K Number
K180791
Device Name
Straumann BLX Surgical Cassette
Date Cleared
2018-06-21

(86 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Straumann BLX Cassette is used in healthcare facilities to organize, cleaning, sterilize, transport, and store medical devices between surgical uses. The BLX Cassette is not intended to maintain sterility; it is intended to be used in conjunction with a legally marketed, validated sterilization wrap.
Device Description
The BLX Surgical Cassette is a container composed of three main components: a lid, a cassette base and a tray, all made of polyphenylsulfone (Radel R5000). The base and the tray have silicone rubber grommets to hold the instruments. The base and tray are printed to indicate the surgical workflow and the position of the instruments within the cassette.
More Information

No
The device description and performance studies focus on the physical properties, cleaning, and sterilization validation of a surgical instrument cassette, with no mention of AI or ML capabilities.

No.
This device is designed for organizing, cleaning, sterilizing, transporting, and storing medical devices, not for diagnosing, treating, or preventing disease or affecting the structure or function of the body.

No

Explanation: The device is described as a surgical cassette used for organizing, cleaning, sterilizing, transporting, and storing medical devices. Its function is not to diagnose medical conditions, but rather to facilitate the handling and sterilization of surgical instruments.

No

The device description clearly states it is a container made of polyphenylsulfone with silicone rubber grommets, indicating it is a physical hardware device used for organizing and sterilizing instruments. There is no mention of software as a component or the primary function.

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

Here's why:

  • Intended Use: The intended use is clearly stated as organizing, cleaning, sterilizing, transporting, and storing medical devices. This is a function related to the handling and preparation of medical instruments, not the diagnosis of diseases or conditions using in vitro methods.
  • Device Description: The description details a container made of plastic with silicone grommets for holding instruments. This aligns with a device for managing surgical tools.
  • Lack of IVD Characteristics: There is no mention of the device being used with biological samples (blood, urine, tissue, etc.), reagents, or for performing tests to diagnose or monitor health conditions.
  • Performance Studies: The performance studies focus on cleaning, sterilization, and biocompatibility, which are relevant to devices used in surgical settings, not IVD testing.
  • Predicate and Reference Devices: The predicate and reference devices listed are "Kit Boxes and Kit Plates" and "Instrument kits," which are also devices for organizing and managing surgical instruments, not IVDs.

Therefore, the Straumann BLX Cassette falls under the category of a medical device used for the management and preparation of surgical instruments, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Straumann BLX Cassette is used in healthcare facilities to organize, cleaning, sterilize, transport, and store medical devices between surgical uses. The BLX Cassette is not intended to maintain sterility; it is intended to be used in conjunction with a legally marketed, validated sterilization wrap.

The BLX Cassette has been validated for a maximum load of 300 grams, including cassette and instruments.

Sterilization parameters: Pre-vacuum steam: 132°C (270° F) for 4 minutes with 20 minutes drying time.

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

KCT

Device Description

The BLX Surgical Cassette is a container composed of three main components: a lid, a cassette base and a tray, all made of polyphenylsulfone (Radel R5000). The base and the tray have silicone rubber grommets to hold the instruments. The base and tray are printed to indicate the surgical workflow and the position of the instruments within the cassette.

New surgical and prosthetic instruments have been developed to accommodate the new Straumann® BLX Implant System, a line of endosseous dental implants and abutments that are not subject devices to this submission. These new instruments are used for implant bed preparation and abutment removal (if necessary after placement). These devices are all Class I exempt as described in 21 CFR 872.3980 (Endosseous dental implant accessories) and are not subject devices to this submission. The cassette, along with a complete load of instruments, weights 300 g.

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 facilities

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)

Cleaning and Sterilization Validation:
The subject device is a multiple-use device provided non-sterile which needs to be end user sterilized. The cleaning and sterilization procedures reflect the FDA guidance document, "Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling Guidance for Industry and Food and Drug Administration Staff, Document issued on: March 17, 2015". Both manual and automated cleaning methods were validated and demonstrated the effectiveness of the recommended manual and automated cleaning processes.

Sterilization Validation:
The sterilization parameters have been validated to a sterility assurance level (SAL) of ≥10° using the biological indicator (BI) overkill method according to ANSI/AAMI/ISO 17665-1 "Sterilization of health care products - Moist heat - Part1: Requirements for the development, validation, and routine control of a sterilization process for medical devices". In addition to the SAL validation, dry times were validated using full cycle parameters according to AAMI TIR12:2010 "Designing, testing and labeling reusable medical devices for reprocessing in health care facilities: A guide for medical device manufacturers".

Biocompatibility:
The biological assessment of the BLX Cassette was performed according to ISO 10993-1:2009 "Biological evaluation of medical devices – Part 1: Evaluation and testing within a risk management process" and the biocompatibility evaluation flow chart according to the FDA Guidance document "Use of International Standard ISO 10993-1, 'Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process', Guidance for Industry and Food and Drug Administration Staff, Document issued on: June 16, 2016".
The following biocompatibility studies were conducted:

  • In vitro cytotoxicity according to ISO 10993-12 and ISO 10993-5 .
  • Chemical characterization according to ISO 10993-12 and 10993-18.
    Results of conducted studies based upon the biological safety profile of the BLX surgical cassette show that they are biocompatible for their intended use.

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

Sterility Assurance Level (SAL) of ≥10°

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.

K163600

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.

K160730

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

Not Found

§ 880.6850 Sterilization wrap.

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

0

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Institut Straumann AG % Jennifer Jackson Director, Regulatory Affairs & Quality Straumann USA, LLC 60 Minuteman Road Andover, Massachusetts 01810

Re: K180791

Trade/Device Name: Straumann BLX Surgical Cassette Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: KCT Dated: March 27, 2018 Received: March 27, 2018

Dear Jennifer Jackson:

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 (QS) regulation (21 CFR Part 820);

1

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

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Clarence W. Murray lii III -S

For Tina Kiang, Ph.D. 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) K180791

Device Name Straumann BLX Surgical Cassette

Indications for Use (Describe)

The Straumann BLX Cassette is used in healthcare facilities to organize, cleaning, sterilize, transport, and store medical devices between surgical uses. The BLX Cassette is not intended to maintain sterility; it is intended to be used in conjunction with a legally marketed, validated sterilization wrap.

The BLX Cassette has been validated for a maximum load of 300 grams, including cassette and instruments.

Sterilization parameters: Pre-vacuum steam: 132°C (270° F) for 4 minutes with 20 minutes drying time.

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)

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3

Straumann® BLX Surgical Cassette

510(k) Summary

1 510(k) Summary

Submitter's Contact Information 1.1

Straumann USA, LLC (on behalf of Institut Straumann AG)

60 Minuteman Road

Andover, MA 01810

Phone Number:1-978-747-2509
Fax Number:1-978-747-0023
Contact Person:Jennifer M. Jackson, MS
Preparer / Alternate Contact:Ana Carolina Martins Vianna
Preparer / Alternate Contact:Viviana Horhoiu
Date of Submission:June 20, 2018

Name of the Device 1.2

Trade Names:Straumann® BLX Surgical Cassette
Common Name:BLX Surgical Cassette
Classification Name:Sterilization wrap
Regulation Number:21 CFR 880.6850
Classification:Class II
Product Codes:КСТ

1.3 Predicate Device(s)

Primary Predicate:

  • K163600 Kit Boxes and Kit Plates, Nobel Biocare AB .
    Reference Devices:

  • K160730 Instrument kits, Anthogyr .

4

Straumann® BLX Surgical Cassette

510(k) Summary

1.4 Device Description

The BLX Surgical Cassette is a container composed of three main components: a lid, a cassette base and a tray, all made of polyphenylsulfone (Radel R5000). The base and the tray have silicone rubber grommets to hold the instruments. The base and tray are printed to indicate the surgical workflow and the position of the instruments within the cassette.

New surgical and prosthetic instruments have been developed to accommodate the new Straumann® BLX Implant System, a line of endosseous dental implants and abutments that are not subject devices to this submission. These new instruments are used for implant bed preparation and abutment removal (if necessary after placement). These devices are all Class I exempt as described in 21 CFR 872.3980 (Endosseous dental implant accessories) and are not subject devices to this submission. The cassette, along with a complete load of instruments, weights 300 g.

1.5 Indications for Use

The Straumann BLX Cassette is used in healthcare facilities to organize, enclose, cleaning, sterilize, transport, and store medical devices between surgical uses. The BLX Cassette is not intended to maintain sterility; it is intended to be used in conjunction with a legally marketed, validated sterilization wrap.

The BLX Cassette has been validated for a maximum load of 300 grams, including cassette and instruments.

Sterilization parameters:

Pre-vacuum steam: 132°C (270° F) for 4 minutes with 20 minutes drying time.

Comparison of Technological Characteristics 1.6

The subject and primary predicate devices share the following characteristics:

  • . Intended Use
  • Design ●
  • Sterilization Method and Parameters ●
  • Reusable

5

Straumann® BLX Surgical Cassette

510(k) Summary

The subject devices are technologically different from the primary predicate devices as follows:

  • . Material
  • Vent / volume ratio .

Nevertheless, the technological characteristics were evaluated through non-clinical testing.

Table 1 provides a comparison matrix of the features of primary predicate, reference and subject devices:

6

Straumann® BLX Surgical Cassette

510(k) Summary

The technological characteristics of the subject device are compared to the primary predicate and reference device in the following:

FEATUREPROPOSED DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICE
Subject DeviceK163600
Kit Boxes and Kit PlatesK160730
Instrument Kits
Intended UseThe Straumann BLX Cassette is used in
healthcare facilities to organize,
enclose, cleaning, sterilize, transport,
and store medical devices between
surgical uses. The BLX Cassette is not
intended to maintain sterility; it is
intended to be used in conjunction with
a legally marketed, validated
sterilization wrap.The Nobel Biocare Kit Boxes are used
in healthcare facilities to organize,
enclose, sterilize, transport, and store
medical devices between surgical uses.
The Nobel Biocare Kit Boxes are not
intended on their own to maintain
sterility; it is intended to be used in
conjunction with a legally marketed,
validated, FDA-cleared sterilization
wrap.The instrument kits are designed to hold
various dental surgical drills and tools in
order to organize, steam sterilize, and
protect the instruments that are
sterilized by healthcare provider. The
cassette is to be enclosed in an FDA
cleared steam sterilizable pouch. The
cassettes are not intended on their own
to maintain sterility.
Product CodeKCTKCTKCT
DesignPlastic tray and lidKit Box - Plastic tray and lid
Kit Plate - Silicone grommets and tool
holdersPlastic tray and lid
MaterialsPolyphenylsulfone (Radel R5000)SiliconAluminumPolymerSiliconPolyphenylsulfone (Radel R5000,
Radel R5100)Medical grade siliconeStainless steel
Materials compatible
with
Sterilization MethodYesYesYes
PerforatedYes; allows moist heat (steam)
penetration to achieve sterilizationYes; allows moist heat (steam)
penetration to achieve sterilizationYes; allows moist heat (steam)
penetration to achieve sterilization
Enclosing featureSilicone grommetsSilicone grommetsSilicone grommets
ReusableYesYesYes
Sterilization
MethodMoist heat (steam)Moist heat (steam)Moist heat (steam)
FEATUREPROPOSED DEVICEPRIMARY PREDICATE DEVICEREFERENCE PREDICATE DEVICE
Subject DeviceK163600
Kit Boxes and Kit PlatesK160730
Instrument Kits
CyclesPre-vacuumGravity-Displacement
Pre-vacuumPre-vacuum
ParametersPre-Vacuum:
132° C (270° F) for 4 minutes;
20 minutes drying timePre-Vacuum:
Temp 270° F
Exposure Time: 4 min
Pre-vacuum: 3 times