K Number
K971159
Device Name
SURGICAL DRAPES
Date Cleared
1997-06-24

(85 days)

Product Code
Regulation Number
878.4370
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
For use in hospitals, clinics, laboratories or other facilities where absorbent toweling may be used. For use as absorbent toweling for cleanup, preparation or squaring off a surgical incision site. For use during surgical procedures to provide extra absorption of blood and body fluids. For use a) to dry off surgeons, doctor or nurses hands after scrubbing, (b) to square off a surgical incision site, and (c) to absorb blood or body fluids during a surgical procedure. Not intended for use as surgical packing.
Device Description
Operating Room Towels are a 100% cotton woven towel. The are generally available in white (undyed), green or blue colors. O.R. Towels have been used throughout the Healthcare industry for a variety of purposes. These absorbent towels are utilized for hand drying, cleanup, and also for squaring off the surgical incision site, and to provide increased absorbency of blood and bodily fluids.
More Information

Not Found

Not Found

No
The device description and intended use clearly define the product as a simple absorbent cotton towel, with no mention of any software, algorithms, or data processing capabilities that would indicate the use of AI or ML.

No
The device is an absorbent towel used during surgical procedures for cleanup and fluid absorption, not for treating or diagnosing a medical condition.

No

Explanation: The device is an absorbent towel used for cleanup, drying, and absorbing fluids during surgical procedures. It does not perform any diagnostic functions like analyzing data or identifying medical conditions.

No

The device description clearly states the device is a "100% cotton woven towel," which is a physical hardware product, not software.

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

Here's why:

  • Intended Use: The intended uses described are for physical absorption of fluids, drying hands, and preparing/managing a surgical site. These are all external applications and do not involve testing or analyzing samples taken from the body to diagnose or monitor a medical condition.
  • Device Description: The device is a simple cotton woven towel. This aligns with its intended use as an absorbent material, not a diagnostic tool.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples, detecting analytes, or providing diagnostic information. The performance studies focus on physical properties like tear strength, tensile strength, and absorbency, which are relevant to its function as a towel, not an IVD.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

For use in hospitals, clinics, laboratories or other facilities where absorbent toweling may be used.

For use as absorbent toweling for cleanup, preparation or squaring off a surgical incision site. For use during surgical procedures to provide extra absorption of blood and body fluids.

For use a) to dry off surgeons, doctor or nurses hands after scrubbing, (b) to square off a surgical incision site, and (c) to absorb blood or body fluids during a surgical procedure.

Not intended for use as surgical packing.

Product codes

KKX

Device Description

Operating Room Towels are a 100% cotton woven towel. The are generally available in white (undyed), green or blue colors. O.R. Towels have been used throughout the Healthcare industry for a variety of purposes. These absorbent towels are utilized for hand drying, cleanup, and also for squaring off the surgical incision site, and to provide increased absorbency of blood and bodily fluids.

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

hospitals, clinics, laboratories or other 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)

These towels were tested for Tear Strength per ASTM D5034. Tensile Strength per ASTM D1424** and Absorbency (USP). The results of this testing showed that the device was substantially equivalent to the current legally marketed devices.

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4370 Surgical drape and drape accessories.

(a)
Identification. A surgical drape and drape accessories is a device made of natural or synthetic materials intended to be used as a protective patient covering, such as to isolate a site of surgical incision from microbial and other contamination. The device includes a plastic wound protector that may adhere to the skin around a surgical incision or be placed in a wound to cover its exposed edges, and a latex drape with a self-retaining finger cot that is intended to allow repeated insertion of the surgeon's finger into the rectum during performance of a transurethral prostatectomy.(b)
Classification. Class II (special controls). The device, when it is an ear, nose, and throat surgical drape, a latex sheet drape with self-retaining finger cot, a disposable urological drape, a Kelly pad, an ophthalmic patient drape, an ophthalmic microscope drape, an internal drape retention ring (wound protector), or a surgical drape that does not include an antimicrobial agent, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.

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International Medsurg Connection

1000 E. Woodfield Road, Suite 117 Schaumburg, IL 60173

Omi Bhati, M.D. President

JUN 24 1997 Ph (847) 517-6325 Fax (847) 517-1447

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I. 510(K) SUMMARY OF SAFETY AND EFFECTIVENESS

International Medsurg Connection 1000 E. Woodfield Road, Suite 117 Schaumburg, IL 60173 Phone #: (847) 517-6325 Fax #: (847) 517-1447 Omi Bhati, M.D. President

Date Prepared: May 6, 1997

Device Name

Proprietary: N/A Common: Sterile O.R. Towels Classification Name: Surgical Drapes

Product Description:

Operating Room Towels are a 100% cotton woven towel. The are generally available in white (undyed), green or blue colors. O.R. Towels have been used throughout the Healthcare industry for a variety of purposes. These absorbent towels are utilized for hand drying, cleanup, and also for squaring off the surgical incision site, and to provide increased absorbency of blood and bodily fluids.

Comparison to Legally Marketed Devices

These O.R. Towels are similar to those already on the market as described below:

| Medline Industries, Inc.
Sterile OR Towels | A Plus International
Sterile and Non-Sterile
OR Towels | Ulti-Med International
Absorbent Fiber Operating
Room Towels |

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Technological Characteristics

A. Similarities

The towels packaged and sold by International Medsurg Connection are substantially equivalent to those distributed by Medline Industries, Inc., A Plus International and Ulti-Med International. They are similar in weight, dimension, size, color, and thread count. All towels must be colorfast and must pass biocompatibility requirements. Since the towels are 100% cotton and the

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biocompatibility of cotton as a medical product is well established, testing only was done to illustrate the biocompatibility of the dyed product. All three colors were tested and all three met the USP test requirements for cytotoxicity. In addition, testing for Primary Skin Irritaiton and Dermal Sensitization was Both test results were acceptable. conducted.

  • B. Differences
    International Medsurg Connection towels differ from the predicate devices in that there may be minor differences in weight, absorbency, thread count, or size.

Intended Use:

For use in hospitals, clinics, laboratories or other facilities where absorbent toweling may be used.

For use as absorbent toweling for cleanup, preparation or squaring off a surgical incision site. For use during surgical procedures to provide extra absorption of blood and body fluids.

For use a) to dry off surgeons, doctor or nurses hands after scrubbing, (b) to square off a surgical incision site, and (c) to absorb blood or body fluids during a surgical procedure.

Not intended for use as surgical packing.

Performance Data:

These towels were tested for Tear Strength per ASTM D5034. Tensile Strength per ASTM D1424** and Absorbency (USP). The results of this testing showed that the device was substantially equivalent to the current legally marketed devices.

** Standard withdrawn by ASTM, January 1995

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three human profiles incorporated into its design. The words "DEPARTMENT OF HEALTH & HUM SERVICES - USA" are arranged around the eagle in a circular fashion.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUN 2 4 1997

Ms. Lara N. Simmons Corporate Requlatory Affairs Manager International Medsurq Connection 1000 E. Woodfield Road, Suite 117 Schaumberq, Illinois 60173

  • Re : K971159 Trade Name: Surqical Drapes Requlatory Class: II Product Code: KKX Dated: May 6, 1997 Received: May 7, 1997
    Dear Ms. Simmons:

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 reqistration, 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. ਖ 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.

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Page 2 - Ms. Simmons

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

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), please contact the Office of Compliance at (301) 594-4618. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). 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,

Timothy A. Ulatowski

Timot Ny A. Ulatowsk Director

Division of Dental, Infection Control and General Hospital Devices Office of Device Evaluation Center for Devices and Radioloqical Health

Enclosure

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Page 1 __ of __ of __

510(k) Number (if known): N/A K 971159

Device Name: Sterile Operating Room Towels

Indications for Use:

For use in hospitals, clinics, laboratories or other facilities where absorbent toweling may be used.

For use as absorbent toweling for cleanup, preparation or squaring off a surgical incision site. For use during surgical procedures to provide extra absorption of blood and body fluids.

For use a) to dry off surgeons, doctor or nurses hands after scrubbing, (b) to square off a surgical incision site, and (c) to absorb blood or body fluids during a surgical procedure.

Not intended for use as surgical packing.

Cli
PLEASE DO WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
(Division Sign-Off)

ivision of Dental, Infection Connectie of CDRH, Office of Device Evaluation (ODE) d General Hospital Pese firtit Over-The-Counter Use OR

Per 21 CFR 801.109

Over-The-Counter Use X

(Optional Format 1-2-96)

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