K Number
K980210
Device Name
VARIOUS SURGICAL OR PATIENT DRAPES
Manufacturer
Date Cleared
1998-05-15

(114 days)

Product Code
Regulation Number
878.4370
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The various surgical or patient drapes manufactured by DEKA Medical, Inc., consist of natural or synthetic materials intended to be used as a protective patient covering during surgical procedures. The primary purpose of the drapes is to isolate a site of surgical incision from microbial or other contamination.
Device Description
DEKA Medical, Inc., will market Surgical Drapes composed of nonwoven fabric or polyethylene film and are of various configurations appropriate for Otological, Ophthalmic, Heart & Neurological, Peri/OB, Arthroscopic, and Specialty Procedures. These devices use nonwoven and film materials as a protective patient covering during surgical procedures. These barrier materials are essentially impervious to fluid transfer across them, thus function to isolate the operative site from the surrounding area. Drapes may feature tape adhesive to temporarily bind the drape to the periphery of the operative site. Fluid collection pouches are attached to the drape for collection of operative wound solid and liquid effluents. The DEKA Medical Surgical Drapes will be subjected to a sterilizing dose of gamma radiation sufficient to achieve a Sterility Assurance Level (SAL) of 10-6.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and barrier function of surgical drapes, with no mention of AI or ML technology.

No.
The device acts as a protective barrier to isolate the surgical site from contamination, but it does not directly treat or diagnose a disease or condition.

No
Explanation: The device is a surgical drape intended to provide a protective barrier to isolate the surgical site, not to diagnose medical conditions. Its function is to prevent contamination and collect fluids, not to detect, monitor, or identify diseases or conditions.

No

The device description clearly states it is composed of physical materials (nonwoven fabric, polyethylene film) and includes physical components like fluid collection pouches and adhesive tape, indicating it is a hardware device, not software-only.

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

Here's why:

  • Intended Use: The intended use is described as a "protective patient covering during surgical procedures" to "isolate a site of surgical incision from microbial or other contamination." This is a physical barrier function, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description focuses on the physical materials (nonwoven fabric, polyethylene film), configurations, and features (tape adhesive, fluid collection pouches) of the surgical drapes. It describes a physical barrier device.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information about a patient's health status.
  • Performance Studies: The performance studies described focus on physical properties like impermeability, tensile strength, puncture resistance, flammability, and biocompatibility – all relevant to a physical barrier device used in surgery. There are no studies related to diagnostic accuracy or performance.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device clearly falls outside of that definition.

N/A

Intended Use / Indications for Use

The various surgical or patient drapes manufactured by DEKA Medical, Inc., consist of natural or synthetic materials intended to be used as a protective patient covering during Otological, Ophthalmic, Heart & Neurological, Peri/OB, Arthroscopic, and Specialty Procedures. The primary purpose of the drapes is to isolate a site of surgical incision from microbial or other contamination. The target population for both the Invotec Ear Drape and the DEKA Medical Surgical Drapes is patients undergoing Otological procedures. In addition the DEKA Medical Surgical Drapes are intended for patients undergoing Ophthalmic, Heart & Neurological. Peri/OB. Arthroscopic, and Specialty Procedures.

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

KKX

Device Description

DEKA Medical, Inc., will market Surgical Drapes composed of nonwoven fabric or polyethylene film and are of various configurations appropriate for Otological, Ophthalmic, Heart & Neurological, Peri/OB, Arthroscopic, and Specialty Procedures. These devices use nonwoven and film materials as a protective patient covering during surgical procedures. These barrier materials are essentially impervious to fluid transfer across them, thus function to isolate the operative site from the surrounding area. Drapes may feature tape adhesive to temporarily bind the drape to the periphery of the operative site. Fluid collection pouches are attached to the drape for collection of operative wound solid and liquid effluents. The DEKA Medical Surgical Drapes will be subjected to a sterilizing dose of gamma radiation sufficient to achieve a Sterility Assurance Level (SAL) of 10-6.

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)

Nonclinical Test Data: Physical properties data was obtained from suppliers of DEKA Medical Surgical Drape nonwoven fabric, polyethylene films, and skin contacting adhesives. These data show the Dexter nonwoven fabric and the various thickness of polyethylene film are impermeable to liquids for the duration of the indicated procedures. Tensile strength and puncture resistance data indicate these materials have sufficient tensile strength and puncture resistance to maintain barrier integrity during indicated procedures. The DEKA Medical nonwoven fabric and foam laminate pass the 16 CFR Part 1610 Flammability Classification (Flammability Class 1 and 2). Biocompatibility testing in conformance to ISO 10993-10 of a gamma sterilized Composite Patient Drape shows the drapes to be nonirritating and nonsensitizing.

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.

K911039

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

§ 878.4370 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.

0

MAY 1 5 1998

Image /page/0/Picture/1 description: The image contains a handwritten sequence of characters. The sequence starts with the letters 'K' and '9', followed by the number '8'. After that, there is a '0', then the number '210'. The characters are written in a dark ink on a white background.

510(k) SUMMARY

| Submitted by: | DEKA Medical, Inc.
4820 Executive Park Court, Suite 110
Jacksonville, FL 32216 |
|----------------------|--------------------------------------------------------------------------------------|
| Telephone: | (904) 296-9977
(904) 296-6508 (FAX) |
| Contact: | Donald G. White |
| Prepared: | 20 January 1998 (Original Submission)
28 April 1998 (revised) |
| Proprietary Name: | Patient Drape |
| Common Name: | Surgical Drape or Patient Drape |
| Classification Name: | Drape, Surgical (21 CFR Part 878.4370) |
| Predicate Device: | Invotec International, Inc. Ear Drape
(K911039) |

Device Description: DEKA Medical, Inc., will market Surgical Drapes composed of nonwoven fabric or polyethylene film and are of various configurations appropriate for Otological, Ophthalmic, Heart & Neurological, Peri/OB, Arthroscopic, and Specialty Procedures. These devices use nonwoven and film materials as a protective patient covering during surgical procedures. These barrier materials are essentially impervious to fluid transfer across them, thus function to isolate the operative site from the surrounding area. Drapes may feature tape adhesive to temporarily bind the drape to the periphery of the operative site. Fluid collection pouches are attached to the drape for collection of operative wound solid and liquid effluents. The DEKA Medical Surgical Drapes will be subjected to a sterilizing dose of gamma radiation sufficient to achieve a Sterility Assurance Level (SAL) of 10-6.

Intended Use: The various surgical or patient drapes manufactured by DEKA Medical, Inc., consist of natural or synthetic materials intended to be used as a protective patient covering during Otological, Ophthalmic, Heart & Neurological, Peri/OB, Arthroscopic, and Specialty Procedures. The primary purpose of the drapes is to isolate a site of surgical incision from microbial or other contamination. The target population for both the Invotec Ear Drape and the DEKA Medical Surgical Drapes is patients undergoing Otological procedures. In addition the DEKA Medical Surgical

1

Drapes are intended for patients undergoing Ophthalmic, Heart & Neurological. Peri/OB. Arthroscopic, and Specialty Procedures. Substantial equivalence is evidenced by the fact that both the Invotec Ear Drape and the DEKA Medical Surgical Drapes are constructed of nonwoven fabric or polyethylene film. Data provided by suppliers of these materials for the DEKA Medical Surgical Drapes indicate they are impermeable to fluids and are compatible for skin contact applications.

The primary difference between the Invotec Ear Drape and the DEKA Medical Surgical Drapes is the method of sterilization. The Invotec Ear Drape is Ethylene Oxide sterilized whereas the DEKA Medical Surgical Drapes are gamma irradiation sterilized. However, sterility is assured by either method and the DEKA Medical Surgical drapes have been found to be biocompatible following gamma irradiation.

Technological Comparison: A comparison of the technological characteristics of the DEKA Medical, Inc., surgical drape and the Invotec ear drape is indicated in the table below:

CharacteristicInvotec Ear DrapeDEKA Surgical Drapes
Indications for useOtological ProceduresOtological, Ophthalmic,
Heart & Neurological,
OB/GYN, and
Arthroscopic Procedures
Target PopulationOtological Surgery
candidatesCandidates for
Otological, Opthalmic,
Heart & Neurological,
Peri/OB, and
Arthroscopic Procedures
DesignIsolates ear surgical site
from surrounding area
through the use of
barrier materialsIsolates ear, eye, chest,
abdomen, pelvic, or
extremities from
surrounding area
depending on drape
through the use of
barrier materials.
Incorporates fluid
collection attachments
depending on drape.
MaterialsPolyethylene film or
nonwoven fabricsNonwoven fabrics,
Polyethylene film,

2

CharacteristicInvotec Ear DrapeDEKA Surgical Drapes
adhesive tapesadhesive tapes
PerformanceSee adjoining tableSee adjoining table
SterilityPer ISO 11135Per ISO 11137
BiocompatibilitySkin contact onlyNone irritating or
sensitizing to ISO
10993-10 Standard

Nonclinical Test Data

Physical properties data was obtained from suppliers of DEKA Medical Surgical Drape nonwoven fabric, polyethylene films, and skin contacting adhesives. These data show the Dexter nonwoven fabric and the various thickness of polyethylene film are impermeable to liquids for the duration of the indicated procedures (see Table below). Tensile strength and puncture resistance data indicate these materials have sufficient tensile strength and puncture resistance to maintain barrier integrity during indicated procedures. The DEKA Medical nonwoven fabric and foam laminate pass the 16 CFR Part 1610 Flammability Classification (Flammability Class 1 and 2). No Classification data is available on DEKA Medical Surqical Drape polyethylene film. However, the flammability of various polyethylene films is comparable and would not be substantially different in flammability from the Invotec Ear Drape polyethylene film. Biocompatibility testing in conformance to ISO 10993-10 of a gamma sterilized Composite Patient Drape shows the drapes to be nonirritating and nonsensitizing.

3

Image /page/3/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. In the center of the seal is an abstract image of an eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Donald G. White ·Director QA/RA Deka™ Medical, Incorporated 4820 Executive Park Court, Suite 110 Jacksonbville, Florida 32216

Re : K980210 Trade Name: Various Surqical or Patient Drapes Requlatory Class: II Product Code: KKX Dated: April 29, 1998 Received: April 30, 1998

Dear Mr. White:

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 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 (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 Requiations, Title 21, Parts 800 to 895. "A substantially equivalent determination assumes compliance with the Current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic QS inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in requlatory 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

4

Page 2 - Mr. White

through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or requlations.

This letter will allow you to begin marketing your device as described in your 510 (k) premarket notification. The FDA findinq 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) 594-4692. 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"(21CFR 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 (301) 443-6597 or at its internet address

"http://www.fda.gov/cdrh/dsma/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

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

Enclosure

5

510(k) Number (if known): K980210 Device Name: Various Surgical OR Patrent Drape

STATEMENT OF INDICATIONS FOR USE

The various surgical or patient drapes manufactured by DEKA Medical, Inc.,
The various surgical controllerister in interested to used as a protective The Vanous surgical or patient urapos naterials intended to be used as a protective
consist of natural or synthetic materials intended to be used of the dra consist of natural or synthelic intenstals intended to to arous of the drapes
patient covering during surgical procedures. The primary purpose of the drapes patient covering during surgical procedures: " The philiasy for ther contamination.
is to isolate a site of surgical incision from microbial or other contamination.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Ohm S. Lin

(Division Sign-Off) Division of Dental, Info and General Hosp 510(k) Number

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use X

(Optional Format 1-2-96)