K Number
K233762
Device Name
SteroScope® Sterilization Technology System
Date Cleared
2024-06-27

(216 days)

Product Code
Regulation Number
880.6860
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The SteroScope® Sterilization Technology System is indicated for the terminal sterilization of cleaned reusable Flexible Endoscopes with up to 8 internal lumens with lumen dimensions of: - ID of 1.0 mm or larger and a length of 3580 mm or shorter and . - ID of 1.2 mm or larger and a length of 4095 mm or shorter .
Device Description
The SteroScope® Sterilization Technology System is a vaporized hydrogen peroxide based (VHP) sterilizer for the terminal sterilization of flexible endoscopes with the following characteristics: Flexible Endoscopes with up to 8 internal lumens with lumen dimensions of: · ID of 1.0 mm or larger and a length of 3580 mm or shorter and · ID of 1.2 mm or larger and a length of 4095 mm or shorter. The SteroScope® Sterilization Technology System is a Gas Plasma VHP sterilization system designed specifically for flexible endoscope terminal sterilization, not for general surgical instrument loads. It is a self-contained stand-alone system of hardware and software system that uses technology to rapidly diffuse VHP into all the channels of the flexible endoscope to facilitate the sterilization of inner device surfaces, while being occupationally and environmentally safe to use. To enable the terminal sterilization of long multi-lumen endoscopes, while minimizing oxidation damage, the SteroScope® Sterilization Technology System incorporates a proprietary gas diffusion technology which creates a pressure differential in each internal endoscope lumen channel to actively pull hydrogen peroxide vapor from the chamber of the VHP sterilizer through the distal end of each endoscope channel, while the endoscope is in a sterile container. Utilizing a separate mechanism for the rapid diffusion of VHP from the chamber into the individual SteroScope® Sterilization Technology System allows the entire endoscope to be sterilized with less overall peroxide dose exposure.
More Information

STERRAD 100NX DUO Cycle (K111377)

No
The description focuses on the hardware and chemical process (vaporized hydrogen peroxide) for sterilization, with no mention of AI or ML in the device description, performance studies, or key metrics.

No
The device is a sterilizer for flexible endoscopes, not a medical device intended to treat or diagnose a disease or condition in a patient.

No.
The document explicitly states that the device is a "vaporized hydrogen peroxide based (VHP) sterilizer for the terminal sterilization of flexible endoscopes." Its function is to sterilize medical instruments, not to diagnose diseases or conditions.

No

The device description explicitly states it is a "self-contained stand-alone system of hardware and software system" and describes physical components and processes like vaporized hydrogen peroxide diffusion and pressure differentials. The performance studies also include extensive hardware-related testing.

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

Here's why:

  • Intended Use: The intended use is for the terminal sterilization of reusable flexible endoscopes. This is a process performed on medical devices to render them free of viable microorganisms, not a test performed on biological samples to diagnose a condition.
  • Device Description: The device is a sterilization system using vaporized hydrogen peroxide. It is designed to sterilize the internal and external surfaces of endoscopes. This is a physical/chemical process applied to a medical device, not a diagnostic test.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring analytes (biomarkers, pathogens, etc.)
    • Providing information for diagnosis, monitoring, or prognosis of a disease or condition.

The device is clearly intended for the reprocessing of medical devices (endoscopes) to ensure their safety for subsequent use, which falls under the category of medical device sterilization, not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The SteroScope® Sterilization Technology System is indicated for the terminal sterilization of cleaned reusable Flexible Endoscopes with up to 8 internal lumens with lumen dimensions of:

  • ID of 1.0 mm or larger and a length of 3580 mm or shorter and .
  • ID of 1.2 mm or larger and a length of 4095 mm or shorter .

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

MLR

Device Description

The SteroScope® Sterilization Technology System is a vaporized hydrogen peroxide based (VHP) sterilizer for the terminal sterilization of flexible endoscopes with the following characteristics:

Flexible Endoscopes with up to 8 internal lumens with lumen dimensions of:

  • · ID of 1.0 mm or larger and a length of 3580 mm or shorter and
  • · ID of 1.2 mm or larger and a length of 4095 mm or shorter.

The SteroScope® Sterilization Technology System is a Gas Plasma VHP sterilization system designed specifically for flexible endoscope terminal sterilization, not for general surgical instrument loads. It is a self-contained stand-alone system of hardware and software system that uses technology to rapidly diffuse VHP into all the channels of the flexible endoscope to facilitate the sterilization of inner device surfaces, while being occupationally and environmentally safe to use. To enable the terminal sterilization of long multi-lumen endoscopes, while minimizing oxidation damage, the SteroScope® Sterilization Technology System incorporates a proprietary gas diffusion technology which creates a pressure differential in each internal endoscope lumen channel to actively pull hydrogen peroxide vapor from the chamber of the VHP sterilizer through the distal end of each endoscope channel, while the endoscope is in a sterile container. Utilizing a separate mechanism for the rapid diffusion of VHP from the chamber into the individual SteroScope® Sterilization Technology System allows the entire endoscope to be sterilized with less overall peroxide dose exposure.

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 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)

Non-clinical performance testing was conducted to establish safety and efficacy. Key tests included:

  • System Environmental Testing: Verified operation under extreme conditions.
  • SteroScope H2O2 Emissions Test: Confirmed compliance with OSHA H2O2 safety levels.
  • System H2O2 Concentration Mapping: Mapped peroxide concentration during operation.
  • System Temperature Mapping: Mapped temperature during operation.
  • System Functional Test: Ensured conformance to system specifications.
  • SteroScope System Shipping: Tested vibration, shock, and drop for system integrity.
  • SteroScope Consumable Shipping: Tested vibration, shock, and drop for consumable integrity.
  • EMC & Electrical Safety: Tested in accordance with IEC 60601-1-2 and IEC 61010-1.
  • Qualification of Pressure Limits: Validated operational pressure limits.
  • Human Factors: Validated system ergonomics and human factors with clinical users.
  • Software Validation: Verified and validated software requirements.
  • Subsystem Design Verifications: Tested functional performance of each subsystem.
  • H2O2 Consumable Shelf-life: Long term stability study to establish shelf life.
  • H2O2 Consumable Storage: Stability testing in extreme conditions.
  • Endoscope Temperature Mapping: Mapped endoscope temperatures during cycle.
  • Final Process Qualification: Operational process qualification with multiple systems.
  • Mated Surface Connector-Port: Half cycle connector efficacy test.
  • BI & CI Functionality: Tested under worst case conditions.
  • AOAC Sporicidal Test: Evaluated process and sterilant efficacy for multiple organisms.
  • Mated Surface Sterilization: Half cycle mated material efficacy using material coupons.
  • Material Surface Sterilization: Half cycle surface efficacy using material coupons.
  • Uniformity Microbial Inactivation: Assessed uniformity of microbial inactivation.
  • Endoscope Dose Response Curves: Dosing study with various flexible endoscopes.
  • Material Bacteriostasis Validation: Confirmed no bacteriostatic effects for material coupons.
  • Bacteriostasis & Fungistasis Validation: Confirmed no bacteriostatic effects for flexible endoscopes.
  • Simulated Use Testing: Worst-case testing with unwashed flexible endoscopes inoculated with test culture challenge, achieving 6-log reduction in Geobacillus stearothermophilus.
  • In-Use Testing: Worst-case testing with clinically used flexible endoscopes, showing no growth upon recovery after sterilization.
  • Functionality & Material Compatibility: Worst-case material compatibility testing of multiple flexible endoscopes with back to back cycles.
  • Biocompatibility Coupons: Worst-case residual and cytotoxicity (MTT) testing with material coupons (ISO 10993-5).
  • Biocompatibility Flexible Endoscopes: Worst-case residual and cytotoxicity (MTT) testing with flexible endoscopes (ISO 10993-5).

Results: All tests passed their respective acceptance criteria.

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

6-log reduction in Geobacillus stearothermophilus for simulated use testing.
No growth upon recovery after sterilization for in-use testing.
No growth of Geobacillus stearothermophilus for mated surface connector-port and mated surface/material surface sterilization.

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.

STERRAD 100NX DUO Cycle (K111377)

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.

STERRAD 100NX EXPRESS Cycle (K092622)

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

§ 880.6860 Ethylene oxide gas sterilizer.

(a)
Identification. An ethylene gas sterilizer is a nonportable device intended for use by a health care provider that uses ethylene oxide (ETO) to sterilize medical products.(b)
Classification. Class II (performance standards).

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.

June 27, 2024

IDEATE Medical, Inc. % Kevin Corrigan Regulaory Consultant Corrigan Regulatory Consulting P.O. Box 6284 Anaheim, California 92816

Re: K233762

Trade/Device Name: SteroScope® Sterilization Technology System Regulation Number: 21 CFR 880.6860 Regulation Name: Ethylene Oxide Gas Sterilizer Regulatory Class: Class II Product Code: MLR Dated: November 22, 2023 Received: November 24, 2023

Dear Kevin Corrigan:

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 (the 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 available 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.

1

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 and Part 809); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safetyreporting-combination-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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,

Christopher K. Dugard -2

Christopher K. Dugard, M.S. Assistant Director DHT4B: Division of Infection Control

2

and Plastic and Reconstructive Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known) K233762

Device Name

SteroScope® Sterilization Technology System

Indications for Use (Describe)

The SteroScope® Sterilization Technology System is indicated for the terminal sterilization of cleaned reusable

  • Flexible Endoscopes with up to 8 internal lumens with lumen dimensions of:
  • ID of 1.0 mm or larger and a length of 3580 mm or shorter and ●
  • . ID of 1.2 mm or larger and a length of 4095 mm or shorter
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)

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4

510(k) SUMMARY K233762

26 June 2024

I. SUBMITTER

IDEATE Medical, Inc. 2821 N. Ballas Road C55 St. Louis, MO 63131

Phone: 760-402-8322

Contact Person: William Wong, CEO bill.wong@ideatemedical.com

II. DEVICE

Name of Device:SteroScope® Sterilization Technology System
Common Name:Vaporized Hydrogen Peroxide Sterilizer
Classification Name:Ethylene oxide gas sterilizer (21 CFR 888.6860)
Regulatory:Class II
Product Code:MLR, Sterilizer, Chemical

III. PREDICATE DEVICE

STERRAD 100NX DUO Cycle (K111377)

Reference Device: STERRAD 100NX EXPRESS Cycle (K092622)

IV. DEVICE DESCRIPTION

The SteroScope® Sterilization Technology System is a vaporized hydrogen peroxide based (VHP) sterilizer for the terminal sterilization of flexible endoscopes with the following characteristics:

Flexible Endoscopes with up to 8 internal lumens with lumen dimensions of:

  • · ID of 1.0 mm or larger and a length of 3580 mm or shorter and
  • · ID of 1.2 mm or larger and a length of 4095 mm or shorter.

The SteroScope® Sterilization Technology System is a Gas Plasma VHP sterilization system designed specifically for flexible endoscope terminal sterilization, not for general surgical instrument loads. It is a self-contained stand-alone system of hardware and software system that uses technology to rapidly diffuse VHP into all the channels of the flexible endoscope to facilitate the sterilization of inner device surfaces, while being occupationally and environmentally safe to use. To enable the terminal sterilization of long multi-lumen endoscopes, while minimizing oxidation damage, the SteroScope® Sterilization Technology System incorporates a proprietary gas diffusion technology which creates a pressure differential

5

in each internal endoscope lumen channel to actively pull hydrogen peroxide vapor from the chamber of the VHP sterilizer through the distal end of each endoscope channel, while the endoscope is in a sterile container. Utilizing a separate mechanism for the rapid diffusion of VHP from the chamber into the individual SteroScope® Sterilization Technology System allows the entire endoscope to be sterilized with less overall peroxide dose exposure.

V. INDICATIONS FOR USE

The SteroScope® Sterilization Technology System is indicated for the terminal sterilization of cleaned reusable Flexible Endoscopes with up to 8 internal lumens with lumen dimensions of:

  • ID of 1.0 mm or larger and a length of 3580 mm or shorter and .
  • ID of 1.2 mm or larger and a length of 4095 mm or shorter .

VI. TECHNOLOGICAL CHARACTERISTICS COMPARISON

Table 1 (below) provides a summary of the device's technological characteristics comparing the subject device and the predicate device and reference device(s).

CharacteristicSubject DevicePredicate DeviceReference DeviceComments
STEROSCOPE
SYSTEM (K233762)STERRAD100NX DUO
(K111377)STERRAD 100NX
EXPRESS (K092622)
Intend UseSteroScope Sterilizer is
intended for the terminal
sterilization of properly
prepared (cleaned,
rinsed, and dried) flexible
endoscopes in Healthcare
Facilities. The
preprogrammed
sterilization cycle
operates at low pressure
and temperature, suitable
for processing
endoscopes without
leaving toxic residues.The STERRAD Sterilizers
are designed for
sterilization of both metal
and nonmetal medical
devices at low
temperatures. Because the
cycle operates within a dry
environment and at low
temperatures, it is
especially suitable for
instruments sensitive to
heat and moisture.The STERRAD Sterilizers
are designed for sterilization
of both metal and nonmetal
medical devices at low
temperatures. Because the
cycle operates within a dry
environment and at low
temperatures, it is especially
suitable for instruments
sensitive to heat and
moisture.SIMILAR
Subject to
predicate &
reference
Indications for
UseThe SteroScope
Sterilization System is
indicated for the terminal
sterilization of cleaned
reusable flexible
endoscopes with up to 8
internal lumens with
lumen dimensions of:The STERRAD®
100NXTM DUO
Cycle is an additional
optional cycle designed for
sterilization of medical
devices including most
flexible endoscopes, with
up to 1 internal lumen with
lumen dimension of:
1.0 mm or larger and a
length of 875mm or shorterThe STERRAD® 100NXTM
EXPRESS Cycle is an
additional optional cycle
designed for surface
sterilization of both metal
and nonmetal medical
devices at low temperatures.
It can sterilize instrument
surfaces and it can sterilize
rigid and semi-rigid
endoscopes without lumensSIMILAR
Subject to
predicate &
reference

Table 2: TECHNOLOGY Comparison

6

| Characteristic | Subject Device
STEROSCOPE
SYSTEM (K233762)
ID of 1.0 mm or larger
and a length of 3580 mm
or shorter and
ID of 1.2 mm or larger
and a length of 4095 mm
or shorter | Predicate Device
STERRAD100NX
(K111377) | Reference Device
STERRAD 100NX
EXPRESS (K092622) | Comments |
|-----------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------|---------------------------------------------------|
| Sterilization
Technology | VHP Gas Plasma | VHP Gas Plasma | VHP Gas Plasma | SAME |
| Sterilant | 59% H2O2 | 59% H2O2 | 59% H2O2 | SAME |
| H2O2/cycle | 5.8 mL | 3.1 mL | 10.8 mL | SIMILAR
Subject to
predicate &
reference |
| Chamber
Temperature | 57° C | 57° C | 57° C | SAME |
| Chamber
Volume | 91.0 Liters | 93.4 Liters | 93.4 Liters | SIMILAR
Subject to
predicate &
reference |
| Load Type | (1) flexible endoscope
(8) internal lumens
(1.0mm ID x 3585mm) | (2) flexible endoscopes
(1) internal lumen
(1.0mm ID x 850mm) | (2) Semi-rigid/rigid
endoscopes
(no lumens up to 500mm) | SIMILAR
Subject to
predicate |
| Load Weight | 17.8 lbs. | 13.2 lbs. | 10.7 lbs. | SIMILAR
Subject to
predicate |
| H2O2 Delivery | Extracted from H2O2
consumable and metered | Extracted from H2O2
consumable and metered | Extracted from H2O2
consumable with no metering | SAME |
| Cycle Time | 43 mins. | 51 mins. | 26 mins | SIMILAR
Subject to
predicate |

VII. SUMMARY OF NON-CLINICAL PERFORMANCE TESTING

Table 3 (below) provides a summary of the non-clinical performance testing conducted on the subject device, SteroScope Sterilization System, to establish safety and efficacy. Table 4 below provides a list of standards used in the testing of the SteroScope Sterilization System

Table 3:
Testing MethodPurposeAcceptance CriteriaResults
System Environmental
TestingSystem environmental testing under
extreme conditions operating
conditionsInternal
SpecificationPass
SteroScope H2O2
Emissions TestH2O2 emissions compliance to
required OSHA safety levelsOSHA H2O2
SEL/PELPass
Testing MethodPurposeAcceptance CriteriaResults
System H2O2
Concentration MappingPeroxide concentration mapping during operationInternal
SpecificationPass
System Temperature
MappingTemperature mapping during operationInternal
SpecificationPass
System Functional TestTesting of system functional requirements to ensure conformance to system specificationsInternal
SpecificationPass
SteroScope System
ShippingSystem shipping test for vibration, shock & drop to ensure system and packaging integrityISTA 2BPass
SteroScope Consumable
ShippingConsumable shipping test for vibration, shock & drop to ensure consumable and packaging integrityISTA 2APass
EMC & Electrical SafetyThe sterilizer was tested in accordance with IEC 60601-1-2 and IEC 61010-1 standardsIEC 60601-1-2 and
IEC 61010-1Pass
Qualification of Pressure
LimitsValidation of sterilizer operational pressure limitsInternal
SpecificationPass
Human FactorsValidation of system ergonomics and human factors with clinical usersInternal
SpecificationPass
Software ValidationSoftware verification and validation of software requirementsInternal
SpecificationPass
Subsystem Design
VerificationsTesting of each subsystem to ensure functional performance met design requirementsInternal
SpecificationPass
H2O2 Consumable Shelf-
lifeLong term stability study of H2O2 consumable to establish shelf lifeInternal
SpecificationPass
H2O2 Consumable
StorageStability testing of H2O2 consumable in extreme conditionsInternal
SpecificationPass
Endoscope Temperature
MappingMapping of endoscope temperatures during cycle to verify the internal and external temperatures of a flexible endoscopeInternal
SpecificationPass
Final Process
QualificationOperational process qualification with multiple systemsInternal
SpecificationPass
Mated Surface Connector-
PortHalf cycle connector efficacy testNo growth of
Geobacillus
stearothermophilusPass
BI & CI FunctionalityBI & CI functionality under worst case conditionsNo Growth in BI &
color change in CIPass
AOAC Sporicidal TestProcess and sterilant efficacy for multiple organismsAOAC Official
Method 966.04Pass
Mated Surface
SterilizationHalf cycle mated material efficacy using material couponsNo growth of
Geobacillus
stearothermophilusPass
Testing MethodPurposeAcceptance CriteriaResults
Material Surface
SterilizationHalf cycle surface efficacy using
material couponsNo growth of
Geobacillus
stearothermophilusPass
Uniformity Microbial
InactivationDosing study to assess uniformity of
microbial inactivationUniformity in
inactivation kinetics
based on SLRPass
Endoscope Dose
Response CurvesDosing study with various flexible
endoscopesInternal
SpecificationPass
Material Bacteriostasis
ValidationConfirmation that there are no
bacteriostatic effects that inhibit
growth for material couponsNo bacteriostatic
effect after
sterilization with
growth of defined
micro-organismsPass
Bacteriostasis &
Fungistasis ValidationConfirmation that there are no
bacteriostatic effects that inhibit
growth for flexible endoscopesNo bacteriostatic
effect after
sterilization with
growth of defined
micro-organismsPass
Simulated Use TestingWorst-case testing with unwashed
flexible endoscopes inoculated with
test culture challenge6-log reduction in
Geobacillus
stearothermophilusPass
In-Use TestingWorst-case testing with clinically used
flexible endoscopes.No growth upon
recovery after
sterilizationPass
Functionality & Material
CompatibilityWorst-case material compatibility
testing of multiple flexible endoscopes
with back to back cyclesInternal
SpecificationPass
Biocompatibility CouponsWorst-case residual and cytotoxicity
(MTT) testing with material couponsISO 10993-5Pass
Biocompatibility Flexible
EndoscopesWorst-case residual and cytotoxicity
(MTT) testing with flexible
endoscopesISO 10993-5Pass

7

8

9

Table 4 Standards Used:

OrganizationDesignationTitle
IEC60601-1-2 Edition 4.0 2014-02Medical electrical equipment - Part 1-2: General requirements for basic safety and essential performance - Collateral Standard: Electromagnetic disturbances - Requirements and tests
IEC61010-1 Edition 3.1 2017-01
CONSOLIDATED VERSIONSafety requirements for electrical equipment for measurement control and laboratory use - Part 1: General requirements [Including: Corrigendum 1 (2019)]
AAMITIR 12:2020Design, Testing and Labeling of Reusable Medical Devices
ANSI AAMI
ISO11737-1:2018Microbial Methods Determination of the population of microorganisms
ASTME1837-96 (2014)Simulated Use Test
AAMI ANSIST77:2013(R)2018Containment Devices
ANSI AAMI
ISO17664:2017Info To Be Provided for the processing of medical devices
AAMITIR39:2009(R)2017Selecting a Microbial Challenge and Inoculation sites
ANSI AAMI
ISO11138-1:2017BIs part 1
ISO10993-5 Third edition 2009-06-01Biological evaluation of medical devices - Part 5: Tests for in vitro cytotoxicity
ISO10993-12 Fourth edition 2012-07-01Biological evaluation of medical devices - Part 12: Sample preparation and reference materials
USP-NF1035BIs for Sterilization
AOAC966.04Sporicidal Activity of Disinfectants
AAMI ANSIST14:2008EtO Sterilization in Health Care Facilities
IEC61000Electromagnetic Compatibility
ISTA2A and 2BInternational Safe Transit Association
OSHACAS 7722-84-1H2O2 Handling Guidance
AOACOfficial Method 966.04Sporicidal Activity of Disinfectants. Official Methods of Analysis of the AOAC, 2013 Edition

Conclusion

The conclusion drawn from the non-clinical testing demonstrates that the subject device, SteroScope® Sterilization Technology System submitted under K233762, is as safe, as effective, and performs as well as or better than the legally marketed predicate device cleared under K131407, the STERRAD 100NX DUO Cycle, and the legally marketed reference device cleared under K092622, the STERRAD 100NX EXPRESS Cycle.