K Number
K223662
Date Cleared
2023-04-20

(135 days)

Product Code
Regulation Number
880.6850
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The HS Surgical Kit Cases are indicated for the organization of surgical and/or prosthetic instruments during sterilization. storage, and transport. Use of this product facilitates the storage and organization of instruments during and after surgical procedures.

Neodent instrument kit cases are intended to allow sterilization of the medical devices included.

Neodent instrument kit cases must be wrapped in FDA-approved materials to maintain the sterility of the devices included.

The kits should be placed in an FDA-approved sterilization wrap for the indicated cycles and sterilized by moist heat (steam) using one of the following cycles:

Dynamic Air Removal (Pre-Vacuum): exposure at 132°C for 4 minutes, drying for 30 minutes.

Gravity displacement: exposure at 132°C for 15 minutes, drying for 50 minutes.

Neodent instrument kit cases are intended for sterilization of non-porous fillers.

The combined weight of the HS Surgical Kit case and associated instruments is 302.88 grams.

The weight of the empty case is approximately 214.85 grams. Neodent instrument kit cases should not be stacked during sterilization.

Device Description

The subject device kit cases are reusable rigid containers, comprising a case bottom (or base), a removable inner tray, and tray lid (lid). The subject device kits are to be used to organize and protect instruments and accessories that are to be sterilized by the healthcare provider. The subject kit cases are manufactured in autoclavable polymer. The design of the subject devices include grommets manufactured from medical grade silicone that retain the instruments within the tray. They also presents markings that guide instrument use during procedures. The subject device kit cases are provided nonsterile to the end-user.

AI/ML Overview

This is a medical device submission for the Neodent Implant System - Helix Short Surgical Kit Cases. The submission focuses on sterilization wrap containers (Class II, product code KCT).

Here's an analysis of the acceptance criteria and the study that proves the device meets them:

1. Table of Acceptance Criteria and Reported Device Performance:

Acceptance CriteriaReported Device Performance
Manual Cleaning Validation:
* Visual Inspection: No Visible SoilPassed
* Hemoglobin Test: <2.2 µg/cm²Passed
* Protein Test: <6.4 µg/cm²Passed
Sterilization Validation (ANSI/AAMI/ISO 17665-1, ANSI/AAMI/ISO 17665-2):
* All Biological Indicators must be incubated for at least 7 days at 55-60°C.Passed
* All positive controls for SAL testing must show characteristic growth of the indicator organism.Passed
Life Cycle (Simulate Usage) Testing (Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling Guidance):
* The tested samples must withstand 100 cycles of use (cleaning, sterilization and functional tests) without compromising their functionalities.Passed
Biocompatibility (ANSI/AAMI/ISO 10993-5 - Cytotoxicity):
* Less than 30% cell proliferation inhibitionPassed
Sterilization Cycles:
* Gravity displacement: Sterilization temperature: 132 °C; Sterilization time: 15 minutes; Drying time: 50 minutes.The device demonstrated equivalency to the predicate device's cleared cycle parameters, which included these parameters (or similar shorter drying times for the predicate). The subject device's longer drying time (50 min) is within safe parameters.
* Dynamic Air Removal (Pre-Vacuum): Sterilization temperature: 132 °C; Sterilization time: 4 minutes; Drying time: 30 minutes.The device demonstrated equivalency to the predicate device's cleared cycle parameters, which included these parameters (or similar shorter drying times for the predicate). The subject device's longer drying time (30 min) is within safe parameters.
Sterile Barrier: Sterilization wrap, FDA-cleared for indicated method and cycles.Declared "Identical" to the predicate, which uses a sterilization pouch. This implies the device is designed to be used with an FDA-cleared wrap/pouch.

2. Sample Size Used for the Test Set and Data Provenance:

The document does not explicitly state the sample size for the individual tests (manual cleaning, sterilization, life cycle, cytotoxicity). It refers to "tested samples" for the life cycle testing, but no specific number is provided.

The data provenance is not explicitly mentioned in terms of country of origin or whether studies were retrospective or prospective, beyond the fact that these are non-clinical performance data (laboratory testing).

3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts:

This information is not provided in the document. The studies are non-clinical (laboratory tests), and ground truth would have been established by the validated methodologies and acceptance criteria themselves, not by expert consensus on individual "cases."

4. Adjudication Method for the Test Set:

This information is not applicable as the tests are objective laboratory performance validations against predefined criteria, not subjective interpretations requiring "adjudication."

5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:

An MRMC comparative effectiveness study was not performed, nor is it applicable for this type of device (sterilization kit case). This device is not an AI-assisted diagnostic tool that would involve human readers.

6. Standalone Performance Study:

The studies conducted are standalone performance studies in the sense that they evaluate the device itself (e.g., its ability to withstand cleaning, facilitate sterilization, and maintain biocompatibility) against established standards and internal criteria, without direct human interaction as a primary variable. The document refers to them as "Non-Clinical Performance Data."

7. Type of Ground Truth Used:

The ground truth for the non-clinical performance studies is based on:

  • Established scientific and regulatory standards/guidance: e.g., ANSI/AAMI/ISO 17665-1, ANSI/AAMI/ISO 17665-2 for sterilization, ANSI/AAMI/ISO 10993-5 (Cytotoxicity), and FDA guidance for reprocessing medical devices.
  • Validated laboratory methodologies: Custom test methods for cleaning and specific incubation/growth criteria for biological indicators in sterilization.
  • Objective measurement: Visual inspection (for soil), quantifiable chemical tests (hemoglobin, protein), and cell proliferation inhibition measurements are objective.

Essentially, the "ground truth" is defined by the objective pass/fail criteria derived from these standards and methods.

8. Sample Size for the Training Set:

This device is not an AI/machine learning product; therefore, the concept of a "training set" is not applicable.

9. How the Ground Truth for the Training Set Was Established:

As there is no training set, this information is not applicable.

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image contains 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.

April 20, 2023

JJGC Industria e Comercio de Materiais Dentarios S.A. % Jennifer Jackson, Ms Sr. Director, Regulatory Affairs and Quality Straumann USA, LLC 60 Minuteman Road Andover, Massachusetts 01810

Re: K223662

Trade/Device Name: Neodent Implant System - Helix Short Surgical Kit Cases Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: KCT Dated: March 13, 2023 Received: March 24, 2023

Dear Jennifer Jackson,

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. 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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

{1}------------------------------------------------

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 (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 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,

Digitally signed Eileen by Eileen Cadel -Cadel -S Date: 2023.04.20 14:00:15 -04'00' for

Colin O'Neill, M.B.E. Assistant Director DHT6B: Division of Spinal Devices OHT6: Office of Orthopedic Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

Indications for Use

510(k) Number (if known) K223662

Device Name

Neodent Implant System - Helix Short Surgical Kit Cases

Indications for Use (Describe)

The HS Surgical Kit Cases are indicated for the organization of surgical and/or prosthetic instruments during sterilization. storage, and transport. Use of this product facilitates the storage and organization of instruments during and after surgical procedures.

Neodent instrument kit cases are intended to allow sterilization of the medical devices included.

Neodent instrument kit cases must be wrapped in FDA-approved materials to maintain the sterility of the devices included.

The kits should be placed in an FDA-approved sterilization wrap for the indicated cycles and sterilized by moist heat (steam) using one of the following cycles:

sterilized by moist heat (steam) using one of the following cycles:
Dynamic Air Removal (Pre-Vacuum): exposure at 132°C for 4 minutes, drying for

Dynamic Air Removal (Pre-Vacuum): exposure at 132°C for 4 minutes, drying for 30 minutes.

Gravity displacement: exposure at 132°C for 15 minutes, drying for 50 minutes.

Neodent instrument kit cases are intended for sterilization of non-porous fillers.

The combined weight of the HS Surgical Kit case and associated instruments is 302.88 grams.

The weight of the empty case is approximately 214.85 grams. Neodent instrument kit cases should not be stacked during sterilization.

Type of Use (Select one or both, as applicable)
-------------------------------------------------

X 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}------------------------------------------------

510(K) Summary

ADMINISTRATIVE INFORMATION

SponsorJJGC Indústria e Comércio de Materiais Dentários SA
(dba Neodent)
Av. Juscelino Kubitschek de Oliveira, 3291
Curitiba, Parana, Brazil 81270-200
Registration No.: 3008261720
Owner/Operator No.: 10031702
Contact PersonJennifer M. Jackson, MS
Director of Regulatory Affairs,
Straumann USA
E-mail: jennifer.jackson@straumann.com
Telephone (978) 747-2509
Date Prepared19/Apr/2023
Preparer / AlternateContactBárbara Uzae
Regulatory Affairs Analyst
JJGC Indústria e Comércio de Materiais Dentários SA
E-mail: barbara.uzae@neodent.com

DEVICE NAME AND CLASSIFICATION

Trade/ Proprietary NameNeodent Implant System – Helix Short Surgical Kit Cases
Common NameInstrument Sterilization Trays
Classification NameSterilization Wrap Containers, Trays, Cassettes & Other
Classification Regulations21 CFR 880.6850, Class II
Product CodeKCT
Classification PanelGeneral Hospital
PREDICATE DEVICE INFORMATION
Primary Predicate DeviceK19260 - Neodent Instrument Kit Cases, JJGC IndústriaComércio de Materiais Dentários S.A.
Classification NameSterilization Wrap

e

{4}------------------------------------------------

Classification Regulations 21 CFR 880.6850, Class II

Product Code КСТ

INDICATIONS FOR USE

Indications for Use for Helix Short Surgical Kit Case and Helix Short Pre-Mounted Surgical Kit Case:

The HS Complete Surgical Kit Cases are indicated for the organization of surgical and/or prosthetic instruments during sterilization, storage, and transport. Use of this product facilitates the storage and organization of instruments during and after surgical procedures.

Neodent instrument kit cases are intended to allow sterilization of the medical devices included. Neodent instrument kit cases must be wrapped in FDA-approved materials to maintain the sterility of the devices included.

The kits should be placed in an FDA-approved sterilization wrap for the indicated cycles and sterilized by moist heat (steam) using one of the following cycles:

Dynamic Air Removal (Pre-Vacuum): exposure at 132°C for 4 minutes, drying for 30 minutes. Gravity displacement: exposure at 132°C for 15 minutes, drying for 50 minutes.

Neodent instrument kit cases are intended for sterilization of non-porous fillers.

The combined weight of the HS Surgical Kit case and associated instruments is 302.88 grams.

The weight of the empty case is approximately 214.85 grams. Neodent instrument kit cases should not be stacked during sterilization.

SUBJECT DEVICE DESCRIPTION

The subject device kit cases are reusable rigid containers, comprising a case bottom (or base), a removable inner tray, and tray lid (lid). The subject device kits are to be used to organize and protect instruments and accessories that are to be sterilized by the healthcare provider. The subject kit cases are manufactured in autoclavable polymer. The design of the subject devices include grommets manufactured from medical grade silicone that retain the instruments within the tray. They also presents markings that guide instrument use during procedures. The subject device kit cases are provided nonsterile to the end-user.

AssembledKit CaseDescriptionAssembledKit CaseDimension(L x W x H)ComponentNumberComponentDimension(L x W x H)
110.317Helix Short Surgical KitCase195 x 90 x67 mm704637 (Lid)195 x 90 x 49 mm
704636 (Tray)188 x 84 x 32 mm
704635 (Base)180 x 76 x 27 mm
110.318Helix Short Pre-MountedSurgical Kit Case195 x 90 x67 mm704637 (Lid)195 x 90 x 49 mm
704636 (Tray)188 x 84 x 32 mm

The dimensions for each part of the model and the overall dimensions are presented in the table below:

{5}------------------------------------------------

704635 (Base)180 x 76 x 27 mm
---------------------------------------

Note: The instrument and accessory devices that are sterilized and stored within the subject Kit Cases are not themselves subject devices of this submission.

{6}------------------------------------------------

TECHNOLOGICAL CHARACTERISTIC COMPARISON TABLE

SUBJECT DEVICEPRIMARY PREDICATE DEVICE
K223662Helix Short Surgical Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.K192670Neodent Instrument Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.COMPARISON
Indications forUse StatementIndications for Use for Helix Short Surgical Kit Case and Helix Short Pre-Mounted Surgical Kit Case:The HS Complete Surgical Kit Cases are indicated for the organization of surgicaland/or prosthetic instruments during sterilization, storage, and transport. Use ofthis product facilitates the storage and organization of instruments during andafter surgical procedures.Neodent instrument kit cases are intended to allow sterilization of the medicaldevices included.Neodent instrument kit cases must be wrapped in FDA-approved materials tomaintain the sterility of the devices included.The kits should be placed in an FDA-approved sterilization wrap for the indicatedcycles and sterilized by moist heat (steam) using one of the following cycles:Dynamic Air Removal (Pre-Vacuum): exposure at 132°C for 4 minutes, drying for30 minutes.Gravity displacement: exposure at 132°C for 15 minutes, drying for 50 minutes.Neodent instrument kit cases are intended for sterilization of non-porous fillers.The combined weight of the HS Surgical Kit case and associated instruments is302.88 grams.The weight of the empty case is approximately 214.85 grams. Neodentinstrument kit cases should not be stacked during sterilization.Indications for Use for GM Surgical Kit Case:Neodent Instrument Kit Cases are intended to be used to enclose other medical devices thatare to be sterilized by a health care provider. Neodent Instrument Kit Cases are intended toallow sterilization of the enclosed medical devices. Neodent Instrument Kit Cases requirethe use of FDA cleared wrap to maintain the sterility of the enclosed devices.The kits are to be enclosed in a sterilization wrap that is FDA-cleared for the indicated cycles,and moist heat (steam) sterilized using one of the following cycles:Dynamic Air Removal (Pre-Vacuum) – Exposure at 132 °C for 4 minutes, 20-minute dry time.Gravity displacement – Exposure at 132 °C for 15 minutes, 40-minute dry time.Neodent Instrument Kit Cases are intended for sterilization of non-porous loads.The combined weight of the GM Surgical Kit Case and the associated instruments is 613.1g. The weight of the empty Kit Case is 510 grams. Neodent Instrument Kit Cases should notto be stacked during sterilization.Indications for Use for GM Helix Compact Surgical Kit Case:Neodent Instrument Kit Cases are intended to be used to enclose other medical devices thatare to be sterilized by a health care provider. Neodent Instrument Kit Cases are intended toallow sterilization of the enclosed medical devices. Neodent Instrument Kit Cases requirethe use of FDA cleared wrap to maintain the sterility of the enclosed devices.The kits are to be enclosed in a sterilization wrap that is FDA-cleared for the indicated cycles,and moist heat (steam) sterilized using one of the following cycles:Dynamic Air Removal (Pre-Vacuum)- Exposure at 132 °C for 4 minutes, 20-minute dry timeGravity displacement – Exposure at 132 °C for 15 minutes, 20-minute dry time.Neodent Instrument Kit Cases are intended for sterilization of non-porous loads.The combined weight of the GM Helix Compact Surgical Kit Case and the associatedinstruments is 308.2 g. The weight of the empty Kit Case is 231 grams. Neodent InstrumentKit Cases should not to be stacked during sterilization.EquivalentAlthough the language is slightly different, theindications for use are equivalent. Both NeodentInstrument Kit Cases are intended to allowsterilization of the enclosed medical devices. Thedifference in the text is specific due to the weight ofeach device in their maximum loadconfiguration.
SUBJECT DEVICEPRIMARY PREDICATE DEVICECOMPARISON
K223662Helix Short Surgical Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.K192670Neodent Instrument Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.
Intended UseThis product is used for safe storage and securingof instruments during sanitation, sterilization, and surgical procedures.The GM Helix Compact Surgical Kit Case is suitable for safe storage of surgical and prostheticinstruments, organizing the instruments in the sequence in which they will be used, as wellas for sterilization of such instruments.EquivalentSubject and predicatedevice are intended to safestorage surgical instrumentsand provide support duringsterilization.
DesignRigid polysulfone polymer base and removable inner tray with apolyphenylsulfone lid.Retention grommets of medical grade silicone.Rigid polysulfone polymer base and removable inner tray with a polyphenylsulfone lid.Retention grommets of medical grade silicone.IdenticalSubject and primarypredicate devices have thesame materials.
PerforatedYes; allows moist heat (steam) penetration to achieve sterilization.Yes; allows moist heat (steam) penetration to achieve sterilizationIdentical
ReusableYesYesIdentical
Overalldimensions110.317: 195 L x 90 W x 67 H, mm110.318: 195 L x 90 W x 67 H, mm110.288: 264 L x 163 W x 54 H, mm110.297: 195 L x 90 W x 64 H, mmSimilarSubject Kit Cases have thesimilar size to the article110.297 of the predicatedevice. The smalldifference between thandoes not compromisesafety and efficacy as isbetter discussed along

JJGC Indústria e Comércio de Materiais Dentários S.A.

{7}------------------------------------------------

Traditional 510(k) submission

K223662 - Helix Short Surgical Kit Case

{8}------------------------------------------------

Traditional 510(k) submission K223662 - Helix Short Surgical Kit Case

SUBJECT DEVICEPRIMARY PREDICATE DEVICE
K223662Helix Short Surgical Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.K192670Neodent Instrument Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.COMPARISON
Volume to VentRatio$110.317: 64.8 cm³/ cm² (25.5 in³/in²)$$110.318: 64.8 cm³/ cm² (25.5 in³/ in²)$$110.288: 98.04 cm³/cm² (38.6 in³/ in²)$$110.297: 63.5 cm³/cm² (25.0 in³/ in²)$EquivalentThe primary predicatedevices (110.297) havevolume to vent ratio slightlybigger than the subjectdevices. The smalldifference between thandoes not compromise safetyand efficacy, as is proved bythe presented sterilizationvalidation.
Life cycleReusable up to 100 cyclesReusable up to 100 cyclesIdentical
BiocompatibilityThe assessment to Biocompatibility was performed per ISO 10993-1 andtesting was performed using methods described in AAMI/ANSI/ISO 10993-5.The results indicate that the subject devices are biocompatible.The assessment to Biocompatibility was performed per ISO 10993-1 and testing wasperformed using methods described in AAMI/ANSI/ISO 10993-5. The results indicate thatthe subject devices are biocompatible.Equivalent
SterilizationMethodMoist heat (steam) to a SAL of 10-6Moist heat (steam) to a SAL of 10-6Identical
CyclesGravity displacementDynamic Air Removal (Pre-Vacuum)Gravity displacementDynamic Air Removal (Pre-Vacuum)Identical

{9}------------------------------------------------

Traditional 510(k) submission

K223662 - Helix Short Surgical Kit Case

SUBJECT DEVICEPRIMARY PREDICATE DEVICE
K223662Helix Short Surgical Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.K192670Neodent Instrument Kit CasesJJGC Indústria e Comércio de Materiais Dentários S.A.COMPARISON
ParametersGravitySterilization temperature: 132 °C;Sterilization time: 15 minutes;Drying time: 50 minutes.Dynamic Air Removal (Pre-Vacuum)Sterilization temperature: 132 °C;Sterilization time: 4 minutes;Drying time: 30 minutes.GravitySterilization temperature: 132 °CSterilization time: 15 minutes;Drying time: 40 minutes (model number 110.288) or 20 minutes (model number 110.297)Dynamic Air Removal (Pre-Vacuum)Sterilization temperature: 132 °CSterilization time: 4 minutes;Drying time: 20 minutes.EquivalentThe subject devices have thesame cycle parametersalready cleared for thepredicate devices.
Sterile BarrierSterilization wrap, FDA-cleared for indicated method and cyclesSterilization pouch, FDA-cleared for indicated method and cyclesIdentical

{10}------------------------------------------------

The subject devices and the primary predicate devices cleared per K192670 have similar intended use and equivalent Indications for Use Statements. Both are reusable rigid containers used to organize and protect dental surgical instruments that are sterilized by the healthcare provider. The subject device and primary predicate device components are perforated to allow for penetration of the moist heat (steam) sterilant and require the use of an FDA-cleared wrap or pouch to maintain sterility.

The subject devices and primary predicate device include components manufactured from polyphenylsulfone and polysulfone. The subject devices have the same size, whereas the primary predicate device is provided in two different size and configurations. The overall dimensions of the subject device are similar to the range of overall dimensions cleared for the predicate devices. The subject device and the primary predicate device are manufactured from materials with a history biocompatibility and clinical use for the cleared indications. The subject device and the predicate devices are to be used according to the validated labeling (sterilization processes and cycles).

Standard or Test MethodPurpose of the TestingAcceptance CriteriaResults
CustomManual cleaning validation Test Soil: Blood Soil (BLSO) Cleaning Method: Manual Residuals Tested: Hemoglobin and ProteinVisual Inspection: No Visible Soil Hemoglobin Test: <2.2 µg/cm2 Protein Test: <6.4 µg/cm2Passed
ANSI/AAMI/ISO 17665-1ANSI/AAMI/ISO 17665-2Sterilization validation, including sterilant penetration and drying timeAll Biological Indicators must be incubated for at least 7 days at 55-60°C.All positive controls for SAL testing must show characteristic growth of the indicator organism.Passed
Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling Guidance for Industry and Food and Drug Administration StaffLife cycle (simulate usage) testingThe tested samples must withstand 100 cycles of use (cleaning, sterilization and functional tests) without compromising their functionalitiesPassed

NON-CLINICAL PERFORMANCE DATA

{11}------------------------------------------------

ANSI/AAMI/ISO 10993-5(Cytotoxicity)Cytotoxicity testingLess than 30% cellproliferation inhibitionPassed
-----------------------------------------------------------------------------------------------------------------------

CONCLUSION

The subject devices and the primary predicate device have equivalent instructions for use, intended use, design and technological characteristics. They also present equivalent range of overall dimensions and same sterilization method. The conclusions drawn from the non-clinical tests demonstrate that the proposed device is as safe, as effective, and performs as well as or better than the predicate device K192670.

§ 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).