(30 days)
The V-PRO® s2 Low Temperature Sterilization System using VAPROX® HC Sterilant is intended for use in the terminal sterilization of properly prepared (cleaned, rinsed and dried) medical devices in Healthcare Facilities. The preprogrammed sterilization cycles operate at low pressure and low temperature, suitable for processing medical devices without leaving toxic residues.
Each Cycle can sterilize non-luments and instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors.
The V-PRO s2 Sterilizer Non Lumen Cycle can sterilize: t
Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexible endoscopes.
- The validation studies were conducted using a validation load consisting of one instrument tray for a total weight of 25 lbs (11.3 kg).
The V-PRO s2 Sterilizer Fast Cycle can sterilize:*
Medical devices (including single, dual and triple channeled rigid and semi-rigid endoscopes) with the following configurations:
- Single or dual channeled devices with stainless steel lumens that are ● > 0.77 mm (~1/32") internal diameter (ID) and ≤ 410 mm (~16-9/64") in length
- ≥ 1.8 mm (~5/64") ID x ≤ 542 mm (~21-5/16") in length.
- Triple channeled devices with stainless steel lumens that are either: ● ≥ 1.2 mm (~3/64") ID and ≤ 275 mm (~10-53/64") in length
-
1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 (12-31/64") mm in length
Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexible endoscopes.
- Validation testing for all lumen sizes was conducted using a maximum of eight (8) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. Validation testing was conducted using a validation load consisting of one pouched instrument tray and two pouched devices outside of the tray with a total weight of 4.0 lbs (~1.8kg).
The V-PRO s2 Sterilizer Flexible Cycle can sterilize: ®
One surgical flexible endoscope (such as those used in ENT, Urology and Surgical Care) or bronchoscope with light cord (if not integral to endoscope), mat, and additional load.
- The flexible endoscope may be a single or dual lumen device with lumens that are ≥ 1 mm (~3/64") ID and ≤ 990 mm (38-63/64") in length.
- Additional load, up to 11 lb (5 kg) can include stainless steel lumens with ● the following dimensions
≥ 0.76 mm (~1/32") ID and ≤ 233 mm (~9 11/64") in length - ≥ 1.0 mm (~3/64") ID and ≤ 254 mm (~10") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 542 mm (~21 5/16") in length
@ The validation studies were conducted using a validation load consisting of two instrument travs. One tray contained one flexible endoscope, with silicone mat. instrument organizers and light cord (if not integral to scope), and the second tray contained additional load and twelve (12) stainless steel lumens for a total load weight of 11 lbs (5 kg). Hospital loads should not exceed the maximum number of lumens validated by this testing.
The V-PRO s2 Sterilizer Lumen Cycle can sterilize: ^
Medical devices (including single, dual and triple channeled rigid and semi-rigid endoscopes) with the following configurations:
- . Single or dual channeled devices with stainless steel lumens that are ≥ 0.77 mm internal diameter (ID) and ≤ 410 mm in length and ≥ 1.8 mm (~5/64") ID x ≤ 542 mm (21 5/16") in length.
- Triple channeled devices with stainless steel lumens that are either: . > 1.2 mm (~3/64") ID and < 275 mm (~10-53/64") in length > 1.8 mm (~5/64") ID and < 310 mm (~12-13/64") in length or
≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length ^ Validation testing for all lumen sizes was conducted using a maximum of twelve
(12) stainless steel lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray and two pouches for a total weight of 11 lbs (5.0 kg).
V-PRO 60 Low Temperature Sterilization System
The V-PRO® 60 Low Temperature Sterilization System using VAPROX® HC Sterilant is intended for use in the terminal sterilization of properly prepared (cleaned, rinsed and dried) medical devices in Healthcare Facilities. The preprogrammed sterilization cycles operate at low pressure and low temperature, suitable for processing medical devices without leaving toxic residues.
Each Cycle can sterilize non-luments and instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors.
The V-PRO 60 Sterilizer Non Lumen Cycle can sterilize: t Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexible endoscopes. * The validation studies were conducted using a validation load consisting of one instrument tray for a total weight of 25 lbs (11.3 kg).
The V-PRO 60 Sterilizer Flexible Cycle can sterilize: @
One surgical flexible endoscope (such as those used in ENT, Urology and Surgical Care) or bronchoscope with light cord (if not integral to endoscope), mat, and additional load.
- The flexible endoscope may be a single or dual lumen device with lumens . that are ≥ 1 mm (~3/64") internal diameter (ID) and ≤ 990 mm (38-63/64") in.
- Additional load, up to 11 lb (5 kg) can include stainless steel lumens with . the following dimensions
- ≥ 0.76 mm (~1/32") ID and ≤ 233 mm (~9 11/64") in length
- ≥ 1.0 mm (~3/64") ID and ≤ 254 mm (~10") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 542 mm (~21 5/16") in length
@ The validation studies were conducted using a validation load consisting of two instrument trays. One tray contained one flexible endoscope, with silicone mat, instrument organizers and light cord (if not integral to scope), and the second tray contained additional load and twelve (12) stainless steel lumens for a total load weight of 11 lbs (5 kg). Hospital loads should not exceed the maximum number of lumens validated by this testing.
The V-PRO 60 Sterilizer Lumen Cycle can sterilize: ^
Medical devices (including single, dual and triple channeled rigid and semi-rigid endoscopes) with the following configurations:
- . Single or dual channeled devices with stainless steel lumens that are ≥ 0.77 mm (~1/32") ID and ≤ 410 mm (16-9/64") in length > 1.8 mm (~5/64") ID x ≤ 542 mm (~21-5/16") in length.
- Triple channeled devices with stainless steel lumens that are either: ● > 1.2 mm (~3/64") ID and < 275 mm (~10-53/64") in length ≥ 1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length
^ Validation testing for all lumen sizes was conducted using a maximum of twelve (12) stainless steel lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray and two pouches for a total weight of 11 lbs (5.0 kg).
The V-PRO s2 Sterilizer contains the same three sterilization cycles as V-PRO 60 Sterilizer (the Lumen. Non Lumen and Flexible Cycles) with one additional cycle (the Fast Cycle). The V-PRO s2 Sterilizer contains a cabinetry modification and is free-standing as opposed to the cart-mounted V-PRO 60 Sterilizer.
The V-PRO 60 Low Temperature Sterilization System is a vaporized hydrogen peroxide sterilizer model that currently exists in the STERIS V-PRO family of sterilizers. The current proposed device claims are intended to modify the indications for use statement.
The V-PRO s2 and V-PRO 60 Low Temperature Sterilization Systems are intended for terminal sterilization of cleaned, rinsed, dried and packaged surgical instruments used in healthcare facilities and utilizes VAPROX® HC Sterilant to sterilize the intended devices through exposure to vaporized hydrogen peroxide (VHP). The pre-programmed cycles all utilize a conditioning phase, a sterilize phase and an aeration phase. The packaged sterilized devices are ready for use at the completion of the cycle, no cool down or aeration period is required following completion of the cycle.
The document describes the V-PRO® 60 Low Temperature Sterilization System and V-PRO® s2 Low Temperature Sterilization System, which are intended for terminal sterilization of medical devices. The submission (K190917) is for modifications to the indications for use of these systems.
Here's a breakdown of the requested information based on the provided text:
1. A table of acceptance criteria and the reported device performance
The document does not explicitly state "acceptance criteria" in a quantitative format for the sterilization effectiveness. However, the study concludes with "PASS" for both tests, indicating that a predefined, unstated acceptance criterion for sterilization efficacy was met.
| Acceptance Criteria (Implied) | Reported Device Performance |
|---|---|
| Sterilizer cycles achieve total kill endpoint (biological sterility) under modified ½ cycle conditions. | Demonstrated all sterile results with standard and at least one lower sterilant injection weight. Partial positives/all survive results at lower weights. |
| Sterilizer cycles sterilize medical devices under worst-case processing conditions (simulated use). | Verified ability to sterilize under worst-case conditions. |
2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
The document provides details about validation loads used, which can be considered the test sets for device performance:
- V-PRO s2/60 Sterilizer Non Lumen Cycle: one instrument tray for a total weight of 25 lbs (11.3 kg).
- V-PRO s2 Sterilizer Fast Cycle: one pouched instrument tray and two pouched devices outside of the tray with a total weight of 4.0 lbs (~1.8kg). Maximum of eight (8) lumens per load.
- V-PRO s2/60 Sterilizer Flexible Cycle: two instrument trays. One tray contained one flexible endoscope, with silicone mat, instrument organizers and light cord (if not integral to scope), and the second tray contained additional load and twelve (12) stainless steel lumens for a total load weight of 11 lbs (5 kg).
- V-PRO s2/60 Sterilizer Lumen Cycle: one instrument tray and two pouches for a total weight of 11 lbs (5.0 kg). Maximum of twelve (12) stainless steel lumens per load.
The data provenance is not explicitly stated regarding country of origin or whether it's retrospective or prospective. Given it's a 510(k) submission for device modification, the studies are typically prospective validation studies performed by the manufacturer (STERIS Corporation, based in Mentor, OH, USA).
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
This information is not applicable. The device is a sterilizer, and its performance (sterilization) is typically assessed through biological indicators (e.g., spore strips) or chemical indicators, not by human expert interpretation of an image or data. The "ground truth" for sterilization is the complete inactivation of microorganisms.
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable, as the evaluation is based on objective biological and chemical indicator results, not expert adjudication.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
Not applicable. This is a medical device for sterilization, not an AI-assisted diagnostic or triaging tool.
6. If a standalone (i.e. algorithm only without human-in-the loop performance) was done
Not applicable. The device is a physical sterilizer system.
7. The type of ground truth used (expert concensus, pathology, outcomes data, etc)
The ground truth for sterilization studies is typically the complete kill of highly resistant bacterial spores (often Geobacillus stearothermophilus) in biological indicators. The ½ Cycle Modified Total Kill Endpoint Verification and Simulated Use Test rely on this concept to confirm sterility.
8. The sample size for the training set
Not applicable. The device is a physical sterilizer system, not a machine learning model that requires a training set.
9. How the ground truth for the training set was established
Not applicable, as there is no training set for this type of device.
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.
May 9, 2019
STERIS Corporation Anthony Piotrkowski Director Regulatory Affairs 5960 Heisley Road Mentor, Ohio 44060
Re: K190917
Trade/Device Name: V-PRO 60 Low Temperature Sterilization Systems, V-PRO s2 Low Temperature Sterilization Systems Regulation Number: 21 CFR 880.6860 Regulation Name: Ethylene Oxide Gas Sterilizer Regulatory Class: Class II Product Code: MLR Dated: April 8, 2019 Received: April 9, 2019
Dear Anthony Piotrkowski:
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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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
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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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 mediation-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,
For David Krause, PhD Acting Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known)
Device Name
V-PRO® s2 Low Temperature Sterilization System
Indications for Use (Describe)
The V-PRO s2 Low Temperature Sterilization System using VAPROX® HC Sterilant is intended for use in the terminal sterilization of properly prepared (cleaned, rinsed and dried) medical devices in Healthcare Facilities. The preprogrammed sterilization cycles operate at low pressure and low temperature, suitable for processing medical devices without leaving toxic residues.
Each Cycle can sterilize non-luments and instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors.
The V-PRO s2 Sterilizer Non Lumen Cycle can sterilize: t
Non-lumened instruments including non-luments, non-luments, non-lumened rigid, semi-rigid and flexible endoscopes.
- The validation studies were conducted using a validation load consisting of one instrument tray for a total weight of 25 lbs (11.3 kg).
The V-PRO s2 Sterilizer Fast Cycle can sterilize: t
Medical devices (including single, dual and triple channeled rigid endoscopes) with the following configurations:
- · Single or dual channeled devices with stainless steel lumens that are
-
0.77 mm (~1/32") internal diameter (ID) and ≤ 410 mm (~16-9/64") in length
- ≥ 1.8 mm (~5/64") ID x ≤ 542 mm (~21-5/16") in length
· Triple channeled devices with stainless steel lumens that are either:
- ≥ 1.2 mm (~3/64") ID and ≤ 275 mm (~10-53/64") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length
- or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length
Non-lumened instruments including non-luments, non-luments, non-lumened rigid, semi-rigid and flexible endoscopes.
- Validation testing for all lumen sizes was conducted using a maximum of eight (8) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing was conducted using a validation load consisting of one pouched instrument tray and two pouched devices outside of the tray with a total weight of 4.0 lbs (~1.8kg).
The V-PRO s2 Sterilizer Flexible Cycle can sterilize: @
One surgical flexible endoscope (such as those used in ENT. Urology and Surgical Care) or bronchoscope with light cord (if not integral to endoscope), mat, and additional load.
- · The flexible endoscope may be a single or dual lumen device with lumens that are ≥ 1 mm ID and ≤ 990 mm in length
- · Additional load, up to 11 lb (5 kg) can include stainless steel lumens with the following dimensions
- ≥ 0.76 mm (~1/32") ID and ≤ 233 mm (~9 11/64") in length
- ≥ 1.0 mm (~3/64") ID and ≤ 254 mm (~10") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 542 mm (~21-5/16") in length
@ The validation studies were conducted using a validation load consisting of two instrument trays. One tray contained one flexible endoscope, with silicone mat, instrument organizers and light cord (if not integral to scope), and the second
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tray contained additional load and twelve (12) stainless steel lumens for a total load weight of 11 1bs (5 kg). Hospital loads should not exceed the maximum number of lumens validated by this testing.
The V-PRO s2 Sterilizer Lumen Cycle can sterilize: ^
Medical devices (including single, dual and triple channeled rigid endoscopes) with the following configurations:
- · Single or dual channeled devices with stainless steel lumens that are
- ≥ 0.77 mm (~1/32") ID and ≤ 410 mm (16-9/64") in length
- ≥ 1.8 mm (~5/64) ID x ≤ 542 mm (~21-5/16") in length
- · Triple channeled devices with stainless steel lumens that are either:
- ≥ 1.2 mm (~3/64") ID and < 275 mm (~10-53/64") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length
or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length
^ Validation testing for all lumen sizes was conducted using a maximum of twelve (12) stainless per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray and two pouches for a total weight of 11 Ibs (5.0 kg).
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."
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Indications for Use
510(k) Number (if known)
Device Name
V-PRO® 60 Low Temperature Sterilization System
Indications for Use (Describe)
The V-PRO® 60 Low Temperature Sterilization System using VAPROX® HC Sterilant is intended for use in the terminal sterilization of properly prepared (cleaned, rinsed and dried) medical devices in Healthcare Facilities. The preprogrammed sterilization cycles operate at low pressure and low temperature, suitable for processing medical devices without leaving toxic residues.
Each Cycle can sterilize non-luments and instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors.
The V-PRO 60 Sterilizer Non Lumen Cycle can sterilize: t
Non-lumened instruments including non-luments, non-luments, non-lumened rigid, sem-rigid and flexible endoscopes.
- The validation studies were conducted using a validation load consisting of one instrument tray for a total weight of 25 lbs (11.3 kg).
The V-PRO 60 Sterilizer Flexible Cycle can sterilize: @
One surgical flexible endoscope (such as those used in ENT, Urology and Surgical Care) or bronchoscope with light cord (if not integral to endoscope), mat, and additional load.
- The flexible endoscope may be a single or dual lumen device with lumens that are ≥ 1 mm (~3/64") internal diameter (ID) and ≤ 990 mm (38-63/64'') in length
- · Additional load, up to 11 lb (5 kg) can include stainless steel lumens with the following dimensions
- ≥ 0.76 mm (~1/32") ID and ≤ 233 mm (~9-11/64") in length
- ≥ 1.0 mm (~3/64") ID and ≤ 254 mm (~10") in length
- ≥ 1.8mm (~5/64") ID and ≤ 542 mm (~21-5/16") in length
@ The validation studies were conducted using a validation load consisting of two instrument trays. One tray contained one flexible endoscope, with silicone mat, instrument organizers and light cord (if not integral to scope), and the second tray contained additional load and twelve (12) stainless steel load weight of 11 1bs (5 kg). Hospital loads should not exceed the maximum number of lumens validated by this testing.
The V-PRO 60 Sterilizer Lumen Cycle can sterilize: ^
Medical devices (including single, dual and triple channeled rigid endoscopes) with the following configurations:
- · Single or dual channeled devices with stainless steel lumens that are
- ≥ 0.77 mm (~1/32") ID and ≤ 410 mm (16-9/64") in length
- ≥ 1.8 mm (~5/64") ID x ≤ 542 mm (~21-5/16") length
- · Triple channeled devices with stainless steel lumens that are either:
- ≥ 1.2 mm (~3/64") ID and ≤ 275 mm (~10-53/64") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length
or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length
^ Validation testing for all lumen sizes was conducted using a maximum of twelve (12) stainless seel lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray and two pouches for a total weight of 11 Ibs (5.0 kg).
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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.qov
"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."
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Image /page/6/Picture/0 description: The image shows the logo for STERIS. The word STERIS is in all capital letters and in a serif font. Below the word STERIS is an image of several horizontal wavy lines in blue.
510(k) Summary For
V-PRO® 60 Low Temperature Sterilization Systems and V-PRO®s2 Low Temperature Sterilization Systems
STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: (440) 354-2600 Fax No: (440) 357-9198
Tony Piotrkowski Contact: Director, Regulatory Affairs
Telephone: (440) 392-7437 Fax No: (440) 357-9198
Summary Date: May 8, 2019
Premarket Notification Number: K190917
STERIS Corporation ■ 5960 Heisley Road ■ Mentor, OH 44060-1834 USA ■ 440-354-2600
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1. Device Name
| Trade Name: | V-PRO® 60 Low Temperature SterilizationSystems and V-PRO® s2 Low TemperatureSterilization Systems |
|---|---|
| Device Class: | Class II |
| Common/usual Name: | Vapor Phase Hydrogen Peroxide Sterilizer |
| Classification Name: | Sterilizer, Ethylene Oxide Gas |
| Classification Number: | 21 CFR 880.6860 |
| Product Code: | MLR |
| Predicate Devices | |
| Primary Predicate: K182568 | V-PRO® s2 and V-PRO® 60 Low TemperatureSterilization Systems |
| Reference Device: K190103 | V-PRO® 1, V-PRO® 1 Plus, V-PRO® maX and V- |
Description of Devices 3.
The V-PRO s2 Sterilizer contains the same three sterilization cycles as V-PRO 60 Sterilizer (the Lumen. Non Lumen and Flexible Cycles) with one additional cycle (the Fast Cycle). The V-PRO s2 Sterilizer contains a cabinetry modification and is free-standing as opposed to the cart-mounted V-PRO 60 Sterilizer.
Systems
PRO® maX 2 Low Temperature Sterilization
The V-PRO 60 Low Temperature Sterilization System is a vaporized hydrogen peroxide sterilizer model that currently exists in the STERIS V-PRO family of sterilizers. The current proposed device claims are intended to modify the indications for use statement.
The V-PRO s2 and V-PRO 60 Low Temperature Sterilization Systems are intended for terminal sterilization of cleaned, rinsed, dried and packaged surgical instruments used in healthcare facilities and utilizes VAPROX® HC Sterilant to sterilize the intended devices through exposure to vaporized hydrogen peroxide (VHP). The pre-programmed cycles all utilize a conditioning phase, a sterilize phase and an aeration phase. The packaged sterilized devices are ready for use at the completion of the cycle, no cool down or aeration period is required following completion of the cycle.
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Intended Use / Indications for Use 4.
V-PRO s2 Low Temperature Sterilization System
The V-PRO® s2 Low Temperature Sterilization System using VAPROX® HC Sterilant is intended for use in the terminal sterilization of properly prepared (cleaned, rinsed and dried) medical devices in Healthcare Facilities. The preprogrammed sterilization cycles operate at low pressure and low temperature, suitable for processing medical devices without leaving toxic residues.
Each Cycle can sterilize non-luments and instruments with diffusionrestricted spaces such as the hinged portion of forceps and scissors.
The V-PRO s2 Sterilizer Non Lumen Cycle can sterilize: t
Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexible endoscopes.
- The validation studies were conducted using a validation load consisting of one instrument tray for a total weight of 25 lbs (11.3 kg).
The V-PRO s2 Sterilizer Fast Cycle can sterilize:*
Medical devices (including single, dual and triple channeled rigid and semi-rigid endoscopes) with the following configurations:
- Single or dual channeled devices with stainless steel lumens that are ● > 0.77 mm (~1/32") internal diameter (ID) and ≤ 410 mm (~16-9/64") in length
- ≥ 1.8 mm (~5/64") ID x ≤ 542 mm (~21-5/16") in length.
- Triple channeled devices with stainless steel lumens that are either: ● ≥ 1.2 mm (~3/64") ID and ≤ 275 mm (~10-53/64") in length
-
1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 (12-31/64") mm in length
-
Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexible endoscopes.
- Validation testing for all lumen sizes was conducted using a maximum of eight (8) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. Validation testing was conducted using a validation load consisting of one pouched instrument tray and two pouched devices outside of the tray with a total weight of 4.0 lbs (~1.8kg).
The V-PRO s2 Sterilizer Flexible Cycle can sterilize: ®
One surgical flexible endoscope (such as those used in ENT, Urology and Surgical Care) or bronchoscope with light cord (if not integral to endoscope), mat, and additional load.
- The flexible endoscope may be a single or dual lumen device with lumens that are ≥ 1 mm (~3/64") ID and ≤ 990 mm (38-63/64") in length.
- Additional load, up to 11 lb (5 kg) can include stainless steel lumens with ● the following dimensions
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≥ 0.76 mm (~1/32") ID and ≤ 233 mm (~9 11/64") in length
- ≥ 1.0 mm (~3/64") ID and ≤ 254 mm (~10") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 542 mm (~21 5/16") in length
@ The validation studies were conducted using a validation load consisting of two instrument travs. One tray contained one flexible endoscope, with silicone mat. instrument organizers and light cord (if not integral to scope), and the second tray contained additional load and twelve (12) stainless steel lumens for a total load weight of 11 lbs (5 kg). Hospital loads should not exceed the maximum number of lumens validated by this testing.
The V-PRO s2 Sterilizer Lumen Cycle can sterilize: ^
Medical devices (including single, dual and triple channeled rigid and semi-rigid endoscopes) with the following configurations:
- . Single or dual channeled devices with stainless steel lumens that are ≥ 0.77 mm (~1/32") ID and ≤ 410 mm (16-9/64") in length and ≥ 1.8 mm (~5/64") ID x ≤ 542 mm (~21-5/16") in length.
- Triple channeled devices with stainless steel lumens that are either: . > 1.2 mm (~3/64") ID and < 275 mm (~10-53/64") in length > 1.8 mm (~5/64") ID and < 310 mm (~12-13/64") in length or
≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length ^ Validation testing for all lumen sizes was conducted using a maximum of twelve
(12) stainless steel lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray and two pouches for a total weight of 11 lbs (5.0 kg).
V-PRO 60 Low Temperature Sterilization System
The V-PRO® 60 Low Temperature Sterilization System using VAPROX® HC Sterilant is intended for use in the terminal sterilization of properly prepared (cleaned, rinsed and dried) medical devices in Healthcare Facilities. The preprogrammed sterilization cycles operate at low pressure and low temperature, suitable for processing medical devices without leaving toxic residues.
Each Cycle can sterilize non-luments and instruments with diffusionrestricted spaces such as the hinged portion of forceps and scissors.
The V-PRO 60 Sterilizer Non Lumen Cycle can sterilize: t Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexible endoscopes. * The validation studies were conducted using a validation load consisting of one instrument tray for a total weight of 25 lbs (11.3 kg).
The V-PRO 60 Sterilizer Flexible Cycle can sterilize: @
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One surgical flexible endoscope (such as those used in ENT, Urology and Surgical Care) or bronchoscope with light cord (if not integral to endoscope), mat, and additional load.
- The flexible endoscope may be a single or dual lumen device with lumens . that are ≥ 1 mm (~3/64") internal diameter (ID) and ≤ 990 mm (38-63/64") in.
- Additional load, up to 11 lb (5 kg) can include stainless steel lumens with . the following dimensions
- ≥ 0.76 mm (~1/32") ID and ≤ 233 mm (~9 11/64") in length
- ≥ 1.0 mm (~3/64") ID and ≤ 254 mm (~10") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 542 mm (~21 5/16") in length
@ The validation studies were conducted using a validation load consisting of two instrument trays. One tray contained one flexible endoscope, with silicone mat, instrument organizers and light cord (if not integral to scope), and the second tray contained additional load and twelve (12) stainless steel lumens for a total load weight of 11 lbs (5 kg). Hospital loads should not exceed the maximum number of lumens validated by this testing.
The V-PRO 60 Sterilizer Lumen Cycle can sterilize: ^
Medical devices (including single, dual and triple channeled rigid and semi-rigid endoscopes) with the following configurations:
- . Single or dual channeled devices with stainless steel lumens that are ≥ 0.77 mm (~1/32") ID and ≤ 410 mm (16-9/64") in length > 1.8 mm (~5/64") ID x ≤ 542 mm (~21-5/16") in length.
- Triple channeled devices with stainless steel lumens that are either: ● > 1.2 mm (~3/64") ID and < 275 mm (~10-53/64") in length ≥ 1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length
^ Validation testing for all lumen sizes was conducted using a maximum of twelve (12) stainless steel lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray and two pouches for a total weight of 11 lbs (5.0 kg).
5. Technological Characteristics
Shown below is a comparison between the modified V-PRO s2 Low Temperature Sterilization System to the predicate device.
| Feature | V-PRO s2 Low TemperatureSterilization System(Modified Device)/K190917 | V-PRO s2 Low TemperatureSterilization System(Predicate Device/K182568) |
|---|---|---|
| --------- | ------------------------------------------------------------------------------- | -------------------------------------------------------------------------------- |
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STERIS Corporation Special Premarket Notification [510(k)] Modifications to V-PRO® s2 and V-PRO® 60 Low Temperature Sterilization Systems
| Indicationsfor Use | The V-PRO® s2 Low TemperatureSterilization System using VAPROX® HCSterilant is intended for use in the terminalsterilization of properly prepared (cleaned,rinsed and dried) medical devices inHealthcare Facilities. The pre-programmedsterilization cycles operate at low pressureand low temperature, suitable for processingmedical devices without leaving toxicresidues. | The V-PRO® s2 Low TemperatureSterilization System using VAPROX® HCSterilant is intended for use in the terminalsterilization of properly prepared (cleaned,rinsed and dried) medical devices inHealthcare Facilities. The pre-programmedsterilization cycles operate at low pressureand low temperature, suitable for processingmedical devices without leaving toxicresidues. |
|---|---|---|
| Each Cycle can sterilize non-lumenedinstruments and instruments with diffusion-restricted spaces such as the hinged portionof forceps and scissors. | Each Cycle can sterilize non-lumenedinstruments and instruments with diffusion-restricted spaces such as the hinged portionof forceps and scissors. | |
| The V-PRO s2 Sterilizer Non Lumen Cyclecan sterilize:‡Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexibleendoscopes. | The V-PRO s2 Sterilizer Non Lumen Cyclecan sterilize:‡Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexibleendoscopes. |
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| V-PRO s2 Low Temperature | V-PRO s2 Low Temperature | |
|---|---|---|
| Feature | Sterilization System(Modified Device/K190917) | Sterilization System(Predicate Device/K182568) |
| ‡ The validation studies were conducted usinga validation load consisting of one instrument | ‡ The validation studies were conducted usinga validation load consisting of one instrument | |
| tray for a total weight of 25 lbs (11.3 kg). | tray for a total weight of 25 lbs (11.3 kg). | |
| The V-PRO s2 Sterilizer Fast Cycle can | The V-PRO s2 Sterilizer Fast Cycle can | |
| sterilize:‡ | sterilize:‡ | |
| Medical devices (including single, dual and | Medical devices (including single, dual and | |
| triple channeled rigid and semi-rigid | triple channeled rigid and semi-rigid | |
| endoscopes) with the following | endoscopes) with the following | |
| configurations: | configurations: | |
| • Single or dual channeled devices withstainless steel lumens that are | • Single or dual channeled devices withstainless steel lumens that are ≥ 0.77 | |
| ≥ 0.77 mm (~1/32") internal diameter(ID) and ≤ 410 mm (~16-9/64") inlength | mm (~1/32") internal diameter (ID)and ≤ 410 mm (~16-9/64") in length | |
| • ≥ 1.8 mm (~5/64) ID x ≤ 542 mm(~21 5/16") in length | • Triple channeled devices with stainlesssteel lumens that are either: | |
| • Triple channeled devices with stainlesssteel lumens that are either:≥ 1.2 mm (~3/64") ID and ≤ 275 mm(~10-53/64") in length | ≥ 1.2 mm (~3/64") ID and ≤ 275 mm(~10-53/64") in length | |
| ≥ 1.8 mm (~5/64") ID and ≤ 310 mm(~12-13/64") in length | ≥ 1.8 mm (~5/64") ID and ≤ 310 mm(~12-13/64") in length | |
| or≥ 2.8 mm (~7/64") ID and ≤ 317 mm(12-31/64") in length | or≥ 2.8 mm (~7/64") ID and ≤ 317 mm(12-31/64") in length | |
| Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexibleendoscopes. | Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexibleendoscopes. | |
| ‡ Validation testing for all lumen sizes wasconducted using a maximum of eight (8)lumens per load. Hospital loads should notexceed the maximum number of lumensvalidated by this testing. Validation testingwas conducted using a validation loadconsisting of one pouched instrument tray andtwo pouched devices outside of the tray with atotal weight of 4.0 lbs (~1.8kg). | ‡ Validation testing for all lumen sizes wasconducted using a maximum of eight (8)lumens per load. Hospital loads should notexceed the maximum number of lumensvalidated by this testing. Validation testingwas conducted using a validation loadconsisting of one pouched instrument tray andtwo pouched devices outside of the tray with atotal weight of 4.0 lbs (~1.8kg). | |
| The V-PRO s2 Sterilizer Flexible Cycle cansterilize: @One surgical flexible endoscope (such asthose used in ENT, Urology and SurgicalCare) or bronchoscope with light cord (ifnot integral to endoscope), mat, andadditional load. | The V-PRO s2 Sterilizer Flexible Cycle cansterilize: @One surgical flexible endoscope (such asthose used in ENT, Urology and SurgicalCare) or bronchoscope with light cord (ifnot integral to endoscope), mat, andadditional load. | |
| • The flexible endoscope may be asingle or dual lumen device withlumens that are ≥ 1 mm (~3/64") IDand ≤ 990 mm (38-63/64") in length. | • The flexible endoscope may be asingle or dual lumen device withlumens that are ≥ 1 mm (~3/64") IDand ≤ 990 mm (38-63/64") in length. | |
| • Additional load, up to 11 lb (5 kg) caninclude stainless steel lumens with thefollowing dimensions | • Additional load, up to 11 lb (5 kg) caninclude stainless steel lumens with thefollowing dimensions | |
| ○ ≥ 2 mm (~5/64") ID and ≤ 400mm (~15 3/4") in length | ||
| ○ ≥ 0.76 mm (~1/32") ID and ≤ 233 | ||
| V-PRO s2 Low TemperatureSterilization System(Modified Device/K190917) | V-PRO s2 Low TemperatureSterilization System(Predicate Device/K182568) | |
| Feature | ≥ 0.76 mm (~1/32") ID and ≤ 233 mm(~9 11/64") in length≥ 1.0 mm (~3/64") ID and ≤ 254 mm(~10") in length≥ 1.8 mm (~5/64") ID and ≤ 542 mm(~21-5/16") in length@ The validation studies were conductedusing a validation load consisting of twoinstrument trays. One tray contained oneflexible endoscope, with silicone mat,instrument organizers and light cord (if notintegral to scope), and the second traycontained additional load and twelve (12)stainless steel lumens for a total load weight of11 lbs (5 kg). Hospital loads should not exceedthe maximum number of lumens validated bythis testing. | ≥ 1.0 mm (~3/64") ID and ≤ 254 mm (~10") in length@ The validation studies were conductedusing a validation load consisting of twoinstrument trays. One tray contained oneflexible endoscope, with silicone mat,instrument organizers and light cord (if notintegral to scope), and the second traycontained additional load and twelve (12)stainless steel lumens for a total load weight of11 lbs (5 kg). Hospital loads should not exceedthe maximum number of lumens validated bythis testing. |
| The V-PRO s2 Sterilizer Lumen Cycle cansterilize: ^Medical devices (including single, dual andtriple channeled rigid and semi-rigidendoscopes) with the followingconfigurations:Single or dual channeled devices withstainless steel lumens that are≥ 0.77 mm internal diameter (ID) and≤ 410 mm in length ≥ 1.8 mm (~5/64") ID x ≤ 542 mm (215/16") in length Triple channeled devices with stainlesssteel lumens that are either:≥ 1.2 mm (~3/64") ID and ≤ 275 mm(~10-53/64") in length≥ 1.8 mm (~5/64") ID and ≤ 310 mm(~12-13/64") in lengthor≥ 2.8 mm (~7/64") ID and ≤ 317 mm(12-31/64") in length ^ Validation testing for all lumen sizeswas conducted using a maximum oftwelve (12) stainless steel lumens perload. Hospital loads should not exceedthe maximum number of lumensvalidated by this testing. The validationstudies were performed using avalidation load consisting of oneinstrument tray and two pouches for a | The V-PRO s2 Sterilizer Lumen Cycle cansterilize: ^Medical devices (including single, dual andtriple channeled rigid and semi-rigidendoscopes) with the followingconfigurations:Single or dual channeled devices withstainless steel lumens that are ≥ 0.77mm internal diameter (ID) and ≤ 410mm in length Triple channeled devices with stainlesssteel lumens that are either:≥ 1.2 mm (~3/64") ID and ≤ 275 mm(~10-53/64") in length≥ 1.8 mm (~5/64") ID and ≤ 310 mm(~12-13/64") in lengthor≥ 2.8 mm (~7/64") ID and ≤ 317 mm(12-31/64") in length ^ Validation testing for all lumen sizeswas conducted using a maximum oftwelve (12) stainless steel lumens perload. Hospital loads should not exceedthe maximum number of lumensvalidated by this testing. The validationstudies were performed using avalidation load consisting of oneinstrument tray and two pouches for atotal weight of 11 lbs (5.0 kg). | |
| total weight of 11 lbs (5.0 kg). | ||
| ProcessParameters | The critical process parameters are:Time Chamber Temperature Vaporizer Temperature Chamber Pressure Prior to Injection | The critical process parameters are:Time Chamber Temperature Vaporizer Temperature Chamber Pressure Prior to Injection |
| Feature | V-PRO s2 Low TemperatureSterilization System(Modified Device/K190917) | V-PRO s2 Low TemperatureSterilization System(Predicate Device/K182568) |
| Software/FirmwareControlled | Control system consists of a microcomputercontrol board and peripheral function circuitboards, located within the control housing.A memory backup system maintains cyclesettings and current cycle information.The software allows user selection of eitherthe Lumen, Non Lumen, Flexible or Fastpre-programmed cycle. | Control system consists of a microcomputercontrol board and peripheral function circuitboards, located within the control housing.A memory backup system maintains cyclesettings and current cycle information.The software allows user selection of eitherthe Lumen, Non Lumen, or Flexible pre-programmed cycle. |
| Total CycleTime | Lumen Cycle - 60 minutesNon Lumen Cycle - 28 minutesFlexible Cycle - 38 minutesFast Cycle - 19 minutes | Lumen Cycle - 60 minutesNon Lumen Cycle - 28 minutesFlexible Cycle - 38 minutesFast Cycle - 19 minutes |
| Sterilant | VAPROX HC Sterilant (59% HydrogenPeroxide).1.1 g of sterilant is used for each sterilantinjection for all four cycles. | VAPROX HC Sterilant (59% HydrogenPeroxide).1.1 g of sterilant is used for each sterilantinjection for all three cycles |
| Accessories | Accessories include:● Self-contained biological indicator● Biological indicator challenge pack● Fast Acting Biological Indicator● Chemical indicator● Trays & Tray Accessories● Pouches● Tape | Accessories include:● Self-contained biological indicator● Biological indicator challenge pack● Fast Acting Biological Indicator● Chemical indicator● Trays & Tray Accessories● Pouches● Tape |
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STERIS Corporation Special Premarket Notification [510(k)] Modifications to V-PRO® s2 and V-PRO® 60 Low Temperature Sterilization Systems
The proposed device is identical to the predicate except for modification to the indications for use to allow sterilization of single and dual lumen stainless steel lumened devices with the following dimensions: ≥ 1.8 mm ID x ≤ 542 mm length in the Lumen, flexible and fast cycles. Note that with the addition of the 1.8mm x 542mm stainless steel lumen claim, the previous claim (2mm ID x 400mm length) that falls within the new claim has been removed from the Flexible Cycle.
Shown below is comparison of the modifications to the V-PRO 60 Low Temperature Sterilization System to the most recently cleared predicate device.
| V-PRO 60 Low TemperatureSterilization System(Proposed Device/K190917) | V-PRO 60 Low TemperatureSterilization System(Predicate Device/K182568) | |
|---|---|---|
| Feature | ||
| Indicationsfor Use | The V-PRO® s 60 Low TemperatureSterilization System using VAPROX® HCSterilant is intended for use in the terminalsterilization of properly prepared (cleaned,rinsed and dried) medical devices inHealthcare Facilities. The pre-programmedsterilization cycles operate at low pressureand low temperature, suitable for processingmedical devices without leaving toxicresidues.Each Cycle can sterilize non-lumenedinstruments and instruments with diffusion- | The V-PRO®s 60 Low TemperatureSterilization System using VAPROX® HCSterilant is intended for use in the terminalsterilization of properly prepared (cleaned,rinsed and dried) medical devices inHealthcare Facilities. The pre-programmedsterilization cycles operate at low pressureand low temperature, suitable for processingmedical devices without leaving toxicresidues.Each Cycle can sterilize non-lumenedinstruments and instruments with diffusion- |
| Feature | V-PRO 60 Low TemperatureSterilization System(Proposed Device/K190917) | V-PRO 60 Low TemperatureSterilization System(Predicate Device/K182568) |
| restricted spaces such as the hinged portionof forceps and scissors. | restricted spaces such as the hinged portionof forceps and scissors. | |
| The V-PRO 60 Sterilizer Non Lumen Cyclecan sterilize:‡Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexibleendoscopes.‡ The validation studies were conducted usinga validation load consisting of one instrumenttray for a total weight of 25 lbs (11.3 kg). | The V-PRO 60 Sterilizer Non Lumen Cyclecan sterilize:‡Non-lumened instruments including non-lumened general medical instruments, non-lumened rigid, semi-rigid and flexibleendoscopes.‡ The validation studies were conducted usinga validation load consisting of one instrumenttray for a total weight of 25 lbs (11.3 kg). | |
| The V-PRO 60 Sterilizer Flexible Cycle cansterilize:@One surgical flexible endoscope (such asthose used in ENT, Urology and SurgicalCare) or bronchoscope with light cord (ifnot integral to endoscope), mat, andadditional load.The flexible endoscope may be a singleor dual lumen device with lumens thatare ≥ 1 mm (~3/64") ID and ≤ 990 mm(38-63/64") in length. Additional load, up to 11 lb (5 kg) caninclude stainless steel lumens with thefollowing dimensions ≥ 0.76 mm (~1/32") ID and ≤ 233 mm(~9 11/64") in length ≥ 1.0 mm (~3/64") ID and ≤ 254 mm(~10") in length ≥ 1.8 mm (~5/64") ID and ≤ 542 mm(~21 5/16") in length @ The validation studies were conductedusing a validation load consisting of twoinstrument trays. One tray contained oneflexible endoscope, with silicone mat,instrument organizers and light cord (if notintegral to scope), and the second traycontained additional load and twelve (12)stainless steel lumens for a total load weight of11 lbs (5 kg). Hospital loads should not exceedthe maximum number of lumens validated bythis testing. | The V-PRO 60 Sterilizer Flexible Cycle cansterilize: @One surgical flexible endoscope (such asthose used in ENT, Urology and SurgicalCare) or bronchoscope with light cord (ifnot integral to endoscope), mat, andadditional load.The flexible endoscope may be a singleor dual lumen device with lumens thatare ≥ 1 mm (~3/64") ID and ≤ 990 mm(38-63/64") in length Additional load, up to 11 lb (5 kg) caninclude stainless steel lumens with thefollowing dimensions ≥ 2 mm (~5/64") ID and ≤ 400 mm(~15 3/4") in length ≥ 0.76 mm (~1/32") ID and ≤233mm (~9 11/64") in length ≥ 1.0 mm (~3/64") ID and ≤ 254mm (~10") in length @ The validation studies were conductedusing a validation load consisting of twoinstrument trays. One tray contained oneflexible endoscope, with silicone mat,instrument organizers and light cord (if notintegral to scope), and the second traycontained additional load and twelve (12)stainless steel lumens for a total load weight of11 lbs (5 kg). Hospital loads should not exceedthe maximum number of lumens validated bythis testing. | |
| The V-PRO 60 Sterilizer Lumen Cycle cansterilize: ^Medical devices (including single, dual andtriple channeled rigid and semi-rigidendoscopes) with the followingconfigurations:Single or dual channeled deviceswith stainless steel lumens that are | The V-PRO 60 Sterilizer Lumen Cycle cansterilize: ^Medical devices (including single, dual andtriple channeled rigid and semi-rigidendoscopes) with the followingconfigurations:Single or dual channeled deviceswith stainless steel lumens that are>0.77 mm (~1/32") internal | |
| Feature | V-PRO 60 Low TemperatureSterilization System(Proposed Device/K190917) | V-PRO 60 Low TemperatureSterilization System(Predicate Device/K182568) |
| ≥ 0.77 mm (~1/32") internaldiameter (ID) and ≤ 410 mm (16-9/64") in length≥ 1.8 mm (~5/64") ID x ≤ 542mm (21 5/16") in length• Triple channeled devices withstainless steel lumens that areeither:≥ 1.2 mm (~3/64") ID and ≤ 275mm (~10-53/64") in length≥ 1.8 mm (~5/64") ID and ≤ 310mm (~12-13/64") in lengthor≥ 2.8 mm (~7/64") ID and ≤ 317mm (12-31/64") in length^ Validation testing for all lumen sizeswas conducted using a maximum oftwelve (12) stainless steel lumens perload. Hospital loads should not exceed themaximum number of lumens validated bythis testing. The validation studies wereperformed using a validation loadconsisting of one instrument tray and twopouches for a total weight of 11 lbs (5.0kg). | diameter (ID) and ≤ 410 mm (16-9/64") in length• Triple channeled devices withstainless steel lumens that areeither:≥ 1.2 mm (~3/64") ID and ≤ 275mm (~10-53/64") in length≥ 1.8 mm (~5/64") ID and ≤ 310mm (~12-13/64") in lengthor≥ 2.8 mm (~7/64") ID and ≤ 317mm (12-31/64") in length^ Validation testing for all lumen sizes wasconducted using a maximum of twelve (12)stainless steel lumens per load. Hospitalloads should not exceed the maximumnumber of lumens validated by this testing.The validation studies were performedusing a validation load consisting of oneinstrument tray and two pouches for a totalweight of 11 lbs (5.0 kg). | |
| ProcessParameters | The critical process parameters are:• Time• Chamber Temperature• Vaporizer Temperature• Chamber Pressure Prior to Injection• Sterilant Injection Weight | The critical process parameters are:• Time• Chamber Temperature• Vaporizer Temperature• Chamber Pressure Prior to Injection• Sterilant Injection Weight |
| Software/FirmwareControlled | Control system consists of a microcomputercontrol board and peripheral function circuitboards, located within the control housing.A memory backup system maintains cyclesettings and current cycle informationindefinitely.The software allows user selection of eitherthe Lumen, Non Lumen, or Flexible pre-programmed cycle. | Control system consists of a microcomputercontrol board and peripheral function circuitboards, located within the control housing.A memory backup system maintains cyclesettings and current cycle informationindefinitely.The software allows user selection of eitherthe Lumen, Non Lumen, or Flexible pre-programmed cycle. |
| TotalCycle Time | Lumen Cycle - 60 minutesNon Lumen Cycle - 28 minutesFlexible Cycle - 38 minutes | Lumen Cycle - 60 minutesNon Lumen Cycle - 28 minutesFlexible Cycle - 38 minutes |
| Sterilant | VAPROX HC Sterilant (59% HydrogenPeroxide).1.1 g of sterilant is used for each sterilantinjection for all three cycles. | VAPROX HC Sterilant (59% HydrogenPeroxide).1.1 g of sterilant is used for each sterilantinjection for all three cycles. |
| Feature | V-PRO 60 Low TemperatureSterilization System(Proposed Device/K190917) | V-PRO 60 Low TemperatureSterilization System(Predicate Device/K182568) |
| Accessories | Accessories include:• Self-contained biological indicator• Biological indicator challenge pack• Fast Acting Biological Indicator• Chemical indicator• Trays & Tray Accessories• Pouches• Tape | Accessories include:• Self-contained biological indicator• Biological indicator challenge pack• Fast Acting Biological Indicator• Chemical indicator• Trays & Tray Accessories• Pouches• Tape |
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STERIS Corporation Special Premarket Notification [510(k)] Modifications to V-PRO® s2 and V-PRO® 60 Low Temperature Sterilization Systems
The proposed device is identical to the predicate except for modification to the indications for use to allow sterilization of single and dual lumen stainless steel lumened devices with the following dimensions: ≥ 1.8 mm ID x ≤ 542 mm length in the Lumen, flexible and fast cycles. Note that with the addition of the 1.8mm x 542 mm stainless steel lumen claim, the previous claim (2mm ID x 400mm length) that falls within the new claim has been removed from the Flexible Cycle.
The Reference Devices, V-PRO® 1, V-PRO® 1 Plus, V-PRO® maX and V-PRO® maX 2 Low Temperature Sterilization Systems are 136 L chamber sterilizers. They have the same technological characteristics, mechanism of action and intended use as the proposed devices were cleared in K190103 for the same modification to the indications for use described in this submission.
6. Summary of Nonclinical Tests
The modified sterilizers have the same intended use and same technological characteristics as the predicate devices. Performance testing for the subject device were identical to the methods used to validate predicate device. Shown below is a summary of those methods below.
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STERIS Corporation Special Premarket Notification [510(k)] Modifications to V-PRO® s2 and V-PRO® 60 Low Temperature Sterilization Systems
| Test | Result | Conclusion |
|---|---|---|
| 1/2 Cycle ModifiedTotal Kill EndpointVerification | ½ Cycle modified total kill end point analysiswas demonstrated for the sterilizer cycles. Thestandard injection weight of 1.1 g and at least onelower injection weight resulted in all sterileresults within the validation load used to qualifyeach sterilizer cycle. Partial positives or allsurvive results were seen at lower injectionweights. | PASS |
| Simulated Use Test | Simulated use testing verified the ability of thesterilizer cycles to sterilize medical devices underworst-case processing conditions. | PASS |
7. Conclusion
Based on the intended use, technological characteristics and non-clinical performance data, the V-PRO® 60 Low Temperature Sterilization System and V-PRO® s2 Low Temperature Sterilization System is as safe, as effective and performs as well as or better than the legally marketed predicate device K182568, Class II (21 CFR 880.6860), product code MLR.
§ 880.6860 Ethylene oxide gas sterilizer.
(a)
Identification. An ethylene gas sterilizer is a nonportable device intended for use by a health care provider that uses ethylene oxide (ETO) to sterilize medical products.(b)
Classification. Class II (performance standards).