K Number
K192362
Device Name
Aero Blue Performance Surgical Gowns
Manufacturer
Date Cleared
2019-12-13

(105 days)

Product Code
Regulation Number
878.4040
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Aero Blue Performance Surgical gowns are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids, and particulate matter. The Aero Blue Performance Surgical Gowns meet the Level 3 AAMI PB70:2012 Liquid Barrier classifications.
Device Description
The Aero Blue Performance Surgical Gowns have a SMS/F/SMS design (Spunbond-Meltblown-Spunbond/Film/Spunbond-Meltblown-Spunbond) that provides a PB70:2012 Level 3 Liquid Barrier Performance Barrier in the critical zone. The back of the gown has a Spundbond-Meltblown-Spunbond (SMS) fabric which allows for air-breathability with an AAMI Level 1 Liquid Barrier Performance Barrier. The Aero Blue Performance Surgical Gown is a single use gown, supplied sterile (via Ethylene Oxide) or as bulk non-sterile product. The gowns come in the following various sizes: Small, Large, X-Large, XX-Large, XXX-Large, X-Long XL, X-Long XXL.
More Information

Not Found

No
The device description and performance studies focus solely on the material properties and barrier performance of surgical gowns, with no mention of AI or ML technologies.

No.
The device is a surgical gown intended to protect healthcare workers and patients from microorganisms, fluids, and particulate matter, not to treat or cure a disease or condition.

No

The device is a surgical gown, not a diagnostic tool. Its purpose is to protect healthcare workers and patients from the transfer of microorganisms and fluids, not to diagnose a condition.

No

The device description clearly indicates it is a physical surgical gown made of fabric materials, not software.

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

Here's why:

  • Intended Use: The intended use clearly states the gowns are for protecting healthcare professionals and patients from the transfer of microorganisms, body fluids, and particulate matter. This is a barrier function, not a diagnostic function.
  • Device Description: The description focuses on the materials and construction of the gown for barrier protection. There is no mention of analyzing samples from the human body or providing diagnostic information.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in samples
    • Providing information for diagnosis, monitoring, or screening

Therefore, the Aero Blue Performance Surgical Gowns are classified as medical devices, specifically surgical apparel, but not as In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The Aero Blue Performance Surgical gowns are steile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the healthcate worker from the transfer of microorganisms, body fluuds, and particulate matter. The Aero Blue Performance Surgical Gowns meet the Level 3 AAMI PB70:2012 Liqud Barier classifications.

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

FYA

Device Description

The Aero Blue Performance Surgical Gowns have a SMS/F/SMS design (Spunbond-Meltblown-Spunbond/Film/Spunbond-Meltblown-Spunbond) that provides a PB70:2012 Level 3 Liquid Barrier Performance Barrier in the critical zone. The back of the gown has a Spundbond-Meltblown-Spunbond (SMS) fabric which allows for air-breathability with an AAMI Level 1 Liquid Barrier Performance Barrier.

The Aero Blue Performance Surgical Gown is a single use gown, supplied sterile (via Ethylene Oxide) or as bulk non-sterile product. The gowns come in the following various sizes: Small, Large, X-Large, XX-Large, XXX-Large, X-Long XL, X-Long XXL.

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 professionals

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

Not Found

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

Not Found

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

Performance Testing: Testing conducted to support the changes of subject device shows that the Aero Blue Performance Surgical Gown is similar to the predicate device Aero Blue Performance Surgical Gown (K140539) in design, intended use, sterility, and technological characteristics. In the critical zone, the Aero Blue Performance Surgical Gowns meet the Level 3 AAMI PB70:2012 Liquid Barrier classification. The back of the gown meets the Level 1 AAMI PB70:2012 Liquid Barrier classification.

Non-Clinical Testing: The conclusions drawn from the non-clinical tests demonstrate that the subject device is as safe, as effective and performs as well as or better than the legally marketed predicate device.

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

Not Found

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.

K140539 - Aero Blue Performance Surgical Gowns

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.

Not Found

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

§ 878.4040 Surgical apparel.

(a)
Identification. Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.(b)
Classification. (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible.
(ii) Analysis and nonclinical testing must:
(A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and
(B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device.
(iii) NIOSH approved under its regulation.
(2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

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: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" in a square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION".

December 13, 2019

O&M Halyard, Inc. Kimberly Lewis Senior Manager, Regulatory Affairs 9120 Lockwood Blvd Mechanicsville, Virginia 23116

Re: K192362

Trade/Device Name: Aero Blue Performance Surgical Gowns Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical apparel Regulatory Class: Class II Product Code: FYA Dated: August 29, 2019 Received: August 30, 2019

Dear Kimberly Lewis:

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

1

542 of the Act); 21 CFR 1000-1050.

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 801and Part 809; 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 (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-

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 medical devices and radiation-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,

Elizabeth F. Claverie-Williams, MS Assistant Director. THT4B2: Disinfection Reprocessing and Personal Protection 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)

K192362

Device Name

Aero Blue Performance Surgical Gowns

Indications for Use (Describe)

The Aero Blue Performance Surgical gowns are steile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the healthcate worker from the transfer of microorganisms, body fluuds, and particulate matter. The Aero Blue Performance Surgical Gowns meet the Level 3 AAMI PB70:2012 Liqud Barier classifications.

Non-Sterile Product Codes

Product CodeDevice DescriptionGown Size
41722NSAero Blue Performance Surgical Gown with Towel in Overwrap, LLarge
41723NSAero Blue Performance Surgical Gown with Towel in Overwrap, XLX-Large
41725NSAero Blue Performance Surgical Gown, X-Long, LX-Long, Large
41727NSAero Blue Performance Surgical Gown, X-Long, XLX-Long, X-Large
41737NSAero Blue Performance Surgical Gown, LLarge
41738NSAero Blue Performance Surgical Gown, XLX-Large
41739NSAero Blue Performance Surgical Gown, LLarge
41740NSAero Blue Performance Surgical Gown, XLX-Large
41741NSAero Blue Performance Surgical Gown, XXLXX-Large
43623NSAero Blue Performance Surgical Gown, XXL, X-LongX-Long, XX-Large
43941NSAero Blue Performance Surgical Gown, SSmall
Sterile Product Codes
Product CodeDevice DescriptionGown Size
41724Aero Blue Performance Surgical Gown, X-Long, LX-Long, Large
41726Aero Blue Performance Surgical Gown, X-Long, XLX-Long, X-Large
41732Aero Blue Performance Surgical Gown, SSmall
41733Aero Blue Performance Surgical Gown, LLarge
41734Aero Blue Performance Surgical Gown, XLX-Large
41735Aero Blue Performance Surgical Gown, XXLXX-Large
41736Aero Blue Performance Surgical Gown, XXXLXXX-Large
43938Aero Blue Performance Surgical Gown with Towel, X-Long, XXLX-Long, XX-Large

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)

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Image /page/4/Picture/0 description: The image features two company logos side-by-side. On the left is the Owens & Minor logo, with a stylized "OM" in maroon and the company name in gray. To the right is the Halyard logo, which includes a green and white symbol resembling a stylized sail or upward-pointing arrow within a dark blue circle, followed by the company name "HALYARD" in dark blue, bold sans-serif font. The logos are positioned horizontally, suggesting a partnership or comparison between the two companies.

510(k) Summary

| 510(k)

Number:K192362
Date
Prepared:November 19, 2019
510(k)
Sponsor:O&M Halyard Inc.
9120 Lockwood Boulevard
Mechanicsville, VA 23116
Regulatory
Contact:Kimberly Lewis
5405 Windward Pkwy
3rd Floor West
Alpharetta, GA 30004
470-280-4388
Kimberly.lewis@hyh.com
Device Trade
Name:Aero Blue Performance Surgical Gowns
Device
Common
Name:Surgical Gown
FDA Device
Product Code:FYA
FDA Device
Classification:Class II
FDA Device
Name:Gown, Surgical
FDA
Regulation
Number:21 CFR 878.4040
Predicate
Device:K140539 - Aero Blue Performance Surgical Gowns
Device
Description:The Aero Blue Performance Surgical Gowns have a SMS/F/SMS
design (Spunbond-Meltblown-Spunbond/Film/Spunbond-

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Image /page/5/Picture/0 description: The image shows the logos of two companies, Owens & Minor and Halyard Health. The Owens & Minor logo is on the left and features the company's initials in a stylized font, with the full name written out to the right. The Halyard Health logo is on the right and features a green and blue icon next to the company name in blue.

Meltblown-Spunbond) that provides a PB70:2012 Level 3 Liquid Barrier Performance Barrier in the critical zone. The back of the gown has a Spundbond-Meltblown-Spunbond (SMS) fabric which allows for air-breathability with an AAMI Level 1 Liquid Barrier Performance Barrier.

The Aero Blue Performance Surgical Gown is a single use gown, supplied sterile (via Ethylene Oxide) or as bulk non-sterile product. The gowns come in the following various sizes: Small, Large, X-Large, XX-Large, XXX-Large, X-Long XL, X-Long XXL.

Indications for

Use:

The Aero Blue Performance Surgical gowns are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids, and particulate matter. The Aero Blue Performance Surgical Gowns meet the Level 3 AAMI PB70:2012 Liquid Barrier classifications.

| Product

CodeDevice DescriptionGown Size
Non-Sterile Product
41722NSAero Blue Performance Surgical Gown with
Towel in Overwrap, LLarge
41723NSAero Blue Performance Surgical Gown with
Towel in Overwrap, XLX-Large
41725NSAero Blue Performance Surgical Gown, X-Long,
LLarge, X-Long
41727NSAero Blue Performance Surgical Gown, X-Long,
XLX-Large, X-Long
41737NSAero Blue Performance Surgical Gown, LLarge
41738NSAero Blue Performance Surgical Gown, XLX-Large
41739NSAero Blue Performance Surgical Gown, LLarge
41740NSAero Blue Performance Surgical Gown, XLX-Large

Product Codes Subject to this Premarket Notification

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Image /page/6/Picture/0 description: The image features the logos of two companies, Owens & Minor and Halyard. The Owens & Minor logo is on the left, with a stylized maroon emblem and the company name in gray. The Halyard logo is on the right, with a green and blue emblem and the company name in blue. The logos are placed side by side.

41741NSAero Blue Performance Surgical Gown, XXLXX-Large
43623NSAero Blue Performance Surgical Gown, XXL, X-
LongXXX-Large, X-Long
43941NSAero Blue Performance Surgical Gown, SSmall
Sterile Product
41724Aero Blue Performance Surgical Gown, X-Long,
LLarge
41726Aero Blue Performance Surgical Gown, X-Long,
XLX-Large, X-Long
41732Aero Blue Performance Surgical Gown, SSmall
41733Aero Blue Performance Surgical Gown, LLarge
41734Aero Blue Performance Surgical Gown, XLX-Large
41735Aero Blue Performance Surgical Gown, XXLXX-Large
41736Aero Blue Performance Surgical Gown, XXXLXXX-Large
43938Aero Blue Performance Surgical Gown with
Towel, X-Long, XXLXX-Large, X-Long

Technological Characteristic Comparison Table

| Attribute | Predicate Device (Aero
Blue Performance
Surgical Gowns,
K140539) | Subject Device -
K192362 | Comparison
Analysis |
|------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------|
| FDA
Classification
Code | FYA | FYA | Identical |
| FDA Device
Classification | Class II | Class II | Identical |
| Common
Device Name | Surgical Gown | Surgical Gown | Identical |
| Trade Name | Aero Blue Performance
Surgical Gowns | Aero Blue Performance
Surgical Gowns | Identical |
| Indications for
Use | Aero Blue Performance
Surgical Gowns are sterile,
single use surgical apparel
intended to be worn by | Aero Blue Performance
Surgical Gowns are
sterile, single use surgical
apparel intended to be | Similar |
| Attribute | Predicate Device (Aero
Blue Performance
Surgical Gowns,
K140539) | Subject Device -
K192362 | Comparison
Analysis |
| | healthcare professionals to
help protect both the
patient and the healthcare
worker from the transfer of
microorganisms, body
fluids, and particulate
matter.

The Aero Blue
Performance Surgical
Gowns meet the Level 3
AAMI PB70:2012 Liquid
Barrier classifications.

The Aero Blue
Performance Surgical
Gowns are also sold as
bulk, non-sterile, single use
items to
repackager/relabeler,
establishments for further
packaging and Ethylene
Oxide (EO) sterilization. | worn by healthcare
professionals to help
protect both the patient
and the healthcare
worker from the transfer
of microorganisms, body
fluids, and particulate
matter.

The Aero Blue
Performance Surgical
Gowns meet the Level 3
AAMI PB70:2012 Liquid
Barrier classifications. | |
| How the Device
is Supplied | Sterile or Bulk Non-Sterile | Sterile or Bulk Non-
Sterile | Identical |
| Sterilization
Method | Ethylene Oxide | Ethylene Oxide | Identical |
| SAL | 10-6 | 10-6 | Identical |
| Gown Color | Blue | Blue | Identical |
| Gown Sizes | Small, Large, X-Large,
XX-Large, XXX-Large | Small, Large, X-Large,
XX-Large, XXX-Large,
X-Long XL, X-Long
XXL | Similar |
| Construction
Overview | The Aero Blue
Performance Surgical
Gown is manufactured
from a moisture-vapor
breathable, repellent, non-
woven fabric using a
polymer blend of
polypropylene and
polyethylene. The front | The Aero Blue
Performance Surgical
Gown is manufactured
from a moisture-vapor
breathable, transmitting,
non-woven fabric using a
polymer blend of
polypropylene and
plastomer. The front | Similar |
| Attribute | Predicate Device (Aero
Blue Performance
Surgical Gowns, K140539) | Subject Device -
K192362 | Comparison
Analysis |
| | body and sleeve fabric is a
three layer film laminate.
This fabric is an SFSMS
design
(Spunbond/Film/Spunbond
-Meltblown-Spunbond)
that is adhesively bonded
together. The film itself is
a multi-layer
polypropylene-based vapor
breathable membrane that
uses Calcium Carbonate
(CaCO3) filler to create
micropores to allow vapor
transmission across the
membrane. A polyolefin
hot melt adhesive is used to
laminate the facing layers
to the film layer to
complete the composite.
Sleeves in the gown are
closed with a heat sealing
process to meet AAMI-3
liquid barrier requirements.
The back of the gown (in
the non-critical zone) is
composed of a breathable
SMS fabric with an AAMI
1 liquid barrier protection. | body and sleeve fabric
are a three layer film
laminate. This fabric is
an SMS/F/SMS design
(Spunbond-Meltblown-
Spunbond/Film/Spunbon
d-Meltblown-Spunbond)
that is adhesively bonded
together. The film itself
is a multi-layer
polyethylene-based vapor
breathable membrane
that uses Calcium
Carbonate (CaCO3) filler
to create micropores to
allow vapor transmission
across the membrane. A
polyolefin hot melt
adhesive is used to
laminate the facing layers
to the film layer to
complete the composite.
Sleeves in the gown are
closed with a heat sealing
process to meet AAMI-3
liquid barrier
requirements. The back
of the gown (in the non-
critical zone) is
composed of a breathable
SMS fabric with an
AAMI 1 liquid barrier
protection. | |
| Does not
contain natural
rubber latex | Yes | Yes | Identical |
| Predicate Device (Aero Blue
Performance Surgical Gowns,
K140539) | Subject Device | Comparison
Analysis | |
| ANSI/AAMI PB70: 2012 Level 3
Liquid Barrier Requirements for
Critical Zone - Pass | ANSI/AAMI PB70: 2012 Level 3
Liquid Barrier Requirements for
Critical Zone - Pass | Identical | |
| ANSI/AAMI PB70: 2012 Level 1
Liquid Barrier Requirements for
Non-Critical Zone - Pass | ANSI/AAMI PB70: 2012 Level 1
Liquid Barrier Requirements for
Non-Critical Zone - Pass | Identical | |
| Biocompatibility per ISO 10993 –
Pass the device under the
conditions of the study is non-
cytotoxic, non-irritant, and non-
sensitizing | Biocompatibility per ISO 10993 –
Pass the device under the
conditions of the study is non-
cytotoxic, non-irritant, and non-
sensitizing | Identical | |
| Water Vapor Transmission Rate of
Materials (MOCON) - Pass | Water Vapor Transmission Rate of
Materials (MOCON) - Pass | Similar | |
| Linting per ISO 9073-10 - Pass | Linting per ISO 9073-10 - Pass | Similar | |
| Standard Test Method for Breaking
Strength and Elongation of Textile
Fabrics per ASTM D5034 - Pass | Standard Test Method for
Breaking Strength and Elongation
of Textile Fabrics per ASTM
D5034 - Pass | Similar | |
| Peel Strength per STM-00197 -
Pass | Peel Strength per STM-00197 -
Pass | Similar | |
| Hydrohead Testing – Pass | Hydrohead Testing – Pass | Similar | |
| Abrasion Testing per STM-00149 -
Pass | Abrasion Testing per STM-00149 -
Pass | Similar | |
| 16 CFR, Chapter II – Consumer
Product Safety Commission Part
1610 – Standard for the
Flammability of Clothing Textiles
Class 1 - Pass | 16 CFR, Chapter II – Consumer
Product Safety Commission Part
1610 – Standard for the
Flammability of Clothing Textiles
Class 1 - Pass | Identical | |
| Air Permeability (Back of Gown)
per STM-00162, NWSP 070.1.RO -
Pass | Air Permeability (Back of Gown)
per STM-00162 - Pass | Similar | |
| Test Method/Reference | Acceptance
Criteria | Results | |
| Spray Impact (Critical
Zones) | AATCC 42 | Water Resistance | Pass |
| Hydrostatic Pressure
(Critical Zones) | AATCC 127 | Water Resistance | Pass |
| Liquid Barrier Performance | ANSI/AAMI
PB70:2012 Level 3 | Water Resistance | Pass |
| Spray Impact (Non-Critical
Zones) | AATCC 42 | Water Resistance | Pass |
| Liquid Barrier Performance | ANSI/AAMI
PB70:2012 Level 1 | Water Resistance | Pass |
| Grab Tensile, Peak Stretch,
and Peak Energy -
Nonwovens | ASTM D5034 - 9
2017 | Tensile Strength | Pass |
| Abrasion Resistance of
Nonwoven Fabrics | NWSP 020.5.RO
(15) 2015 | Abrasion Resistance | Pass |
| Synthetic Blood Penetration | ASTM F1670
(2017) | Resistance to
Penetration | Pass |
| Water Vapor Transmission
Rate | NWSP 070.4.RO
(15) 2015 | Water Vapor
Transmission | Pass |
| 180 Degree Peel Strength
of Non-Elastic Laminated
Nonwovens | STM-00197 Rev 1 | Peel Strength | Pass |
| Linting | ISO 9073-10
2003 | Particulate | Pass |
| Standard for the
Flammability for Clothing
Textiles | 16 CFR 1610 | Flammability | Pass |
| ISO L929 MEM Elution
Cytotoxicity | ISO 10993-5:2009 | Cytotoxicity | Pass |
| ISO Indirect Primary Skin
Irritation Test | ISO 10993-
10:2010 | Irritation | Pass |
| ISO Kligman Maximization
Test | ISO 10993-
10:2010 | Sensitization | Pass |
| EO Sterilization Residuals | ISO 10993-
7:2008 (R) 2012 | EO Residuals
(EO=0.5mg/dev)
(ECH =0.3mg/dev) | Pass |
| Laser Ignition Resistance | ISO 11810-1:2015 | Laser Resistance | Pass |

7

Image /page/7/Picture/0 description: The image shows the logos of two companies, Owens & Minor and Halyard Health. The Owens & Minor logo is on the left and consists of the letters "OM" in a bold, red font, with the words "Owens & Minor" in a smaller, gray font to the right. The Halyard Health logo is on the right and consists of a green and blue stylized image of a house, with the word "HALYARD" in a bold, blue font to the right.

8

Image /page/8/Picture/0 description: The image shows the logos of two companies, Owens & Minor and Halyard Health. The Owens & Minor logo is on the left and consists of the letters "OM" in a bold, red font, with the words "Owens & Minor" in a smaller, gray font to the right. The Halyard Health logo is on the right and consists of a green and blue stylized image of a house, with the word "HALYARD" in a bold, blue font to the right.

9

Image /page/9/Picture/0 description: The image shows the logos of two companies. The first logo is for Owens & Minor, a healthcare logistics company, and it features the letters "OM" in a stylized font. The second logo is for Cardinal Health, a healthcare services company, and it features a blue circle with a white and green mountain design inside.

Halyard

Performance Testing

Testing conducted to support the changes of subject device shows that the Aero Blue Performance Surgical Gown is similar to the predicate device Aero Blue Performance Surgical Gown (K140539) in design, intended use, sterility, and technological characteristics. In the critical zone, the Aero Blue Performance Surgical Gowns meet the Level 3 AAMI PB70:2012 Liquid Barrier classification. The back of the gown meets the Level 1 AAMI PB70:2012 Liquid Barrier classification.

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Image /page/10/Picture/0 description: The image shows two company logos side by side. The first logo is for Owens & Minor, featuring the letters "OM" in a bold, maroon color with horizontal lines running through them, accompanied by the company name in a smaller, gray font. The second logo is for Halyard, consisting of a blue circle with a white, stylized shape inside, partially filled with green, followed by the company name in a bold, blue font.

Summary of Non-Clinical Testing

Conclusion

The conclusions drawn from the non-clinical tests demonstrate that the subject device is as safe, as effective and performs as well as or better than the legally marketed predicate device.