by a healthcare provider via the following:

  • Pre-vacuum Steam 270°F/132°C for 4 minutes
  • Gravity Steam 250°F/121°C for 30 minutes ●
  • 100% Ethylene Oxide (EO) with a concentration of 725-735 mg/L @ 131°F/55°C and ● 40% - 80% relative humidity for 60 minutes
  • Advanced Sterilization Products (ASP) STERRAD® 100S
  • Advanced Sterilization Products (ASP) STERRAD® 100NX (Standard, Express and Flex cycles)
  • . STERIS Amsco® V-PRO 1, STERIS Amsco® V-PRO 1 Plus, STERIS Amsco® V-PRO maX Low Temperature Sterilization Systems (Lumen, Non Lumen and Flexible Cycles)

The wrap is intended to allow sterilization of the enclosed medical device(s) and maintain sterility of the enclosed device(s) until used.

Pre-Vacuum Steam Sterilization:

  • Validated for dry time of 20 minutes for Models T100/S100, T200/S200, T300/S300.
  • Validated for dry time of 30 minutes for Models T400/S400, T500/S500, T600/S600. .
  • All models of Reliance® Tandem and Solo validated for pre-vacuum steam ● sterilization with stainless steel lumens as part of the load with a maximum weight of 25lbs dependent on the model.

Gravity Steam Sterilization:

  • Validated for dry times of 20 minutes for Models T100/S100, T200/S200, T300/S300. ●
  • Validated for dry times of 30 minutes for Models T400/S400. .
  • Models T100/S100, T200/S200, T300/S300, T400/S400 of Reliance® Tandem and . Solo validated for gravity steam sterilization with stainless steel lumens as part of the load with a maximum weight of 25lbs dependent on the model.

9

  • Models T500/S500 and T600/S600 are not validated for use for gravity steam sterilization.

Ethylene Oxide Sterilization:

  • Validated for aeration time of 8 hours at 55°C
  • All models of Reliance® Tandem and Solo validated for ethylene oxide sterilization . with stainless steel lumens as part of the load with a maximum weight of 25lbs dependent on the model.

Advanced Sterilization Products (ASP) STERRAD® 100S Sterilization

  • All models of Reliance® Tandem and Solo validated with ASP STERRAD® 100S . sterilization with stainless steel lumens as part of the load with a maximum weight of 10.7lbs dependent on the model.

Advanced Sterilization Products (ASP) STERRAD® 100NX Sterilization

  • All models of Reliance® Tandem and Solo validated with ASP STERRAD® 100NX . sterilization cycles detailed in Table 1.
Advanced Sterilization Products (ASP)Intended Load
STERRAD® System and Cycle
100NX Standard CycleReusable metal and non-metal medical
devices, including up to 10 lumens of the
following dimensions per chamber load:
An inside diameter of 0.7mm or larger
and a length of 500mm or shorter of
single-channel stainless steel lumens.
100NX Flex CycleOne or two single-channel flexible endoscopes
with or without a silicone mat. Flexible
endoscope may contain:
A single channel Teflon/PE/PTFE lumen
with an inside diameter of 1 mm or
larger and a length of 850mm or
shorter. (A maximum of two flexible
endoscopes, one per tray per
sterilization cycle)
100NX Express CycleNon-lumened reusable metal and non-metal
medical devices requiring surface sterilization,
or sterilization of mated stainless steel and
titanium surfaces, and rigid or semi-rigid
endoscopes without lumens.

Table 1: Validated Advanced Sterilization Products (ASP) STERRAD® 100NX Cycles

STERIS Amsco® V-PRO 1, STERIS Amsco® V-PRO 1 Plus, STERIS Amsco® V-PRO max Low Temperature Sterilization Systems

  • . All models of Reliance® Tandem and Solo Sterilization Wraps have been validated for use with STERIS V-PRO® cycles detailed in Table 2.

10

  • Reliance® Tandem and Solo Sterilization Wraps were validated to be effectively . aerated during the pre-programmed STERIS Amsco V-PRO® Sterilization Cycles.
STERIS Amsco® V-PRO CycleIntended Load
Lumen CycleReusable metal and non-metal medical
devices, including up to 20 stainless steel
lumens with dimensions of 3.0mm diameter or
larger and a length of 400mm or shorter.
Non Lumen CycleNon lumened reusable metal and non-metal
medical devices.
Flexible CycleSingle lumen surgical flexible endoscopes and
bronchoscopes in the following load
configuration:
1.) One tray containing a flexible endoscope
with a light cord (if not integral to endoscope)
and mat. The flexible endoscope having an
inside diameter of 1 mm or larger and a length
of 850 mm or shorter.
2.) An additional tray containing non-lumened
medical devices.

Table 2: Validated STERIS Amsco® V-PRO Cycles

VI. COMPARISON OF TECHNOLIGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE

| Manufacturer | Ahlstrom Nonwovens, LLC | Comparison of subject device
with the predicate device |
|----------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------|
| Device Name | RELIANCE® Tandem and Solo
Sterilization Wrap | RELIANCE® Tandem and Solo
Sterilization Wrap |
| Intended use | Reliance® Tandem and Solo
Sterilization Wrap is intended to
be used to enclose another
medical device that is to be
sterilized by a health care
provider | same |
| Material Composition | Polypropylene spunbond-
meltblown-spunbond (SMS)
fabric | same |
| Configurations/
Dimensions | Various | same |
| Sterilant Penetration | Pass per ANSI/AAMI ST79:2010 &
A1:2010 and ANSI/AAMI/ISO
14937:2009 | same |
| Validated for use in
Sterilization System | Pre-vacuum Steam 270°F/132°C
for 4 minutes
Gravity Steam 250°F/121°C for 30 | same |

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minutes
100% Ethylene Oxide (EO) with a
concentration of 725-735 mg/L
@ 131°F/55°C and 40% - 80%
relative humidity for 60 minutessame
(ASP) STERRAD® 100S, and 100NX
(STANDARD, EXPRESS and Flex
cycles)same
STERIS Amsco® V-PRO 1 & V-PRO
1 Plus (Non-Lumen and Lumen
cycles) and V-PRO maX cyclesame
Microbial Barrier
Properties (Packaging
Integrity)PassPass
Material CompatibilityPassPass
Toxicological Properties
(Biocompatibility)PassPass
Maintenance of Sterility90 days180 days
Dry TimeReliance® Tandem and Solo
Models T100/S100, T200/S200,
T300/S300: 20 minutes

Reliance® Tandem and Solo
Models T400/S400, T500/S500,
T600/S600: 30 minutes | Same |

VII. PERFORMANCE DATA

Summary of Testing:

Performance data for the Reliance® Tandem and Reliance® Solo Sterilization wrap was included under K160755. This submission includes data to demonstrate continued conformance with the microbial barrier properties recommended in Premarket Notification {510(k)} Submissions for Medical Sterilization Packaging Systems in Health Care Facilities; Draft Guidance for Industry and FDA (March 7, 2002). Reliance® Tandem and Solo Sterilization Wraps have been tested for the ability to maintain sterility of pack contents after sterilization for up to 180 days under standard conditions. All results of testing met acceptance criteria.

Standards Utilized

  • AAMI / ANSI ST79: 2010 & A1:2010 & A2:2011 & A3:2012 & A4:2013, Comprehensive Guide To Steam Sterilization And Sterility Assurance In Health Care Facilities.
  • . ASTM F2101-14, Standard Test Method For Evaluating The Bacterial Filtration Efficiency (BFE) Of Medical Face Mask Materials, Using A Biological Aerosol Of Staphylococcus Aureus. (General Plastic Surgery/General Hospital)

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VIII. CONCLUSIONS

In conclusion, results from nonclinical testing demonstrate that Reliance® Tandem and Reliance® Solo Sterilization Wrap is as safe, as effective, and performs as well as the predicate device (K160755).