K Number
K241492
Device Name
Guided Surgery Kit Cases
Date Cleared
2024-08-23

(87 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Zirconia Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Zirconia Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Zirconia Guided Surgery Kit Cases requre the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterlization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Dynamic Air Removal (pre-vacuum) – Exposure at 132°C for 4 minutes, 20-minute dry time. Gravity displacement – Exposure at 132°C for 15 minute dry time. Ziroonia Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The Zirconia Guided Surgery Kit Case and the associated instruments is 342.2 g. The weight of the empty Kit is 236.8 grams. Zirconia Guided Surgery Kit Case are recommended not to be stacked during sterilization. Nuvo CF Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Nuvo CF Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Nuvo CF Guided Surgery Kit Cases require the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterilization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Fractionated vacuum): exposure at 132°C for 4 minutes, drying for 20 minutes. Gravity displacement: exposure at 132°C for 15 minutes, drying for 30 minutes. Nuvo CF Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The combined weight of the Nuvo CF Guided Surgery Kit Cases and the associated instruments is approximately 693 g. The weight of the empty case is 487 grams. Nuvo CF Guided Surgery Kit Cases are not recommended to be stacked during sterilization.
Device Description
The Zirconia and Nuvo CF Guided Surgery Kit Cases subject to this submission are reusable rigid containers, composed by a case bottom, a removable inner tray and a lid, which are made of autoclavable polymer. They are indicated to hold various dental instruments (not subject of this submission) in order to organize, sterilize and protect them. Sterilization via moist heat (steam) is performed by the healthcare provider.
More Information

No
The 510(k) summary describes sterilization cases and their intended use for holding and sterilizing dental instruments. There is no mention of AI or ML capabilities in the intended use, device description, or performance studies. The "Mentions AI, DNN, or ML" field is explicitly marked as "Not Found".

No
The device is a kit case intended to enclose other medical devices for sterilization, not to provide therapy itself.

No
The device, Zirconia and Nuvo CF Guided Surgery Kit Cases, are reusable rigid containers intended to hold, organize, sterilize, and protect dental instruments. Their function is to facilitate sterilization and storage, not to diagnose any medical condition or disease.

No

The device is described as reusable rigid containers made of autoclavable polymer, intended to hold and sterilize dental instruments. This description clearly indicates a physical hardware device, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the devices are "intended to be used to enclose other medical devices that are to be sterilized by a health care provider" and "intended to allow sterilization of the enclosed medical devices." This describes a device used in the process of sterilizing other medical instruments, not a device used to perform a diagnostic test on a biological sample.
  • Device Description: The device is described as "reusable rigid containers... indicated to hold various dental instruments... in order to organize, sterilize and protect them." This further reinforces its role as a sterilization and organization tool for other medical devices.
  • Lack of IVD Characteristics: The text does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring specific substances or markers
    • Providing information for the diagnosis, monitoring, or treatment of a disease or condition
    • Using reagents or assays

The device's function is purely related to the sterilization and organization of other medical instruments.

N/A

Intended Use / Indications for Use

Zirconia Guided Surgery Kit Cases:

Zirconia Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Zirconia Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Zirconia Guided Surgery Kit Cases requre the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterlization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Dynamic Air Removal (pre-vacuum) – Exposure at 132°C for 4 minutes, 20-minute dry time. Gravity displacement – Exposure at 132°C for 15 minute dry time. Ziroonia Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The Zirconia Guided Surgery Kit Case and the associated instruments is 342.2 g. The weight of the empty Kit is 236.8 grams. Zirconia Guided Surgery Kit Case are recommended not to be stacked during sterilization.

Nuvo CF Guided Surgery Kit Cases:

Nuvo CF Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Nuvo CF Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Nuvo CF Guided Surgery Kit Cases require the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterilization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Fractionated vacuum): exposure at 132°C for 4 minutes, drying for 20 minutes. Gravity displacement: exposure at 132°C for 15 minutes, drying for 30 minutes. Nuvo CF Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The combined weight of the Nuvo CF Guided Surgery Kit Cases and the associated instruments is approximately 693 g. The weight of the empty case is 487 grams. Nuvo CF Guided Surgery Kit Cases are not recommended to be stacked during sterilization.

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

KCT

Device Description

The Zirconia and Nuvo CF Guided Surgery Kit Cases subject to this submission are reusable rigid containers, composed by a case bottom, a removable inner tray and a lid, which are made of autoclavable polymer. They are indicated to hold various dental instruments (not subject of this submission) in order to organize, sterilize and protect them. Sterilization via moist heat (steam) is performed by the healthcare provider.

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 provider

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 Data:

  • Steam sterilization validation (ANSI/AAMI/ISO 17665-1, ANSI/AAMI/ISO 17665-2): All Biological Indicators must be incubated for at least 7 days at 55-60°C. All positive controls for SAL testing must show characteristic growth of the indicator organism. Results: Passed.
  • Manual cleaning validation (AAMI TIR 30:2011): Visual Inspection: No visible soil; Hemoglobin Test:

§ 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

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August 23, 2024

JJGC Indústria e Comércio de Materiais Dentários S.A. % Jennifer Jackson Sr. Director, Regulatory Affairs and Quality Straumann USA, LLC 60 Minuteman Road Andover, Massachusetts 01810

Re: K241492

Trade/Device Name: Zirconia and Nuvo CF Guided Surgery Kit Cases Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: KCT Dated: Mav 28, 2024 Received: May 28, 2024

Dear Jennifer Jackson:

We have reviewed your section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (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

(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).

Image /page/1/Picture/6 description: This image shows a digital signature and contact information. The signature is from Stephen A. Anisko -S, and it was signed on August 23, 2024, at 12:50:29 -04'00'. The contact information is for Christopher Dugard, Assistant Director at the Division of Infection Control Devices, Office of Surgical and Infection Control Devices, Office of Product Evaluation and Quality, and Center for Devices and Radiological Health.

2

K241492 - Jennifer Jackson

Enclosure

3

Indications for Use

510(k) Number (if known) K241492

Device Name

Zirconia and Nuvo CF Guided Surgery Kit Cases

Indications for Use (Describe)

Zirconia Guided Surgery Kit Cases:

Zirconia Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Zirconia Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Zirconia Guided Surgery Kit Cases requre the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterlization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Dynamic Air Removal (pre-vacuum) – Exposure at 132°C for 4 minutes, 20-minute dry time. Gravity displacement – Exposure at 132°C for 15 minute dry time. Ziroonia Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The Zirconia Guided Surgery Kit Case and the associated instruments is 342.2 g. The weight of the empty Kit is 236.8 grams. Zirconia Guided Surgery Kit Case are recommended not to be stacked during sterilization.

Nuvo CF Guided Surgery Kit Cases:

Nuvo CF Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Nuvo CF Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Nuvo CF Guided Surgery Kit Cases require the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterilization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Fractionated vacuum): exposure at 132°C for 4 minutes, drying for 20 minutes. Gravity displacement: exposure at 132°C for 15 minutes, drying for 30 minutes. Nuvo CF Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The combined weight of the Nuvo CF Guided Surgery Kit Cases and the associated instruments is approximately 693 g. The weight of the empty case is 487 grams. Nuvo CF Guided Surgery Kit Cases are not recommended to be stacked during sterilization.

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

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

510(k) Summary 1

Submitter's Contact Information

| Submitter: | Straumann USA, LLC
60 Minuteman Road
Andover, MA 01810, USA
Registration No.: 1222315 Owner/Operator No.: 9005052 |
|-------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | On the behalf of: |
| | JJGC Indústria e Comércio de Materiais Dentários S.A. (dba Neodent
Av. Juscelino Kubitschek de Oliveira, 3291 - CIC
Curitiba, Paraná, Brazil 81270-200
Registration No.: 3008261720
Owner/Operator No.: 10031702 |
| Contact Person: | Jennifer M. Jackson, MS, RAC
Sr. Director, Regulatory Affairs and Quality
Email: jennifer.jackson@straumann.com
Phone Number: +1 978 747-2509
Fax Number: +1 978 747-0023 |
| Prepared By &
Alternate Contact: | Leticia Milani
Regulatory Affairs Analyst
JJGC Indústria e Comércio de Materiais Dentários SA
E-mail: leticia.milani@neodent.com
Phone Number: +55 41 216-9485 |
| Date Prepared: | August 22, 2024 |

Name of the Device

Trade Names:Zirconia and Nuvo CF Guided Surgery Kit Cases
Common Name:Instrument Sterilization Trays
Classification Name:Sterilization Wrap Containers, Trays, Cassettes & Other
Regulation Number:21 CFR 880.6850, Class II, Sterilization wrap
Device Classification:II
Product Code(s):KCT
Classification Panel:General Hospital

5

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

Predicate Device(s)

Primary Predicate:

  • K203618 Neodent EasyGuide Kit Cases (JJGC Indústria e Comércio de Materiais . Dentários S.A)

Reference Devices:

  • K182865 Neodent Instrument Kits (JJGC Indústria e Comércio de Materiais Dentários S.A) .
  • . K223662 – Neodent Implant System – Helix Short Surgical Kit Cases (JJGC Indústria e Comércio de Materiais Dentários S.A)

Device Description

The Zirconia and Nuvo CF Guided Surgery Kit Cases subject to this submission are reusable rigid containers, composed by a case bottom, a removable inner tray and a lid, which are made of autoclavable polymer. They are indicated to hold various dental instruments (not subject of this submission) in order to organize, sterilize and protect them. Sterilization via moist heat (steam) is performed by the healthcare provider.

Intended Use

The Zirconia and Nuvo CF Guided Surgery Kit Cases are used to safe storage and securing of instruments during sanitization and surgical procedures. The Zirconia Guided Surgery Kit Cases are designed for storing the instruments used to install Bone Level (BL) ceramic implants. The Nuvo CF Guided Surgery Kit Cases are intended for the installation of Nuvo CF implants.

Indications for Use

Zirconia Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Zirconia Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Zirconia Guided Surgery Kit Cases require the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterilization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Dynamic Air Removal (pre-vacuum) – Exposure at 132°C for 4 minutes, 20-minute dry time. Gravity displacement – Exposure at 132°C for 15 minutes, 20-minute dry time. Zirconia Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The combined weight of the Zirconia Guided Surgery Kit Case and the associated instruments is 342.2

6

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

g. The weight of the empty Kit is 236.8 grams. Zirconia Guided Surgery Kit Case are recommended not to be stacked during sterilization.

Nuvo CF Guided Surgery Kit Cases are intended to be used to enclose other medical devices that are to be sterilized by a health care provider. Nuvo CF Guided Surgery Kit Cases are intended to allow sterilization of the enclosed medical devices. Nuvo CF Guided Surgery Kit Cases require the use of FDA-cleared wrap to maintain the sterility of the enclosed devices. The kits are to be enclosed in a sterilization wrap that is FDA-cleared for the indicated cycles, and moist heat (steam) sterilized using one of the following cycles: Fractionated vacuum (pre-vacuum): exposure at 132°C for 4 minutes, drying for 20 minutes. Gravity displacement: exposure at 132°C for 15 minutes, drying for 30 minutes. Nuvo CF Guided Surgery Kit Cases are intended for sterilization of non-porous loads. The combined weight of the Nuvo CF Guided Surgery Kit Cases and the associated instruments is approximately 693 g. The weight of the empty case is 487 grams. Nuvo CF Guided Surgery Kit Cases are not recommended to be stacked during sterilization.

7

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

Technological Characteristics

The technological characteristics of the subject devices are compared to the primary predicate and reference devices in the following tables:

FEATURESUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICEEQUIVALENCE DISCUSSION
K NumberK241492
Zirconia Guided Surgery Kit CasesK203618
Neodent EasyGuide Kit CasesK223662
Helix Short Surgical Kit Cases
Indications for
Use StatementZirconia Guided Surgery Kit Cases are
intended to be used to enclose other
medical devices that are to be sterilized
by a health care provider. Zirconia
Guided Surgery Kit Cases are intended
to allow sterilization of the enclosed
medical devices. Zirconia Guided
Surgery Kit Cases require the use of
FDA-cleared wrap to maintain the
sterility of the enclosed devices. The
kits are to be enclosed in a sterilization
wrap that is FDA-cleared for the
indicated cycles, and moist heat
(steam) sterilized using one of the
following cycles: Dynamic Air Removal
(pre-vacuum) - Exposure at 132°C for
4 minutes, 20-minute dry time. Gravity
displacement - Exposure at 132°C for
15 minutes, 20-minute dry time.
Zirconia Guided Surgery Kit Cases are
intended for sterilization of non-porous
loads. The combined weight of the
Zirconia Guided Surgery Kit Case and
the associated instruments is 342.2 g.
The weight of the empty Kit is 236.8
grams. Zirconia Guided Surgery Kit
Case are recommended not to be
stacked during sterilization.Neodent Instrument Kits are intended to
be used to enclose other medical
devices that are to be sterilized by a
health care provider. Neodent
Instrument Kits are intended to allow
sterilization of the enclosed medical
devices. Neodent Instrument Kits
require the use of FDA-cleared wrap to
maintain the sterility of the enclosed
devices. The Kits are to be enclosed in
a sterilization wrap that is FDA-cleared
for the indicated cycles, and moist heat
(steam) sterilized using one of the
following cycles: Fractionated vacuum
(pre-vacuum) - Exposure at 132 °C for
4 minutes, 20-minute dry time. Gravity
displacement - Exposure at 132 °C for
15 minutes, 20-minute dry time.
Neodent Instrument Kits are intended
for sterilization of non-porous loads. The
combined weight of the GM EasyGuide
Surgical Kit Case Narrow/Regular and
the associated instruments is 310,18 g.
The weight of the empty Kit Case is
263,63 g. Neodent GM EasyGuide Kit
Cases should not be stacked during
sterilization.HS Surgical Kit Cases are indicated for the
organization of surgical and/or prosthetic
instruments during sterilization, storage,
and transport. Use of this product facilitates
the storage and organization of instruments
during and after surgical procedures.
Neodent instrument kit cases are intended
to allow sterilization of the medical devices
included. Neodent instrument kit cases
must be wrapped in FDA-approved
materials to maintain the sterility of the
devices included. The kits should be placed
in an FDA-approved sterilization wrap for
the indicated cycles and sterilized by moist
heat (steam) using one of the following
cycles: Dynamic Air Removal (pre-vacuum):
exposure at 132°C for 4 minutes, drying for
30 minutes. Gravity displacement: exposure
at 132°C for 15 minutes, drying for 50
minutes. Neodent instrument kit cases are
intended for sterilization of non-porous
fillers. The combined weight of the HS
Surgical Kit case and associated
instruments is 302.88 grams. The weight of
the empty case is approximately 214.85
grams. Neodent instrument kit cases should
not be stacked during sterilization.Similar
The subject and primary predicate
devices present the same indications
for use, being both intended to allow
sterilization of the enclosed medical
devices. The reference predicate
device has a slightly different language,
but the indications for use are similar.
All devices are intended to enclose
other medical devices that are to be
sterilized by a health care provider.
FEATURESUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICEEQUIVALENCE DISCUSSION
K NumberK241492
Zirconia Guided Surgery Kit CasesK203618
Neodent EasyGuide Kit CasesK223662
Helix Short Surgical Kit CasesEQUIVALENCE DISCUSSION
Material and
designRigid polyphenylsulfone (PPSU) polymer base and removable inner tray with a polyphenylsulfone (PPSU) lid.
Retention grommets of medical grade silicone.Rigid polysulfone (PSU) polymer base and removable inner tray with a polyphenylsulfone (PPSU) lid. Retention grommets of medical grade silicone.Rigid polysulfone (PSU) polymer base and removable inner tray with a polyphenylsulfone (PPSU) lid. Retention grommets of medical grade silicone.Similar
The subject and predicate devices are made of the same material. Despite the subject devices presenting a difference in base and tray composition, the PPSU material has already been used before in devices cleared by FDA. Furthermore, this material change does not interfere with the biocompatibility and performance of the new products.
PerforatedYesYesYesSame
Overall
dimensions195 L x 90 W x 67 H, mm195 L x 90 W x 64 H, mm195 L x 90 W x 67 H, mmSimilar
The subject, primary predicate and reference devices have the same dimensions. The small difference between the height of subject and primary predicate device does not compromise safety and efficacy as is better discussed along this submission.
ReusableYes, reusable up to 100 cyclesYes, reusable up to 100 cyclesYes, reusable up to 100 cyclesSame
Volume to Vento
Ratio64.8 cm³/ cm² (25.5 in³/ in²)63.5 cm³/ cm² (25.0 in³/ in²)64.8 cm³/ cm² (25.5 in³/ in²)Similar
The subject and primary predicate device have a slight difference in volume to vent rate, which does not compromise safety and efficacy, as is proved by the presented sterilization validation.
Sterilization
MethodMoist heat (steam) to a SAL of 10-6Moist heat (steam) to a SAL of 10-6Moist heat (steam) to a SAL of 10-6Same
Cycles and
parametersFractionated vacuum (pre-vacuum):
Sterilization temperature: 132 °C;
Sterilization time: 4 minutes;
Drying time: 20 minutes.
Gravity displacement:
Sterilization temperature: 132 °C;
Sterilization time: 15 minutes;
Drying time: 20 minutes.Fractionated vacuum (pre-vacuum):
Sterilization temperature: 132 °C;
Sterilization time: 4 minutes;
Drying time: 20 minutes.
Gravity displacement:
Sterilization temperature: 132 °C;
Sterilization time: 15 minutes;
Drying time: 20 minutes.Fractionated vacuum (pre-vacuum):
Sterilization temperature: 132 °C;
Sterilization time: 4 minutes;
Drying time: 30 minutes.
Gravity displacement:
Sterilization temperature: 132 °C;
Sterilization time: 15 minutes;
Drying time: 50 minutes.Similar
The subject devices have the same cycle parameters already cleared for the predicate devices, however the reference predicate device requires a longer drying cycle.
FEATURESUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICEEQUIVALENCE DISCUSSION
K NumberK241492
Zirconia Guided Surgery Kit CasesK203618
Neodent EasyGuide Kit CasesK223662
Helix Short Surgical Kit CasesEQUIVALENCE DISCUSSION
Sterile BarrierSterilization wrap, FDA-cleared
for
indicated method and cyclesSterilization wrap, FDA-cleared for
indicated method and cyclesSterilization wrap,
FDA-cleared
for
indicated method and cyclesSame
BiocompatibilityThe assessment to Biocompatibility
was performed per ISO 10993-1 and
testing was performed using methods
described in AAMI/ANSI/ISO 10993-5.
Results indicate that the subject
devices are biocompatible.The assessment to Biocompatibility was
performed per ISO 10993-1 and testing
performed using methods
described in AAMI/ANSI/ISO 10993-5.
Results indicate that the subject devices
are biocompatible.The assessment to Biocompatibility was
performed per ISO 10993-1 and testing was
performed using methods described in
AAMI/ANSI/ISO 10993-5. Results indicate
that the subject devices are biocompatible.Same
FEATURESUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICEEQUIVALENCE DISCUSSION
K NumberK241492
Nuvo CF Guided Surgery Kit CasesK203618
Neodent EasyGuide Kit CasesK182865
Neodent Instrument Kits
Indications for
Use StatementNuvo CF Guided Surgery Kit Cases are
intended to be used to enclose other
medical devices that are to be sterilized
by a health care provider. Nuvo CF
Guided Surgery Kit Cases are intended to
allow sterilization of the enclosed medical
devices. Nuvo CF Guided Surgery Kit
Cases require the use of FDA-cleared
wrap to maintain the sterility of the
enclosed devices. The kits are to be
enclosed in a sterilization wrap that is
FDA-cleared for the indicated cycles, and
moist heat (steam) sterilized using one of
the following cycles: Fractionated
vacuum (pre-vacuum): exposure at
132°C for 4 minutes, drying for 20
minutes. Gravity displacement: exposure
at 132°C for 15 minutes, drying for 30
minutes. Nuvo CF Guided Surgery Kit
Cases are intended for sterilization of
non-porous loads. The combined weight
of the Nuvo CF Guided Surgery Kit Cases
and the associated instruments is
approximately 693 g. The weight of the
empty case is 487 grams. Nuvo CF
Guided Surgery Kit Cases are not
recommended to be stacked during
sterilization.Neodent Instrument Kits are intended to
be used to enclose other medical devices
that are to be sterilized by a health care
provider. Neodent Instrument Kits are
intended to allow sterilization of the
enclosed medical devices. Neodent
Instrument Kits require the use of FDA-
cleared wrap to maintain the sterility of
the enclosed devices. The Kits are to be
enclosed in a sterilization wrap that is
FDA-cleared for the indicated cycles, and
moist heat (steam) sterilized using one of
the following cycles: Fractionated
vacuum (pre-vacuum) – Exposure at 132
°C for 4 minutes, 20-minute dry time.
Gravity displacement – Exposure at 132
°C for 15 minutes, 20-minute dry time.
Neodent Instrument Kits are intended for
sterilization of non-porous loads. The
combined weight of the GM EasyGuide
Surgical Kit Case Narrow/Regular and
the associated instruments is 310,18 g.
The weight of the empty Kit Case is
263,63 g. Neodent GM EasyGuide Kit
Cases should not be stacked during
sterilization.Neodent Instrument Kits are intended to
be used to enclose other medical devices
that are to be sterilized by a health care
provider. Neodent Instrument Kits are
intended to allow sterilization of the
enclosed medical devices. Neodent
Instrument Kits require the use of FDA-
cleared wrap to maintain the sterility of
the enclosed devices. The kits are to be
enclosed in a sterilization wrap that is
FDA-cleared for the indicated cycles, and
moist heat (steam) sterilized using one of
the following cycles: Fractionated
vacuum (pre-vacuum) – Exposure at 132
°C for 4 minutes, 40-minute dry time.
Gravity displacement – Exposure at 132
°C for 15 minutes, 40-minute dry time.
Neodent Instrument Kits are intended for
sterilization of non-porous loads. The
combined weight of the GM Guided
Surgery Surgical Kit Case and the
associated instruments is 728.4 g. The
weight of the empty Kit Case is 567
grams. Neodent Instrument Kits are
recommended not to be stacked during
sterilization.Similar
Although the language in the
indications for use of the subject and
primary predicate devices is slightly
different, the indications for use are
similar in that they are used to enclose
instruments to be sterilized by the
health care provider.
Material and
designRigid polyphenylsulfone (PPSU) polymer
base and removable inner tray with a
polyphenylsulfone (PPSU) lid. Retention
grommets of medical grade silicone.Rigid polysulfone (PSU) polymer base
and removable inner tray with a
polyphenylsulfone (PPSU) lid. Retention
grommets of medical grade silicone.Rigid polysulfone (PSU) polymer base
and removable inner tray with a
polyphenylsulfone (PPSU) lid. Retention
grommets of medical grade silicone.Similar
The subject, primary predicate and
reference devices are made of the
same material. Despite the subject
devices presenting a difference in base
and tray composition, the PPSU
material has already been used before
in devices cleared by FDA.
Furthermore, this material change does
not interfere with the biocompatibility
and performance of the new products.
PerforatedYesYesYesSame
FEATURESUBJECT DEVICEPRIMARY PREDICATE DEVICEREFERENCE DEVICEEQUIVALENCE DISCUSSION
K NumberK241492
Nuvo CF Guided Surgery Kit CasesK203618
Neodent EasyGuide Kit CasesK182865
Neodent Instrument Kits
Overall
dimensions264 L x 163 W x 58 H, mm264 L x 163 W x 58 H, mmSame
ReusableYes, reusable up to 100 cyclesYes, reusable up to 100 cyclesYes, reusable up to 100 cyclesSame
Volume to
Vento Ratio107.5 cm³/ cm² (42.32 in³/ in²)107.5 cm³/ cm² (42.32 in³/ in²)Same
Sterilization
MethodMoist heat (steam) to a SAL of 10-6Moist heat (steam) to a SAL of 10-6Moist heat (steam) to a SAL of 10-6Same
Cycles and
parametersFractionated vacuum (pre-vacuum):
Sterilization temperature: 132 °C:
Sterilization time: 4 minutes;
Drying time: 20 minutes.
Gravity displacement:
Sterilization temperature: 132 °C;
Sterilization time: 15 minutes:
Drying time: 30 minutes.Fractionated vacuum (pre-vacuum):
Sterilization temperature: 132 °C;
Sterilization time: 4 minutes;
Drying time: 20 minutes.
Gravity displacement:
Sterilization temperature: 132 °C;
Sterilization time: 15 minutes:
Drying time: 20 minutes.Fractionated vacuum (pre-vacuum):
Sterilization temperature: 132 °C;
Sterilization time: 4 minutes;
Drying time: 40 minutes.
Gravity displacement:
Sterilization temperature: 132 °C;
Sterilization time: 15 minutes;
Drying time: 40 minutes.Similar
The subject devices have the same
cycle parameters already cleared for
the primary predicate and reference
device.
however
the
reference
predicate device requires a longer
drying cycle.
Sterile BarrierSterilization wrap,
FDA-cleared
for
indicated method and cyclesSterilization wrap,
FDA-cleared
for
indicated method and cyclesSterilization wrap, FDA-cleared
for
indicated method and cyclesSame
BiocompatibilityThe assessment to Biocompatibility was
performed per ISO 10993-1 and testing
was performed using methods described
in AAMI/ANSI/ISO 10993-5. Results
indicate that the subject devices are
biocompatible.The assessment to Biocompatibility was
performed per ISO 10993-1 and testing
was performed using methods described
in AAMI/ANSI/ISO 10993-5. Results
indicate that the subject devices are
biocompatible.The assessment to Biocompatibility was
performed per ISO 10993-1 and testing
was performed using methods described
in AAMI/ANSI/ISO 10993-5. Results
indicate that the subject devices are
biocompatible.Same

Table 1 – Comparison of subject device (Zirconia Guided Surgery Kit Cases) and predicate device

8

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

9

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

10

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

Table 2 – Comparison of subject device (Nuvo CF Guided Surgery Kit Cases) and predicate device

11

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

12

Zirconia and Nuvo CF Guided Surgery Kit Cases

510(k) Summary - K241492

Non-Clinical Performance Data

To evaluate the performance of the subject kit cases, the tests described in the following table were performed.

| Standard or Test

MethodPurpose of the TestingAcceptance CriteriaResults
ANSI/AAMI/ISO 17665-1
ANSI/AAMI/ISO 17665-2Steam sterilization validation,
including sterilant penetration
and drying timeAll Biological Indicators must
be incubated for at least 7 days
at 55-60°C. All positive controls
for SAL testing must show
characteristic growth of the
indicator organism.Passed
AAMI TIR 30:2011Manual cleaning validation
• Test Soil:
• Blood Soil (BLSO)
• Cleaning Method:
Manual
• Residuals Tested:
Hemoglobin and Protein• Visual Inspection: No
visible soil
• Hemoglobin Test: $