K Number
K960621
Device Name
EXPANDACELL INSTRUMENT WIPE
Date Cleared
1996-04-01

(48 days)

Product Code
Regulation Number
878.4800
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Expandacell Instrument Wipe is a sterile, soft, lintless instrument wipe used to clean delicate instruments during a surgical procedure.
Device Description
The Expandacell Instrument Wipe is a sterile, soft, lintless instrument wipe.
More Information

No
The summary describes a simple instrument wipe and contains no mention of AI, ML, image processing, or data analysis that would suggest the use of such technologies.

No.
The device is described as an instrument wipe used for cleaning surgical instruments, not for directly treating a disease or condition in a patient.

No
The device is described as an instrument wipe used for cleaning during surgical procedures, not for diagnosing medical conditions.

No

The device description clearly states it is a physical instrument wipe, not software.

Based on the provided information, the Expandacell Instrument Wipe is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "clean delicate instruments during a surgical procedure." This is a cleaning function for medical devices, not a diagnostic test performed on biological samples.
  • Device Description: The description confirms it's a "sterile, soft, lintless instrument wipe." This aligns with a cleaning product, not a diagnostic device.
  • 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 substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions.

Therefore, the Expandacell Instrument Wipe is a medical device used for cleaning, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Expandacell Instrument Wipe is a sterile, soft, lintless instrument wipe used to clean delicate instruments during a surgical procedure.

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

GEC

Device Description

The Expandacell Instrument Wipe is a sterile, soft, lintless instrument wipe used to clean delicate instruments during a surgical procedure. The Expandacell Instrument Wipe is identical to existing medical devices, K920355, K791736 and K781075.

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

Not Found

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)

Not Found

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K920355, K791736, K781075

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 878.4800 Manual surgical instrument for general use.

(a)
Identification. A manual surgical instrument for general use is a nonpowered, hand-held, or hand manipulated device, either reusable or disposable, intended to be used in various general surgical procedures. The device includes the applicator, clip applier, biopsy brush, manual dermabrasion brush, scrub brush, cannula, ligature carrier, chisel, clamp, contractor, curette, cutter, dissector, elevator, skin graft expander, file, forceps, gouge, instrument guide, needle guide, hammer, hemostat, amputation hook, ligature passing and knot-tying instrument, knife, mallet, disposable or reusable aspiration and injection needle, disposable or reusable suturing needle, osteotome, pliers, rasp, retainer, retractor, saw, scalpel blade, scalpel handle, one-piece scalpel, snare, spatula, stapler, disposable or reusable stripper, stylet, suturing apparatus for the stomach and intestine, measuring tape, and calipers. A surgical instrument that has specialized uses in a specific medical specialty is classified in separate regulations in parts 868 through 892 of this chapter.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter, subject to the limitations in § 878.9.

0

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

April 9, 2024

Shippert Medical Technologies Corporation Sarah Maxwell Lake Head of Regulatory Affairs 7002 South Revere Parkwav, Suite 60 Englewood, Colorado 80112

Re: K960621

Trade/Device Name: EXPANDACELL™ Instrument Wipe Regulation Number: 21 CFR 878.4800 Regulation Name: Manual surgical instrument for general use Regulatory Class: Class I Product Code: GEC

Dear Sarah Maxwell Lake:

The Food and Drug Administration (FDA) is sending this letter to notify you of an administrative change related to your previous substantial equivalence (SE) determination letter dated April 1, 1996. Specifically, FDA is updating this SE Letter because FDA has better categorized your device technology under product code GEC.

Please note that the 510(k) submission was not re-reviewed. For questions regarding this letter please contact Yu-Chieh Chiu, OHT4: Office of Surgical and Infection Control Devices, 301-796-6196, yu-chieh.chiu@fda.hhs.gov.

Sincerely,

Yu-chieh Chiu -S

Yu-Chieh Chiu, Ph.D. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

1

Public Health Service

Image /page/1/Picture/2 description: The image is a seal for the Department of Health & Human Services USA. The seal is circular and contains the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. In the center of the seal is a stylized image of three wavy lines that resemble a bird in flight.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR - 1 1996

Ms. Sarah M. Lake Head of Requlatory Affairs Shippert Medical Technologies Corporation 7002 South Revere Parkway, Suite 60 Englewood, Colorado 80112

Re: K960621 EXPANDACELL™ Instrument Wipe Trade Name: Regulatory Class: I Product Code: GER Dated: February 12, 1996 Received: February 13, 1996

Dear Ms. Lake:

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

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practice for Medical Devices: General (GMP) regulation (21 CFR Part 820) and that, through periodic GMP inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal Laws or Regulations.

2

Page 2 - Ms. Sarah M. Lake

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification immediately. An FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and permits your device to proceed to the market, but it does not mean that FDA approves your device. Therefore, you may not promote or in any way represent your device or its labeling as being approved by FDA. If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), promotion, or advertising please contact the Office of Compliance, Promotion and Advertising Policy Staff (HFZ-302) at (301) 594-4639. Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll free number (800) 638-2041 or at (301) 443-6597.

Sincerely yours,

Kimber C. Richter, M.D. Acting Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

K960621|1r+
Page 1 of 1

5 10(k) Number (if known):

Device Name: Expandace11 Instrument Wipe

Indications For Use:

The Expandacell Instrument Wipe is a sterile, soft, lintless instrument wipe used to clean delicate instruments during a surgical procedure.

28 FEB 20

1122

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
Division of General Restorative Desland K96062-1

Prescription Use
(Per 21 CFR 801.109)

OR

510k) Num

Over-The-Counter Use

(Optional Format 1-2-96)

4

K960621

This summary of 510(k) safety and effectiveness information is being submitted
in accordance with the written requirements of SMDA 1000 the submitted of Oro(K) safety and effectiveness information is being submitted
in accordance with the written requirements of SMDA 1990 and 21 CFR 807.92

SAFETY AND EFFECTIVENESS OF EXPANDACELL™ INSTRUMENT WIPE

The Expandacell Instrument Wipe is identical to existing medical devices, K920355, K791736
and Nephamb and News andell instrument Wipes, marketed by Ultracell, SomedMerocel and Smith
and Nephew have a provent Wipes, marketed by Ultracel, SomedMerocel and Smith and News & Thise Instituten Wipes, marketed by Uitacelly Normally Rocel and Smith Stocel and Smiller and Smith Smith Smith Small And Smaller as safe and effective for use in surgery. There is no modification in the proposed device and the predicale offective
t is identical in intended use, materials, anatemic his model and go your is identical in intended use, materials, d device and the production
The proposed product is identical in intended use, materials, a levices, target the supplies product is lientical in intended use, materials, anat tax bites, target
population, physical safety, biocompatibility and performance to the predicate device sta

ty and performance to the predicate device stated

Sarah Maxwell Luke
Signature

February 12, 1996
Date

filename: 510kWIPE.doc