K Number
K223672
Device Name
Instrument Case P1340904
Manufacturer
Date Cleared
2023-03-21

(104 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Instrument Case is intended for staff involved in reprocessing of reusable instruments, and for surgical teams. The product shall only be used: - · in a controlled surgical environment under sterile conditions such as a hospital, - · in reprocessing environment at sterilization departments or reprocessing centers, - · and for transport of surgical instruments. Sterilization parameters: Pre-Vacuum Steam at 132 °C (270 °F) for 4 min with a 20 minutes dry time The worse-case validated load for the Instrument Case, including instruments, is 1700 g.
Device Description
The Instrument case, Figure 1, is a reusable sterilization container intended for use in health care facilities for the purpose of containing reusable medical devices for sterilization. The specific use for the Instrument case is to hold reusable instruments during transport, the sterilization process, and during surgery. The Instrument case consists of tray and lid made of stainless steel with a small box included, a component tray. The grommets, strips and holders that keep the instruments in place are made of silicone or stainless steel, and the latches in the lid are made of a Thermoplastic resin, Santoprene. The packaging materials are made of polyethylene and polyolefin. The device dimensions are 265 x 160 x 42 mm (length x width x height) and the worst case recommended load is 1700 g.
More Information

Not Found

No
The device description and performance studies focus on the physical properties, sterilization capabilities, and biocompatibility of a reusable instrument case, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No
The device is described as a reusable sterilization container intended for holding reusable medical devices during transport, sterilization, and surgery. Its function is to facilitate the sterilization and transport of other instruments, not to provide a therapeutic effect on a patient.

No

The device is described as a reusable sterilization container for surgical instruments. Its function is to hold instruments during transport, sterilization, and surgery, not to diagnose medical conditions.

No

The device description clearly outlines physical components made of stainless steel, silicone, and thermoplastic resin, indicating it is a hardware device, not software-only.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states the device is a "reusable sterilization container intended for use in health care facilities for the purpose of containing reusable medical devices for sterilization." Its function is to hold and transport surgical instruments for reprocessing and use in surgery.
  • Intended Use: The intended use is for staff involved in reprocessing and surgical teams, for containing instruments during transport, sterilization, and surgery. This is a physical containment and sterilization aid, not a diagnostic test performed on a biological sample.

The device's purpose is related to the handling and sterilization of surgical instruments, which are used on the body, but the device itself does not perform any diagnostic testing of the body or its samples.

N/A

Intended Use / Indications for Use

The Instrument Case is intended for staff involved in reprocessing of reusable instruments, and for surgical teams. The product shall only be used:

  • · in a controlled surgical environment under sterile conditions such as a hospital,
  • · in reprocessing environment at sterilization departments or reprocessing centers,
  • · and for transport of surgical instruments.

Sterilization parameters: Pre-Vacuum Steam at 132 °C (270 °F) for 4 min with a 20 minutes dry time

The worse-case validated load for the Instrument Case, including instruments, is 1700 g.

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

KCT

Device Description

The Instrument case, Figure 1, is a reusable sterilization container intended for use in health care facilities for the purpose of containing reusable medical devices for sterilization. The specific use for the Instrument case is to hold reusable instruments during transport, the sterilization process, and during surgery.

The Instrument case consists of tray and lid made of stainless steel with a small box included, a component tray. The grommets, strips and holders that keep the instruments in place are made of silicone or stainless steel, and the latches in the lid are made of a Thermoplastic resin, Santoprene. The packaging materials are made of polyethylene and polyolefin. The device dimensions are 265 x 160 x 42 mm (length x width x height) and the worst case recommended load is 1700 g.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

staff involved in reprocessing of reusable instruments, and for surgical teams.

controlled surgical environment under sterile conditions such as a hospital, reprocessing environment at sterilization departments or reprocessing centers.

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)

Bench testing was conducted to demonstrate substantial equivalence to the predicate device, Surgical Trays. Substantial equivalence to the predicate device was accomplished through nonclinical data related to performance testing, biocompatibility testing, and reprocessing information. The results demonstrated the Instrument Case is substantially equivalent to the predicate device.

Test: Automated cleaning (with enzymatic detergent)
Test Methodology: AAMI TIR12:2010, AAMI TIR30:2011
Test Description: 6 simulated use cycles, 5 accumulation cycles, 3 efficacy cycles. Visual inspection for any residual test soil, residual protein and hemoglobin levels and cytotoxicity testing for presence of detergent residuals.
Acceptance Criteria: No visible soil should remain on the test articles. Protein level should be 1)
Results: PASS: The semi-volatile and inorganic substances that were detected and that were of toxicological concern had a MOS>1

Test: Biocompatibility
Test Methodology: ISO 10993-5; 2009
Test Description: Cytotoxicity
Acceptance Criteria: Non-Cytotoxic
Results: PASS: The instrument case is not cytotoxic

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.

K212281

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

§ 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

March 21, 2023

Image /page/0/Picture/1 description: The image shows the logos of the Department of Health and Human Services and the Food and Drug Administration (FDA). The Department of Health and Human Services logo is on the left, and the FDA logo is on the right. The FDA logo includes the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

Cochlear Denis Dimartino Senior Regulatory Affairs Specialist 10350 Park Meadows Drive Lone Tree. Colorado 80124

Re: K223672

Trade/Device Name: Instrument Case P1340904 Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: KCT Dated: February 23, 2023 Received: February 23, 2023

Dear Denis Dimartino:

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 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for

1

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.

Colin O'neill -S

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

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Indications for Use

510(k) Number (if known) K223672

Device Name Instrument Case

Indications for Use (Describe)

The Instrument Case is intended for staff involved in reprocessing of reusable instruments, and for surgical teams. The product shall only be used:

  • · in a controlled surgical environment under sterile conditions such as a hospital,
  • · in reprocessing environment at sterilization departments or reprocessing centers,
  • · and for transport of surgical instruments.

Sterilization parameters: Pre-Vacuum Steam at 132 °C (270 °F) for 4 min with a 20 minutes dry time

The worse-case validated load for the Instrument Case, including instruments, is 1700 g.

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)

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K223672

510(k) Summary

Image /page/3/Picture/2 description: The image is the logo for Cochlear, a company that specializes in hearing solutions. The logo features three curved shapes stacked on top of each other, resembling sound waves. Below the shapes is the word "Cochlear" in a bold, sans-serif font, and underneath that is the tagline "Hear now. And always" in a smaller font. The logo is in a yellow color.

A. Submitter Information
Submitted by:Cochlear Americas
10350 Park Meadows Drive
Lone Tree, CO 80124
On behalf of the manufacturer:Cochlear Bone Anchored Solutions AB
Konstruktionsvägen 14,
SE-435 33 Mölnlycke
Sweden
(Establishment Number 9616024)
Contact:Denis DiMartino
Senior Regulatory Specialist
Cochlear Americas
C: 508-304-4356
E: ddimartino@cochlear.com
B. Date Prepared21-March-2023
C. Device Name and Classification
Device Names:Instrument Case
Classification Name:Sterilization Wrap Containers, Trays, Cassettes & Other
Accessories
21 CFR 880.6850, Class II
Classification Panel:Orthopedic
Product Code:KCT
D. Predicate Device
Device Names:Surgical Trays
Classification Name:Sterilization Wrap Containers, Trays, Cassettes & Other
Accessories
21 CFR 880.6850, Class II
Classification Panel:Orthopedic
Product Code:KCT
Primary Predicate:K212281

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Image /page/4/Picture/1 description: The image shows the logo for Cochlear, a company that specializes in hearing solutions. The logo features a stylized, golden-yellow symbol resembling three overlapping sound waves or cochlear spirals, positioned above the company name. Below the name "Cochlear" is the tagline "Hear now. And always."

E. Purpose of Submission

This Traditional 510(k) seeks clearance for an Instrument Case that is intended to hold reusable instruments used during surgical procedures for Osia® and Baha® bone conduction implants. Outside of surgery, the Instrument Case is designed to hold the reusable instruments during the sterilization process and for transportation of the instruments.

F. Device Description

The Instrument case, Figure 1, is a reusable sterilization container intended for use in health care facilities for the purpose of containing reusable medical devices for sterilization. The specific use for the Instrument case is to hold reusable instruments during transport, the sterilization process, and during surgery.

The Instrument case consists of tray and lid made of stainless steel with a small box included, a component tray. The grommets, strips and holders that keep the instruments in place are made of silicone or stainless steel, and the latches in the lid are made of a Thermoplastic resin, Santoprene. The packaging materials are made of polyethylene and polyolefin. The device dimensions are 265 x 160 x 42 mm (length x width x height) and the worst case recommended load is 1700 g.

Figure 1: Instrument Case

Image /page/4/Picture/8 description: The image shows a Cochlear brand surgical kit. The kit includes a perforated metal tray with a lid, and a small perforated metal block. The Cochlear logo is visible on the lid and the tray. The kit appears to be designed for sterilizing and organizing surgical instruments.

G. Intended Use

The Instrument Case is a medical device accessory intended to hold reusable surgical instruments during transportation, sterilization process and during surgery.

H. Indications for Use

This product is intended for staff involved in reprocessing of reusable instruments, and for

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surgical teams.

Image /page/5/Picture/2 description: The image shows the logo for Cochlear, a company that specializes in hearing solutions. The logo features a stylized graphic of three curved shapes nested within each other, resembling the inner ear. Below the graphic, the company name "Cochlear" is written in a clear, sans-serif font, followed by the tagline "Hear now. And always" in a smaller font.

The product shall only be used:

  • in a controlled surgical environment under sterile conditions such as a hospital, ●
  • in reprocessing environment at sterilization departments or reprocessing centers, ●
  • and for transport of surgical instruments. .

Sterilization parameters:

Pre-Vacuum Steam at 132 °C (270 °F) for 4 min with a 20 minutes dry time

The worse-case validated load for the Instrument Case, including instruments, is 1700 g.

I. Technological Characteristics and Comparison to Predicate

Table 1 summarizes a comparison of the technological characteristics of the currently available Surgical Trays (predicate device) with the Instrument Case (subject device).

FeatureInstrument Case (Subject Device)K212281 (Predicate device)Comparison Notes
ManufacturerCochlearSirona Dental Systems GmbHDifferent Manufacturers
ClassIIIISame
Product CodeKCTKCTSame
Indications for UseThe Instrument Case is intended for staff involved in reprocessing of reusable instruments, and for surgical teams.The Surgical Trays are intended for organizing, sterilizing and storing of instruments.Similar – While the wording is slightly different both devices are used for the same processes.
The product shall only be used:
• in a controlled surgical environment under sterile conditions such as a hospital,
• in reprocessing environment at sterilization departments or reprocessing centers,
• and for transport of surgical instruments.The Surgical Trays are not intended to maintain sterility and are to be used in conjunction with a legally marketed, validated sterilization pouch.

Sterilization parameters: Pre-Vacuum Steam at 132 °C (270 °F) for 4 min with a 20 minutes dry time | The sterilization parameters are identical.

The maximum load for sterilization is |
| Feature | Instrument Case (Subject Device) | K212281 (Predicate device) | Comparison Notes |
| | Sterilization parameters:
Pre-Vacuum Steam at 132 °C (270 °F) for 4 min with
a 20 minutes dry time

The worse-case validated
load for the Instrument
Case, including
instruments, is 1700 g. | The tested Surgical Tray
represents the worst-case
validated load of 513.7g. | different, based
on the total
weight of
reusable
instruments
included in the
sterilization
case.

The Instrument
Case is as safe
and effective as
the predicate
device. |
| General Design | Stainless steel instrument
tray with a stainless steel
locking lid and removable
stainless steel component
tray. Silicone instrument
holders. | Plastic tray with locking
lid. Co-molded silicone
and silicone grommet
supports | Tray is
different, but
instrument
support
(silicone) is the
same |
| Dimensions | Length x Width x Height,
mm

265 x 160 x 42 | Length x Width x Height,
inches

7.3 x 5.5 x 2.4
(185.4 x 139.7 x 61 mm) | Similar |
| Materials | Base Tray – Stainless steel
Lid – Stainless steel
Case tray – Stainless steel

Tooling Support – Silicone | Base – Radel 5000
Lid – Radel 5000 Overlay
– Radel 5000 Tooling
support - Silicone | Tray material
is different, but
tooling support
is the same |
| Sterility | Non-sterile | Non-sterile | Same |
| Sterilization
Method | Dynamic air removal steam
sterilization (prevacuum) to
a Sterility Assurance Level
(SAL) of ≤10-6 | Moist heat (steam) and
has been validated to SAL
of 10-6 | Same |
| Sterilization
Parameters | Pre vacuum, 132°C for 4
minutes with a 20 minutes
drying time | Pre vacuum,
At 132°C for 4 minutes
with a 20 minutes dry
time | Same |
| Reusable | Yes | Yes | Same |
| Useful Life | 25 Cycles | 200 Cycles | Different,
based on |
| Feature | Instrument Case (Subject Device) | K212281 (Predicate device) | Comparison Notes |
| Biocompatibility | Planning and testing have been carried out according to ISO 10993-1.

The Instrument Case is biocompatible due to the testing with pass results. | Biocompatibility evaluation assessment for the Surgical Tray was performed according to ISO 10993- 1:2018

The test results confirm that the Surgical Trays are biocompatible for their intended use. | Same |
| Perforated | Yes | Yes | Same |
| Sterile Barrier | FDA cleared sterilization pouch | FDA cleared sterilization pouch | Same |
| Maximum Load for Sterilization | 1700g | 513.7g | Different, based on total weight of reusable instruments included in the sterilization case. |

Table 1: Predicate Comparison

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Image /page/6/Picture/1 description: The image is the logo for Cochlear, a company that specializes in hearing solutions. The logo features a stylized, abstract representation of the inner ear, depicted as three concentric, curved shapes in a golden color. Below the ear symbol, the company name "Cochlear" is written in a sans-serif font, also in the same golden color. Underneath the company name, the tagline "Hear now. And always" is present in a smaller font size.

7

Image /page/7/Picture/1 description: The image contains the logo for Cochlear, a company that specializes in hearing solutions. The logo features a stylized, golden-yellow symbol resembling three overlapping sound waves or cochlear shapes. Below the symbol, the company name "Cochlear" is written in a matching golden-yellow sans-serif font. Underneath the name, the tagline "Hear now. And always" is displayed in a smaller, lighter font, emphasizing the company's commitment to long-term hearing support.

J. Performance Data

Bench testing was conducted to demonstrate substantial equivalence to the predicate device, Surgical Trays. Substantial equivalence to the predicate device was accomplished through nonclinical data related to performance testing, biocompatibility testing, and reprocessing information. The results demonstrated the Instrument Case is substantially equivalent to the predicate device.

Table 2 identifies the performance tests that were conducted on the subject device. All of the testing yielded PASS results, as shown in the table below. For the sterilization validation, both the predicate and subject device utilized the ISO 17665 standard as the test methodology. For the remaining performance data, similar or the same test methodology were used to show that the subject device is as safe and effective as the predicate device as shown in the table below:

| Test | Test
Methodology | Test Description | Acceptance
Criteria | Results |
|------------------------------------------------------------|------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Automated
cleaning (with | AAMI
TIR12:2010 | 6 simulated use cycles | No visible soil
should remain | PASS: All
units met the |
| Test | Test Methodology | Test Description | Acceptance Criteria | Results |
| enzymatic detergent) | AAMI
TIR30:2011 | 5 accumulation cycles
3 efficacy cycles
Visual inspection for any residual test soil, residual protein and hemoglobin levels and cytotoxicity testing for presence of detergent residuals. | on the test articles.
Protein level should be 1) | toxicological
concern had a
MOS>1 |
| Biocompatibility | ISO 10993-5;
2009 | Cytotoxicity | Non-
Cytotoxic | PASS: The
instrument
case is not
cytotoxic |

Table 2: Performance Data

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Image /page/8/Picture/1 description: The image contains the logo for Cochlear, a company that specializes in hearing solutions. The logo features a stylized, golden-yellow symbol resembling three nested 'C' shapes, stacked on top of each other. Below the symbol, the company name "Cochlear" is written in a similar golden-yellow color, with the registered trademark symbol '®' next to it. Underneath the company name, the tagline "Hear now. And always" is displayed in a smaller font, completing the logo.

9

Image /page/9/Picture/1 description: The image is the logo for Cochlear, a company that specializes in hearing solutions. The logo features a stylized, golden-yellow symbol resembling three overlapping "C" shapes, stacked on top of each other. Below the symbol, the company name "Cochlear" is written in a similar golden-yellow color, with the trademark symbol "®" next to it. Underneath the company name, the tagline "Hear now. And always" is displayed in a smaller font, completing the logo.

10

Image /page/10/Picture/1 description: The image contains the logo for Cochlear, a company that specializes in hearing solutions. The logo features a stylized, golden-yellow symbol resembling three overlapping sound waves or cochlear spirals. Below the symbol, the company name "Cochlear" is printed in a matching golden-yellow color, with the registered trademark symbol to the right. Underneath the company name, the tagline "Hear now. And always" is displayed in a smaller font, emphasizing the company's commitment to long-term hearing support.

K. Conclusion

Based on the indications for use, technological characteristics, and substantial equivalence comparison to the predicate device, supported by non-clinical data, the Instrument Case has been shown to be as safe, as effective, and performs as well as or better than the legally marketed predicate device, K212281.