K Number
K234132
Device Name
Medline Reusable Sterilization Wrappers
Date Cleared
2024-09-17

(264 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Medline Reusable Sterilization Wrappers are intended to be used to enclose another medical device or component that is to be sterilized by health care professionals. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used. The Medline Reusable Sterilization Wrap is a non-sterile, reusable device, with a wash/dry/autoclave life cycle as indicated on the Wrap. Medline Reusable Sterilization Wrappers are available in 3 different fabrics that are either single or double ply bonded sheets of cotton and polyester blends. Model Angelstat is reusable up to 50 times; Models Resistat and Ripstop are reusable up to 75 times . The Medline Reusable Sterilization Wrappers are available in Misty Green, Jade Green or Ceil Blue with configurations 12"x12" through 72"x72" and 60"x90". The Medline Reusable Sterilization Wrappers are intended to be laundered then sterilized prior to use, and examined prior to use for defects and debris. A prevacuum steam sterilization cycle at 270 F for 4 minutes has been validated for use on textile packs, with a minimum weight of 25 pounds and 30 minute dry time. Medline recommends following the below standards for pack configuration and assembly in sterilization facilities. · AAMI ANSI ST79 • AAMI ANSI ST65
Device Description
The Medline Reusable Sterilization Wrappers are offered in bulk, non-sterile packaging. The Medline Reusable Sterilization Wrappers are available in 3 different fabrics that are either single or double ply bonded sheets of cotton and polyester blends. The Medline Reusable Sterilization Wrappers are available in Misty Green, Jade Green or Ceil Blue with configurations 12"x12" through 72"x72" and 60"x90". The Medline Reusable Sterilization Wrappers are intended to be sterilized and laundered per the instructions.
More Information

Not Found

No
The device is a reusable sterilization wrapper made of fabric. The description focuses on material properties, sterilization validation, and physical characteristics. There is no mention of software, algorithms, or data processing that would indicate the use of AI/ML.

No

This device is a sterilization wrapper, intended to enclose and maintain sterility of other medical devices, not to directly treat or diagnose a medical condition.

No

Explanation: The device is a sterilization wrapper intended to maintain the sterility of other medical devices. It does not perform any diagnostic function.

No

The device is a physical product (textile wrappers) and the description focuses on material properties, physical dimensions, and validation of sterilization and cleaning processes. There is no mention of software as a component or the primary function of the device.

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

Here's why:

  • Intended Use: The intended use clearly states that the wrappers are used to enclose other medical devices for sterilization and maintain their sterility. This is a physical function related to the preparation and storage of medical devices, not a diagnostic test performed on biological samples.
  • Device Description: The description focuses on the physical characteristics of the wrappers (fabric type, size, color).
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens from the human body, detect diseases, or provide information for diagnosis, treatment, or prevention.

IVD devices are specifically designed to perform tests on biological samples (like blood, urine, tissue) to provide diagnostic information. The Medline Reusable Sterilization Wrappers do not fit this description.

N/A

Intended Use / Indications for Use

Medline Reusable Sterilization Wrappers are intended to be used to enclose another medical device or component that is to be sterilized by health care professionals. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used. The Medline Reusable Sterilization Wrap is a non-sterile, reusable device, with a wash/dry/autoclave life cycle as indicated on the Wrap.

Medline Reusable Sterilization Wrappers are available in 3 different fabrics that are either single or double ply bonded sheets of cotton and polyester blends. Model Angelstat is reusable up to 50 times; Models Resistat and Ripstop are reusable up to 75 times . The Medline Reusable Sterilization Wrappers are available in Misty Green, Jade Green or Ceil Blue with configurations 12"x12" through 72"x72" and 60"x90". The Medline Reusable Sterilization Wrappers are intended to be laundered then sterilized prior to use, and examined prior to use for defects and debris.

A prevacuum steam sterilization cycle at 270 F for 4 minutes has been validated for use on textile packs, with a minimum weight of 25 pounds and 30 minute dry time.

Medline recommends following the below standards for pack configuration and assembly in sterilization facilities. · AAMI ANSI ST79 • AAMI ANSI ST65

Product codes

FRG

Device Description

The Medline Reusable Sterilization Wrappers are offered in bulk, non-sterile packaging. The Medline Reusable Sterilization Wrappers are available in 3 different fabrics that are either single or double ply bonded sheets of cotton and polyester blends. The Medline Reusable Sterilization Wrappers are available in Misty Green, Jade Green or Ceil Blue with configurations 12"x12" through 72"x72" and 60"x90". The Medline Reusable Sterilization Wrappers are intended to be sterilized and laundered per the instructions.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

health care 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: Non-Clinical Testing
Test Performed: Resistance to Water Penetration, Tensile Strength and Elongation, Particle Generation, Cytotoxicity, Sensitization, Irritation, Acute Systemic Toxicity, Sterilization Validation, Dry Time Validation, Cleaning Validation.
Sample Size: Not Specified
Key Results: All tests passed their respective acceptance criteria:

  • Resistance to Water Penetration: Average hydrostatic pressure reported as Pass.
  • Tensile Strength and Elongation: Average load at break and elongation at break for machine and cross direction reported as Pass.
  • Particle Generation: Average lint counts of particles and coeffect of linting reported as Pass.
  • Cytotoxicity: Device did not show cytotoxicity potential, reported as Pass.
  • Sensitization: Device showed no significant evidence of causing delayed dermal contact sensitization, reported as Pass.
  • Irritation: Irritation response category of the device was classified as Negligible, reported as Pass.
  • Acute Systemic Toxicity: Device did not show systemic toxicity potential, reported as Pass.
  • Sterilization Validation: All biological indicators negative, positive controls positive, chemical integrators demonstrate adequate steam penetration, negative and environmental controls negative, reported as Pass.
  • Dry Time Validation: Average pre and post sterilization wrought difference of less than 0.2% within 5 minutes of cycle completion, no visible moisture following 30 minute cooling period and all integrators demonstrate steam penetration, reported as Pass.
  • Cleaning Validation: Each test sample showed a TOC level of less than 12µg/cm2 and no visible soil after cleaning, reported as Pass.

Key Metrics

Not Found

Predicate Device(s)

K172207

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 880.6850 Sterilization wrap.

(a)
Identification. A sterilization wrap (pack, sterilization wrapper, bag, or accessories, is a device intended to be used to enclose another medical device that is to be sterilized by a health care provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health and Human Services logo. To the right of that is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

September 17, 2024

Medline Industries, LP Kelsey Closen Regulatory Affairs Specialist Three Lakes Drive Northfield, Illinois 60093, USA

Re: K234132

Trade/Device Name: Medline Reusable Sterilization Wrappers Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: FRG Dated: December 28, 2023 Received: December 28, 2023

Dear Kelsey Closen:

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.

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"

1

2

(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 OS 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); 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-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 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. Stephen A. Anisko -S

Digitally signed by Stephen A. Anisko -S Date: 2024.09.17 11:49:46 -04'00'

for: Christopher Dugard Assistant Director DHT4C: Division of Infection Control Devices OHT4: Office of Surgical and Infection Control Devices

2

Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

3

Indications for Use

510(k) Number (if known) K234132

Device Name Medline Reusable Sterilization Wrappers

Indications for Use (Describe)

Medline Reusable Sterilization Wrappers are intended to be used to enclose another medical device or component that is to be sterilized by health care professionals. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used. The Medline Reusable Sterilization Wrap is a non-sterile, reusable device, with a wash/dry/autoclave life cycle as indicated on the Wrap.

Medline Reusable Sterilization Wrappers are available in 3 different fabrics that are either single or double ply bonded sheets of cotton and polyester blends. Model Angelstat is reusable up to 50 times; Models Resistat and Ripstop are reusable up to 75 times . The Medline Reusable Sterilization Wrappers are available in Misty Green, Jade Green or Ceil Blue with configurations 12"x12" through 72"x72" and 60"x90". The Medline Reusable Sterilization Wrappers are intended to be laundered then sterilized prior to use, and examined prior to use for defects and debris.

A prevacuum steam sterilization cycle at 270 F for 4 minutes has been validated for use on textile packs, with a minimum weight of 25 pounds and 30 minute dry time.

Medline recommends following the below standards for pack configuration and assembly in sterilization facilities. · AAMI ANSI ST79

• AAMI ANSI ST65

Insert model and sizes Item Resistat (1-ply) Size Description Color Pkg. MDT01302012 ResiStat Reusable Sterilization Wrap Ceil Blue 12" x 12" 5 dz/cs MDT01302018 ResiStat Reusable Sterilization Wrap Ceil Blue 18" x 18" 5 dz/cs MDT01302024 ResiStat Reusable Sterilization Wrap Ceil Blue 24" x 24" 5 dz/cs MDT01302030 ResiStat Reusable Sterilization Wrap Ceil Blue 30" x 30" 5 dz/cs MDT01302036 ResiStat Reusable Sterilization Wrap Ceil Blue 36" x 36" 5 dz/cs MDT01302045 ResiStat Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01302054 ResiStat Reusable Sterilization Wrap Ceil Blue 54" x 54" 1 dz/cs MDT013020547ResiStat Reusable Sterilization Wrap Ceil Blue 54" x 72" 2 dz/cs Rip-stop (1-ply) MDT01302124 Rip-Stop Reusable Sterilization Wrap Ceil Blue 24" x 24" 5 dz/cs MDT01302130 Rip-Stop Reusable Sterilization Wrap Ceil Blue 30" x 30" 5 dz/cs MDT01302136 Rip-Stop Reusable Sterilization Wrap Ceil Blue 36" x 36" 5 dz/cs MDT01302145 Rip-Stop Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01302154 Rip-Stop Reusable Sterilization Wrap Ceil Blue 54" x 54" 1 dz/cs MDT013021607 Rip-Stop Reusable Sterilization Wrap Ceil Blue 60" x 76" 1 dz/cs MDT013021609 Rip-Stop Reusable Sterilization Wrap Ceil Blue 60" x 90" 1 dz/cs Angelstat Bias (2-ply) MDT01320018 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 18" x 18" 5 dz/cs MDT01320024 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 24" x 24" 5 dz/cs MDT01320030 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 30" x 30" 5 dz/cs MDT01320036 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 36" x 36" 5 dz/cs

4

MDT01320045 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01320045N Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01320054 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 54" x 54" 1 dz/cs MDT013200547 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 54" x 72" 1 dz/cs MDT01320072 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 70" x 72" 1 dz/cs MDT01320512 Astat Bias Bound Reusable Sterilization Wrap Jade Green 12" x 12" 5 dz/cs MDT01320518 Astat Bias Bound Reusable Sterilization Wrap Jade Green 18" x 18" 5 dz/cs MDT01320524 Astat Bias Bound Reusable Sterilization Wrap Jade Green 24" x 24" 5 dz/cs MDT01320527 Astat Bias Bound Reusable Sterilization Wrap Jade Green 27" x 27" 5 dz/cs MDT01320530 Astat Bias Bound Reusable Sterilization Wrap Jade Green 30" x 30" 5 dz/cs MDT01320536 Astat Bias Bound Reusable Sterilization Wrap Jade Green 36" x 36" 5 dz/cs MDT01320545 Astat Bias Bound Reusable Sterilization Wrap Jade Green 45" x 45" 2 dz/cs MDT01320554 Astat Bias Bound Reusable Sterilization Wrap Jade Green 54" x 54" 1 dz/cs MDT013205547 Astat Bias Bound Reusable Sterilization Wrap Jade Green 54" x 72" 1 dz/cs MDT01321018 Astat Bias Bound Reusable Sterilization Wrap Misty 18" x 18" 5 dz/cs MDT01321030 Astat Bias Bound Reusable Sterilization Wrap Misty 30" x 30" 5 dz/cs MDT01321036 Astat Bias Bound Reusable Sterilization Wrap Misty 36" x 36" 5 dz/cs MDT01321045 Astat Bias Bound Reusable Sterilization Wrap Misty 45" x 45" 2 dz/cs MDT01321054 Astat Bias Bound Reusable Sterilization Wrap Misty 54" x 54" 1 dz/cs MDT013210547 Astat Bias Bound Reusable Sterilization Wrap Misty 54" x 72" 1 dz/cs MDT01321072 Astat Bias Bound Reusable Sterilization Wrap Misty 70" x 72" 1 dz/c

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/5/Picture/1 description: The image features the Medline logo, which is set against a blue background. The word "MEDLINE" is prominently displayed in white, sans-serif font, positioned to the left of a stylized white cross-like symbol. The cross is oriented diagonally, with its points extending towards the corners of the frame, creating a dynamic and modern look for the medical supply company.

Medline Industries, LP Three Lakes Drive Northfield. IL 60093

510(k) SUMMARY - K234132 [AS REQUIRED BY 21CFR807.92(c)]

Submitter / 510(k) Sponsor

Medline Industries, LP Three Lakes Drive Northfield, IL 60093, USA

Registration Number: 1417592

Contact Person

Contact Person: Kelsey Closen, Regulatory Affairs Specialist Phone: 847-949-2283 Email: KClosen@medline.com

Summary Preparation Date August 05, 2024

Type of 510(k) Submission Traditional

Device Name / Classification

Trade Name: Medline Reusable Sterilization Wrappers Common Name: Sterilization Wrapper Classification Name: Wrap, Sterilization Product Code: FRG Classification Panel: General Hospital Regulatory Class: II Regulation Number: 21 CFR 880.6850

Predicate Device

Standard Supreme Sterilization Wrapper K172207

Device Description

The Medline Reusable Sterilization Wrappers are offered in bulk, non-sterile packaging. The Medline Reusable Sterilization Wrappers are available in 3 different fabrics that are either single or double ply bonded sheets of cotton and polyester blends. The Medline Reusable Sterilization Wrappers are available in Misty Green, Jade Green or Ceil Blue with configurations 12"x12" through 72"x72" and 60"x90". The Medline Reusable Sterilization Wrappers are intended to be sterilized and laundered per the instructions.

6

Image /page/6/Picture/1 description: The image features the Medline logo, which is set against a blue background. The logo consists of the word "MEDLINE" in a bold, sans-serif font, positioned to the left of a stylized white starburst symbol. A gray bar is visible on the right side of the image, partially obscuring the blue background.

Medline Industries, LP Three Lakes Drive Northfield. IL 60093

Indications for Use

Medline Reusable Sterilization Wrappers are intended to enclose another medical device or component that is to be sterilized by health care professionals. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used. The Medline Reusable Sterilization Wrap is a non-sterile, reusable device, with a wash/dry/autoclave life cycle as indicated on the Wrap.

Medline Reusable Sterilization Wrappers are available in 3 different fabrics that are either single or double ply bonded sheets of cotton and polyester blends. Model Angelstat is reusable up to 50 times: Models Resistat and Ripstop are reusable up to 75 times . The Medline Reusable Sterilization Wrappers are available in Misty Green, Jade Green or Ceil Blue with configurations 12"x12" and 60"x90". The Medline Reusable Sterilization Wrappers are intended to be laundered then sterilized prior to use, and examined prior to use for defects and debris. A prevacuum steam sterilization cycle at 270 F for 4 minutes has been validated for use on textile packs, with a minimum weight of 25 pounds and 30 minute dry time.

Medline recommends following the below standards for pack configuration and assembly in sterilization facilities.

· AAMI ANSI ST79

  • AAMI ANSI ST65
    Insert model and sizes Item Resistat (1-ply) Description Color Size Pkg. MDT01302012 ResiStat Reusable Sterilization Wrap Ceil Blue 12" x 12" 5 dz/cs MDT01302018 ResiStat Reusable Sterilization Wrap Ceil Blue 18" x 18" 5 dz/cs MDT01302024 ResiStat Reusable Sterilization Wrap Ceil Blue 24" x 24" 5 dz/cs MDT01302030 ResiStat Reusable Sterilization Wrap Ceil Blue 30" x 30" 5 dz/cs MDT01302036 ResiStat Reusable Sterilization Wrap Ceil Blue 36" x 36" 5 dz/cs MDT01302045 ResiStat Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01302054 ResiStat Reusable Sterilization Wrap Ceil Blue 54" x 54" 1 dz/cs MDT013020547ResiStat Reusable Sterilization Wrap Ceil Blue 54" x 72" 2 dz/cs Rip-stop (1-ply) MDT01302124 Rip-Stop Reusable Sterilization Wrap Ceil Blue 24" x 24" 5 dz/cs MDT01302130 Rip-Stop Reusable Sterilization Wrap Ceil Blue 30" x 30" 5 dz/cs MDT01302136 Rip-Stop Reusable Sterilization Wrap Ceil Blue 36" x 36" 5 dz/cs MDT01302145 Rip-Stop Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01302154 Rip-Stop Reusable Sterilization Wrap Ceil Blue 54" x 54" 1 dz/cs MDT013021607 Rip-Stop Reusable Sterilization Wrap Ceil Blue 60" x 76" 1 dz/cs MDT013021609 Rip-Stop Reusable Sterilization Wrap Ceil Blue 60" x 90" 1 dz/cs

7

Image /page/7/Picture/1 description: The image features the logo of Medline, a healthcare company. The logo is set against a blue background and consists of the word "MEDLINE" in bold, sans-serif font, positioned to the left of a stylized white symbol that resembles a compass or a star. The symbol has four points, with the top and bottom points being longer than the side points. A small gray rectangle is visible in the upper right corner of the image.

Medline Industries, LF Three Lakes Drive Northfield. IL 60093

Angelstat Bias (2-ply)

MDT01320018 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 18" x 18" 5 dz/cs MDT01320024 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 24" x 24" 5 dz/cs MDT01320030 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 30" x 30" 5 dz/cs MDT01320036 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 36" x 36" 5 dz/cs MDT01320045 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01320045N Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 45" x 45" 2 dz/cs MDT01320054 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 54" x 54" 1 dz/cs MDT013200547 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 54" x 72" 1 dz/cs MDT01320072 Astat Bias Bound Reusable Sterilization Wrap Ceil Blue 70" x 72" 1 dz/cs MDT01320512 Astat Bias Bound Reusable Sterilization Wrap Jade Green 12" x 12" 5 dz/cs MDT01320518 Astat Bias Bound Reusable Sterilization Wrap Jade Green 18" x 18" 5 dz/cs MDT01320524 Astat Bias Bound Reusable Sterilization Wrap Jade Green 24" x 24" 5 dz/cs MDT01320527 Astat Bias Bound Reusable Sterilization Wrap Jade Green 27" x 27" 5 dz/cs MDT01320530 Astat Bias Bound Reusable Sterilization Wrap Jade Green 30" x 30" 5 dz/cs MDT01320536 Astat Bias Bound Reusable Sterilization Wrap Jade Green 36" x 36" 5 dz/cs MDT01320545 Astat Bias Bound Reusable Sterilization Wrap Jade Green 45" x 45" 2 dz/cs MDT01320554 Astat Bias Bound Reusable Sterilization Wrap Jade Green 54" x 54" 1 dz/cs MDT013205547 Astat Bias Bound Reusable Sterilization Wrap Jade Green 54" x 72" 1 dz/cs MDT01321018 Astat Bias Bound Reusable Sterilization Wrap Misty 18" x 18" 5 dz/cs MDT01321030 Astat Bias Bound Reusable Sterilization Wrap Misty 30" x 30" 5 dz/cs MDT01321036 Astat Bias Bound Reusable Sterilization Wrap Misty 36" x 36" 5 dz/cs MDT01321045 Astat Bias Bound Reusable Sterilization Wrap Misty 45" x 45" 2 dz/cs MDT01321054 Astat Bias Bound Reusable Sterilization Wrap Misty 54" x 54" 1 dz/cs MDT013210547 Astat Bias Bound Reusable Sterilization Wrap Misty 54" x 72" 1 dz/cs MDT01321072 Astat Bias Bound Reusable Sterilization Wrap Misty 70" x 72" 1 dz/cs

TABLE 1: COMPARISON OF SUBJECT AND PREDICATE DEVICES
Device CharacteristicSubject DevicePredicate DeviceComparison
Analysis
Product NameMedline Reusable
Sterilization WrappersStandard Supreme Sterilization
WrapperN/A
510(k) ReferenceK234132K172207N/A
Product OwnerMedline Industries, LPStandard Textile Co., Inc.N/A
Product CodeFRGFRGSame
Intended UseMedline Reusable
Sterilization Wrappers are
intended to be used to
enclose another medicalStandard Supreme Sterilization
Wrappers are intended to be
used to enclose another medical
device that is to be sterilized bySame
device or component that is
to be sterilized by health care
professionals. It is intended
to allow sterilization of the
enclosed medical device and
also to maintain sterility of
the enclosed device until
used. The Medline Reusable
Sterilization Wrap is a non-
sterile, reusable device, with
a wash/dry/autoclave life
cycle as indicated on the
Wrap.a health care provider. They are
intended to allow sterilization of
the enclosed medical device and
also to maintain sterility of the
enclosed device until used.
Standard Supreme Sterilization
Wrappers will function as a
sterilization wrap when
processed according to
instructions. Standard
Supreme Sterilization Wrappers
are reusable through 75 wash,
dry, and sterilization cycles.
They are manufactured and
distributed as non-sterile
sterilization wraps that are
intended to be sterilized and
processed by health care
facilities and/or
contract sterilization/laundry
companies
Regulation Number21 CFR 880.685021 CFR 880.6850Same
Color Options3 colors Misty, Ceil and Jade3 colors Misty, Ceil and JadeSame
Design ConfigurationsSizes 12"x12"
through 72"x72"
and 60"x90"

3 Colors: Misty,
Jade and Ceil Blue

3 fabric options:
Cotton and
polyester blends | Sizes 12x12 - 70x70

3 Colors: Misty, Jade
and Ceil Blue

1 fabric option: cotton
and polyester blend | Similar — Medline
offers a larger size and
different fabrics these
additional sizes and
fabrics do not create any
risk or concerns based on
performance and
biocompatibility testing |
| Prescription vs. OTC | OTC | OTC | Same |
| Sterile vs. Non-Sterile | Non-sterile | Non-sterile | Same |
| Sterilization | Steam | Steam | Same |
| Disposable vs. Reusable | Reusable | Reusable | Same |
| Use Life | Ripstop and Resistat are 75
wash, dry, autoclave | 75 wash, dry, autoclave | Similar- Medline
Angelstat is different than
the proposed device for |
| | Angelstate is 50 wash, dry, autoclave | | use life but this differences does not create any risk or concerns based on performance testing |

Summary of Technological Characteristics TABLE 1: COMPARISON OF SUBJECT AND PREDICATE DEVICES

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Image /page/8/Picture/1 description: The image shows the logo for Medline. The logo consists of the word "MEDLINE" in white, stacked vertically, with a stylized white starburst symbol to the right of the text. The background is a solid dark blue color. The logo is simple and clean, with a focus on the company name and a memorable symbol.

Medline Industries, LP Three Lakes Drive Northfield, IL 60093

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Image /page/9/Picture/1 description: The image features the logo for Medline, a healthcare company. The logo consists of the word "MEDLINE" in a bold, sans-serif font, positioned to the left of a stylized, white cross-like symbol. The background is a solid dark blue color, and there is a gray bar at the top of the image.

Medline Industries, LP Three Lakes Drive
Northfield, IL 60093

Summary of Non-Clinical Testing

Test PerformedTest MethodAcceptance CriteriaResult
Resistance to Water
PenetrationAATCC 127-2018Test and Report -
Average hydrostatic
pressurePass
Tensile Strength and
ElongationASTM D5034-21Test and Report -
Average load at break and
elongation at break for
machine and cross
directionPass
Particle GenerationISO 9073-10:2004Test and Report -
Average lint counts of
particles and coeffect of
lintingPass
CytotoxicityISO 10993-5Non-Cytotoxicity - device
did not show cytotoxicity
potentialPass
SensitizationISO 10993-10Non-sensitizing - device
showed no significant
evidence of causing
delayed dermal contact
sensitizationPass
IrritationISO 10993-10Non-irritating - the
irritation response category
of the device was classified
as NegligiblePass
Acute Systemic ToxicityISO 10993-11Non-systemic toxicity –
device did not show
systemic toxicity potentialPass
Sterilization ValidationST79:2017All biological indicators
shall be negative, positive
controls shall be positive,
chemical integrators shall
demonstrate adequate
steam penetration, negativePass

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Image /page/10/Picture/0 description: The image is a logo for Medline. The logo consists of the word "MEDLINE" in a bold, sans-serif font, with a stylized starburst symbol to the right of the word. The background is a solid dark blue color. The starburst symbol is white, and the word "MEDLINE" is in a lighter color, possibly white or a light shade of blue.

Medline Industries, LP Three Lakes Drive Northfield. IL 60093

and environmental controls
shall be negative
Dry Time ValidationST79:2017Average pre and post
sterilization wrought
difference of less than
0.2% within 5 minutes of
cycle completion, no
visible moisture following
30 minute colling period
and all integrators shall
demonstrate steam
penetrationPass
Cleaning ValidationAAMI TIR30:2011Each test sample shall
show a TOC level of less
than 12µg/cm2 and no
visible soil after cleaningPass

Biocompatibility Testing

The biological evaluation for the Medline Reusable Sterilization Wrappers was conducted in accordance with FDA guidance document, "Use of International Standard ISO 10993, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing" and "ISO 10993-1 Biological Evaluation of the Medical Devices -Part 1: Evaluation of Testing within a Risk Management Process."

Performance Testing (Bench)

The following performance testing was conducted on the Medline Reusable Sterilization Wrappers:

  • ASTM D5034: Tensile Strength ●
  • ISO 9073-10: Linting
  • AATCC 127: Water Resistance (Rip-stop/Resistat only based on claim) ●

Other Testing

  • Sterilization Validation ●
  • Dry Time Validation ●
  • Cleaning Validation

Conclusion

In accordance with 21 CFR Part 807, the conclusions drawn from the non-clinical tests in this premarket notification demonstrates that the Reusable Sterilization Wrappers are as safe and as effective,

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Image /page/11/Picture/1 description: The image features the logo of Medline, a healthcare company. The logo is set against a blue background and consists of the word "MEDLINE" in a sans-serif font, positioned to the left of a stylized star or cross-like symbol. The symbol is white, contrasting with the blue background, and has a modern, geometric design.

Medline Industries, LP Three Lakes Drive Northfield, IL 60093

and perform as well as or better then the legally marketed predicate device, Standard Supreme Sterilization Wrappers (K172207).