K Number
K191566
Device Name
Avinent Surgical Tray
Date Cleared
2020-03-06

(267 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Avinent Surgical Tray is designed to hold various dental surgical drills and tools in order to organize, steam sterilize, and transport the instruments between uses. The tray is to be enclosed in an FDA cleared steam sterilizable wrap and sterilized in an FDA cleared sterilizer for the following cycle: Prevaccum Steam - At 132° for 4 minutes with a 30 minute dry time. -The trays are intended for sterilization of non-porous loads. -The trays are recommended not to be stacked during sterilization. -The Biomimetic Coral Sterilization Cassette Guided Surgery represents the worst case validated load due to the number of components (32 instruments) and the weight of 599.6 grams. -Avinent Implant System SLU does not make any lumen claims for the Avinent Surgical Tray. -The tray will be marketed in the variations found in the following table.
Device Description
The Avinent Surgical Tray is a reusable rigid sterilization container or organizing tray intended for use in health care facilities for the purpose of containing reusable medical devices for sterilization. It is composed of multiple pieces, designed to be integrated into a single unit which contains and protects the interior components during sterilization. Each tray consists of three components – a base tray, a lid, and an internal individualized insert tray. All of the three components are perforated for steam penetration. The internal tray has the ability to hold individualized pieces and accessories which include dental tools, drills, and torque wrench. The tray is available in one size, 207.5 x 157.5 x 71.7mm. The tray comes in two variations, Coral and Ocean. The rigid multi-piece tray holds dental device apparatus and accessories before, during and after the sterilization process. The tray set has a locking lid to contain the products. The trays are designed to fit any standard autoclave, which allows them to be effective for sterilization and be able to withstand the environment of repeated steam sterilization cycles in normal operating room. Since the trays are perforated, an FDA cleared wrap must be used for sterilization purposes to maintain the sterility of contents. The trays are reusable and the tray material allows repeated sterilization cycles. The lid, base, and insert are made of Radel R-5000. This material is a polymer resin produced by Solvay Advanced Polymers, LLC and is identical to the Radel used in predicate device cleared under K142519. Radel R 5000 CL 301 is used for the lid, Radel R-5100 BK # 937 is used for the base and Radel R-5100 GY #1037 is used for the insert tray where all the drills and tools are mounted. The small circular brackets (grommets) throughout the insert tray which are used to contain drills and the tool holder with cradle on the base tray are made of medical grade silicone material which has been manufactured to meet FDA 21 CFR 177.2600. These brackets and holders are used to secure the instruments during transport, sterilization, and storage. Although these trays are reusable they will not be serviced or repaired. The instruments to be sterilized in the proposed trays are all non-porous devices and included dental surgical drills and tools. The tools and drills are all class I exempt.
More Information

Not Found

No
The device description and intended use are solely focused on a physical tray for organizing and sterilizing dental instruments. There is no mention of any software, data processing, or intelligent capabilities.

No.
Explanation: The device is a sterilization and organization tray for dental tools, not a device used for the diagnosis, cure, mitigation, treatment, or prevention of disease.

No

The device is a surgical tray designed for organizing, sterilizing, and transporting dental surgical drills and tools. Its purpose is to facilitate the sterilization process and protect instruments, not to diagnose medical conditions or provide diagnostic information.

No

The device description clearly indicates it is a physical surgical tray made of polymer resin and silicone, designed to hold and sterilize dental instruments. It does not mention any software components.

Based on the provided text, the Avinent Surgical Tray is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use clearly states that the tray is designed to hold, organize, sterilize, and transport dental surgical drills and tools. This is a function related to the preparation and handling of medical devices, not for performing diagnostic tests on biological samples.
  • Device Description: The description focuses on the physical characteristics of the tray, its materials, and its function in the sterilization process. There is no mention of it being used with biological samples or for diagnostic purposes.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD device, such as reagents, calibrators, controls, or the analysis of biological specimens.

The device is a reusable medical device intended for the sterilization of other medical devices.

N/A

Intended Use / Indications for Use

The Avinent Surgical Tray is designed to hold various dental surgical drills and tools in order to organize, steam sterilize, and transport the instruments between uses. The tray is to be enclosed in an FDA cleared steam sterilizable wrap and sterilized in an FDA cleared sterilizer for the following cycle:
Prevaccum Steam - At 132° for 4 minutes with a 30 minute dry time.
-The trays are intended for sterilization of non-porous loads.
-The trays are recommended not to be stacked during sterilization.
-The Biomimetic Coral Sterilization Cassette Guided Surgery represents the worst case validated load due to the number of components (32 instruments) and the weight of 599.6 grams.
-Avinent Implant System SLU does not make any lumen claims for the Avinent Surgical Tray.
-The tray will be marketed in the variations found in the following table.

| DEVICE MODEL NAME | MAX no. of
INSTRUMENTS | WEIGHT of each
tray FULL (g) | WEIGHT of each
tray EMPTY (g) |
|:------------------------------------------|:--------------------------|:--------------------------------|:---------------------------------|
| Biomimetic Coral Sterilization
Cassette Guided Surgery | 32 | 599.6 | 510.0 |
| Biomimetic Ocean Sterilization
Cassette Guided Surgery | 26 | 592.8 | 510.0 |

Product codes

KCT

Device Description

The Avinent Surgical Tray is a reusable rigid sterilization container or organizing tray intended for use in health care facilities for the purpose of containing reusable medical devices for sterilization. It is composed of multiple pieces, designed to be integrated into a single unit which contains and protects the interior components during sterilization. Each tray consists of three components – a base tray, a lid, and an internal individualized insert tray. All of the three components are perforated for steam penetration. The internal tray has the ability to hold individualized pieces and accessories which include dental tools, drills, and torque wrench. The tray is available in one size, 207.5 x 157.5 x 71.7mm. The tray comes in two variations, Coral and Ocean.

The rigid multi-piece tray holds dental device apparatus and accessories before, during and after the sterilization process. The tray set has a locking lid to contain the products. The trays are designed to fit any standard autoclave, which allows them to be effective for sterilization and be able to withstand the environment of repeated steam sterilization cycles in normal operating room. Since the trays are perforated, an FDA cleared wrap must be used for sterilization purposes to maintain the sterility of contents. The trays are reusable and the tray material allows repeated sterilization cycles. The lid, base, and insert are made of Radel R-5000. This material is a polymer resin produced by Solvay Advanced Polymers, LLC and is identical to the Radel used in predicate device cleared under K142519. Radel R 5000 CL 301 is used for the lid, Radel R-5100 BK # 937 is used for the base and Radel R-5100 GY #1037 is used for the insert tray where all the drills and tools are mounted. The small circular brackets (grommets) throughout the insert tray which are used to contain drills and the tool holder with cradle on the base tray are made of medical grade silicone material which has been manufactured to meet FDA 21 CFR 177.2600. These brackets and holders are used to secure the instruments during transport, sterilization, and storage. Although these trays are reusable they will not be serviced or repaired.

The instruments to be sterilized in the proposed trays are all non-porous devices and included dental surgical drills and tools. The tools and drills are all class I exempt.

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

health care 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)

Name of TestingPurpose of TestingAcceptance CriteriaResults
Cleaning ValidationValidate the cleaning cycle in the instructions for useNo visible soil.
Hemoglobin less than 2.2μg/cm². Protein level ≤6.4 μg/cm².
MEM reactivity grade of 2 or less.No visible soil. All acceptance criteria met.
Steam Sterilization
ValidationValidate the half-cycle
of the cycle in the
instructions for useNo growth on half
cycles. No moisture on
full drying cycle. Pass
on Chemical Indicators
half and full cycle.Pass on chemical
indicators half and full
cycle. No moisture on
full drying cycle. No
growth on half cycle.
100 cycles sterilizationShow the tray will last
at least 100
sterilization cyclesPass visual inspection
and test of
functionality.At all cycle counts
passed visual
inspection and test of
functionality.
CytotoxicitySterilized instruments
were tested to
demonstrate their
were no residuals on
them which would
change their
biocompatibility.Pass is a score of no
greater than 2Pass with score of 0

Cleaning validation using a manual method was done following simulated use according to the cleaning method in the instructions for use. Steam sterilization (half cycle) based on the cycle listed in the indications for use was completed. A second steam sterilization based on this cycle was done with thermal profiling. Sterilization of the tray was done to verify the tray safely last for 100 cycles. No changes were noted in the test articles after 100 cycles. Cytotoxicity (ISO 10993-5) of the instruments placed in the tray for sterilization was done after a sterilization cycle was completed to show there were no residuals from the tray on the instruments which would change their biocompatibility.

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

Not Found

Predicate Device(s)

K142519

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/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: a symbol on the left and the FDA name on the right. The symbol on the left is a stylized image of a human figure, while the FDA name on the right is written in blue letters. The words "U.S. FOOD & DRUG ADMINISTRATION" are written in a clear, sans-serif font.

March 6, 2020

AVINENT Implant System, S.L.U. % Angela Blackwell Senior Consultant Blackwell Device Consulting P.O. Box 718 Gresham, Oregon 97030-0172

Re: K191566

Trade/Device Name: Avinent Surgical Tray Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: KCT Dated: January 28, 2020 Received: February 4, 2020

Dear Angela Blackwell:

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 statutes and regulations administered by other Federal agencies. You must comply with all the Act's

1

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/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-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 Sreekanth Gutala, Ph.D. Acting Assistant 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

2

Indications for Use

510(k) Number (if known)

K191566

Device Name Avinent Surgical Tray

Indications for Use (Describe)

The Avinent Surgical Tray is designed to hold various dental surgical drills and tools in order to organize, steam sterilize, and transport the instruments between uses. The tray is to be enclosed in an FDA cleared steam sterilizable wrap and sterilized in an FDA cleared sterilizer for the following cycle:

Prevaccum Steam - At 132° for 4 minutes with a 30 minute dry time.

-The trays are intended for sterilization of non-porous loads.

-The trays are recommended not to be stacked during sterilization.

-The Biomimetic Coral Sterilization Cassette Guided Surgery represents the worst case validated load due to the number of components (32 instruments) and the weight of 599.6 grams.

-A vinent Implant System SLU does not make any lumen claims for the Avinent Surgical Tray.

-The tray will be marketed in the variations found in the following table.

| DEVICE MODEL NAME | MAX no. of
INSTRUMENTS | WEIGHT of each
tray FULL (g) | WEIGHT of each
tray EMPTY (g) |
|-----------------------------------------------------------|---------------------------|---------------------------------|----------------------------------|
| Biomimetic Coral Sterilization
Cassette Guided Surgery | 32 | 599.6 | 510.0 |
| Biomimetic Ocean Sterilization
Cassette Guided Surgery | 26 | 592.8 | 510.0 |

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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

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

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

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

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

3

Avinent Surgical Tray 510k Summary K191566

AVINENT Implant System S.L.U.

Pol. Ind. Santa Anna I - 08251 Santpedor Barcelona, Spain

+34 902 38 38 48

March 3, 2020

Submission Contact: Angela Blackwell Blackwell Device Consulting P.O. Box 718 Gresham, OR 97030-0172 (704) 450-9934 angela@blackwelldevice.com

Classification Name: Sterilization Wrap Containers, Trays, Cassettes, and other accessories

Common Name: Instrument Sterilization Tray

Regulation Number: 21 CFR 880.6850

Product Code: KCT

Class: II

Predicate Device: Implant Direct Interactive Complete Surgical Tray K142519

Device Description:

The Avinent Surgical Tray is a reusable rigid sterilization container or organizing tray intended for use in health care facilities for the purpose of containing reusable medical devices for sterilization. It is composed of multiple pieces, designed to be integrated into a single unit which contains and protects the interior components during sterilization. Each tray consists of three components – a base tray, a lid, and an internal individualized insert tray. All of the three components are perforated for steam penetration. The internal tray has the ability to hold individualized pieces and accessories which include dental tools, drills, and torque wrench. The tray is available in one size, 207.5 x 157.5 x 71.7mm. The tray comes in two variations, Coral and Ocean.

The rigid multi-piece tray holds dental device apparatus and accessories before, during and after the sterilization process. The tray set has a locking lid to contain the products. The trays are designed to fit any standard autoclave, which allows them to be effective for sterilization and be able to withstand the environment of repeated steam sterilization cycles in normal operating room. Since the trays are perforated, an FDA cleared wrap must be used for sterilization purposes to maintain the sterility of contents.

4

The trays are reusable and the tray material allows repeated sterilization cycles. The lid, base, and insert are made of Radel R-5000. This material is a polymer resin produced by Solvay Advanced Polymers, LLC and is identical to the Radel used in predicate device cleared under K142519. Radel R 5000 CL 301 is used for the lid, Radel R-5100 BK # 937 is used for the base and Radel R-5100 GY #1037 is used for the insert tray where all the drills and tools are mounted. The small circular brackets (grommets) throughout the insert tray which are used to contain drills and the tool holder with cradle on the base tray are made of medical grade silicone material which has been manufactured to meet FDA 21 CFR 177.2600. These brackets and holders are used to secure the instruments during transport, sterilization, and storage. Although these trays are reusable they will not be serviced or repaired.

The instruments to be sterilized in the proposed trays are all non-porous devices and included dental surgical drills and tools. The tools and drills are all class I exempt.

Indications for Use:

The Avinent Surgical Tray is designed to hold various dental surgical drills and tools in order to organize, steam sterilize, and transport the instruments between uses. The tray is to be enclosed in an FDA cleared steam sterilizable wrap and sterilized in an FDA cleared sterilizer for the following cycle:

Prevaccum Steam - At 132° for 4 minutes with a 30 minute dry time.

-The trays are intended for sterilization of non-porous loads.

-The trays are recommended not to be stacked during sterilization.

-The Biomimetic Coral Sterilization Cassette Guided Surgery represents the worst case validated load due to the number of components (32 instruments) and the weight of 599.6 grams.

-Avinent Implant System SLU does not make any lumen claims for the Avinent Surgical Tray.

-The tray will be marketed in the variations found in the following table.

| DEVICE MODEL NAME | MAX no. of
INSTRUMENTS | WEIGHT of each
tray FULL (g) | WEIGHT of each
tray EMPTY (g) |
|-----------------------------------------------------------|---------------------------|---------------------------------|----------------------------------|
| Biomimetic Coral Sterilization
Cassette Guided Surgery | 32 | 599.6 | 510.0 |
| Biomimetic Ocean Sterilization
Cassette Guided Surgery | 26 | 592.8 | 510.0 |

Technological Characteristics Comparison Table:

The table below provide a technological characteristics comparison of the Avinent Surgical Tray to the predicate device the InterActive Complete Surgical Tray.

| Device | Avinent Surgical Tray
(K191566) | InterActive Complete Surgical
Tray (K142519) |
|--------------|------------------------------------|-------------------------------------------------|
| Product Code | KCT | KCT |

5

Indications for UseThe Avinent Surgical Tray is designed to hold various dental surgical drills and tools in order to organize, steam sterilize, and transport the instruments between uses.The InterActive Complete Surgical Tray is designed to hold various dental surgical drills and tools in order to organize, steam sterilize, and transport the instruments between uses.
Material CompositionPolymer Resin Radel-5000, biomedical grade siliconePolymer Resin Radel-5000, biomedical grade silicone
DesignPlastic tray with locking lid and silicone containment brackets.Plastic tray with locking lid and silicone containment brackets.
Sterilization by
1 Gravity SteamNoYes
2 Pre Vaccuum SteamYesYes
Air PermeanceYesYes
Vent to Volume Ratio$0.011 in²/in³$$.184 in²/in³$
Locking System to hold lid in placeYesYes
ReusableYesYes
StackableNoNo
Material compatibility with sterilization processYesYes
Sterilant Penetration StudiesYesYes
BiocompatibilityCytotoxicity tests conducted according to ISO 10993-5 and – 12.Cytotoxicity tests conducted according to ISO 10993-5 and – 12.
Cleaning Instructions for Reusable Devices ValidatedYesYes
Repeat Sterilization to show material compatibility over timeYesYes
Drying TimeYesYes
Method to Preserve Sterility of the TrayFDA cleared wrapFDA cleared wrap

Summary of Non-Clinical Testing:

Provided below are the non-clinical testing performed with the subject device to demonstrate that the device met the acceptance criteria of the test method or the standard.

Name of TestingPurpose of TestingAcceptance CriteriaResults
Cleaning ValidationValidate the cleaning cycle in the instructions for useNo visible soil.
Hemoglobin less than 2.2μg/cm². Protein level ≤6.4 μg/cm².
MEM reactivity grade of 2 or less.No visible soil. All acceptance criteria met.

6

| Steam Sterilization
Validation | Validate the half-cycle
of the cycle in the
instructions for use | No growth on half
cycles. No moisture on
full drying cycle. Pass
on Chemical Indicators
half and full cycle. | Pass on chemical
indicators half and full
cycle. No moisture on
full drying cycle. No
growth on half cycle. |
|-----------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------|
| 100 cycles sterilization | Show the tray will last
at least 100
sterilization cycles | Pass visual inspection
and test of
functionality. | At all cycle counts
passed visual
inspection and test of
functionality. |
| Cytotoxicity | Sterilized instruments
were tested to
demonstrate their
were no residuals on
them which would
change their
biocompatibility. | Pass is a score of no
greater than 2 | Pass with score of 0 |

Cleaning validation using a manual method was done following simulated use according to the cleaning method in the instructions for use. Steam sterilization (half cycle) based on the cycle listed in the indications for use was completed. A second steam sterilization based on this cycle was done with thermal profiling. Sterilization of the tray was done to verify the tray safely last for 100 cycles. No changes were noted in the test articles after 100 cycles. Cytotoxicity (ISO 10993-5) of the instruments placed in the tray for sterilization was done after a sterilization cycle was completed to show there were no residuals from the tray on the instruments which would change their biocompatibility.

Conclusion: The conclusions drawn from the nonclinical test demonstrate that the Avinent Surgical Tray is as safe, as effective, and performs as well as or better than the legally marketed predicate device, Interactive Complete Surgical Tray.