K Number
K993871
Device Name
BIOSHIELD HEAVY DUTY AND SUPER DUTY EXPRESS STERILIZATION WRAP
Date Cleared
2000-04-21

(158 days)

Product Code
Regulation Number
880.6850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Allegiance BioShield® Express™ Sterilization Wrap is a single-use, non-sterile device. It is intended to be used to enclose another medical device that is to be sterilized by a healthcare provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used. This wrap is intended for use in Ethylene Oxide and Gravity Steam Sterilization processes.
Device Description
The Allegiance BioShield® Express™ Sterilization Wrap is composed of a wet formed non-woven cellulose fiber with acrylic binders.
More Information

Not Found

No
The summary describes a sterilization wrap and its material composition and testing, with no mention of AI or ML.

No.
The device is a sterilization wrap used to enclose other medical devices for sterilization and maintain their sterility, rather than providing therapy to a patient.

No
The device is a sterilization wrap used to maintain sterility of other medical devices, not to diagnose medical conditions.

No

The device description clearly states it is composed of a wet formed non-woven cellulose fiber with acrylic binders, indicating it is a physical material, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is used to enclose another medical device for sterilization and maintain its sterility. This is a function related to the preparation and storage of medical devices, not the diagnosis of disease or other conditions.
  • Device Description: The description of the material (non-woven cellulose fiber with acrylic binders) is consistent with packaging materials, not components of an in vitro diagnostic test.
  • Lack of IVD Characteristics: There is no mention of the device being used with biological samples (blood, urine, tissue, etc.), reagents, or any process related to analyzing biological markers for diagnostic purposes.

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

N/A

Intended Use / Indications for Use

The Allegiance BioShield® Express™ Sterilization Wrap is a single-use, non-sterile device. It is intended to be used to enclose another medical device that is to be sterilized by a healthcare provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used. This wrap is intended for use in Ethylene Oxide and Gravity Steam Sterilization processes.

Product codes

FRG

Device Description

The Allegiance BioShield® Express™ Sterilization Wrap is composed of a wet formed non-woven cellulose fiber with acrylic binders.

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

healthcare 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)

The material used in the composition of this sterilization wrap was evaluated and tested as required in ISO Standard 10993 Part 1. The material was subjected to skin sensitization, intracutaneous reactivity and cytotoxicity testing. Physical and performance testing was completed including sterilization performance testing. This product is in compliance with established standards, where applicable, and is deemed acceptable for its intended use.

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

Not Found

Predicate Device(s)

K983719

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

Allegiance Healthcare Corporation

510(k) Premarket Notification: Allegiance BioShield® Express™ Heavy & Super Duty Sterilization Wrap

APR 2 1 2000 V. Mueller Business Unit

93871

ATTACHMENT F

Summary of Safety & Effectiveness

1

Image /page/1/Picture/0 description: The image shows the word "Allegiance" in a stylized font. To the left of the word is a symbol that looks like a plus sign made up of small dots. The word "Allegiance" is in bold, black letters. The font is slightly italicized.

Allegiance Healthcare Corporation

1500 Waukegan Road McGaw Park, IL 60085 847.473.1500 FAX: 847.785.2461

Image /page/1/Picture/3 description: The image shows a handwritten string of characters. The string appears to be a combination of letters and numbers. The string reads 'K993871'.

ATTACHMENT F

SUMMARY OF SAFETY AND EFFECTIVENESS

| Manufacturer: | Allegiance Healthcare Corporation
V. Mueller Business Unit
1430 Waukegan Road
McGaw Park, IL 60085 |
|--------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Regulatory Affairs Contact | Patricia Sharpe-Gregg
1500 Waukegan Road
McGaw Park, Illinois 60085 |
| Telephone: | (847) 578-3636 |
| Date Summary Prepared: | November 11, 1999 |
| Product Trade Name: | Allegiance BioShield® Express™ Heavy Duty &
Super Duty Sterilization Wrap |
| Common Name: | CSR Wrap or Sterilization Wrap |
| Classification: | Sterilization Wrap |
| Predicate Device:
(K983719) | Allegiance BioShield® Express™ Sterilization Wrap |
| Description: | The Allegiance BioShield® Express™ Sterilization
Wrap is composed of a wet formed non-woven
cellulose fiber with acrylic binders. |
| Intended Use: | The Allegiance BioShield® Express™ Sterilization
Wrap is a single-use, non-sterile device. It is
intended to be used to enclose another medical
device that is to be sterilized by a healthcare
provider. It is intended to allow sterilization of the
enclosed medical device and also to maintain sterility
of the enclosed device until used. This wrap is
intended for use in Ethylene Oxide and Gravity
Steam Sterilization processes. |

2

Image /page/2/Picture/0 description: The image shows the word "Allegiance" in a bold, sans-serif font. To the left of the word is a graphic of a plus sign made up of small dots. The word is in black and the background is white.

Allegiance Healthcare Corporation

1500 Waukegan Road McGaw Park, IL 60085 847.473.1500 FAX: 847.785.2461

ATTACHMENT F Page 2 of 2

Substantial Equivalence: The Allegiance Allegiance BioShield® Express™ Sterilization Wrap is substantially equivalent to the Kimguard™ Sterilization in that the: - intended use is the same - performance attributes are the same The Allegiance BioShield® Express™ Heavy Duty & Super Duty Sterilization Wrap is substantially equivalent to the Allegiance BioShield® Express™ Sterilization Wrap in that the: - material composition is the same - performance attributes are the same Summary of Testing: The material used in the composition of this sterilization wrap was evaluated and tested as required in ISO Standard 10993 Part 1. The material was subjected to skin sensitization, intracutaneous reactivity and cytotoxicity testing. Physical and performance testing was completed including sterilization performance testing. This product is in compliance with established standards, where

use.

applicable, and is deemed acceptable for its intended

3

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized image of three overlapping lines that resemble a person.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR 2 1 2000

Ms. Patricia Sharpe-Gregg Manager, Regulatory Affairs Allegiance Healthcare Corporation 1500 Waukegan Road, Building MPWM McGaw Park, Illinois 60085-6787

Re: K993871 Trade Name: Bioshield® Express™ Heavy & Super Duty Sterilization Wrap Regulatory Class: II Product Code: FRG Dated: March 13, 2000 Received: March 14, 2000

Dear Ms. Sharpe-Gregg:

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 The general controls provisions of the Act 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 requlations 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) requlation (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 requlation 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

4

Page 2 - Ms. Sharpe-Gregg

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.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA acberrood in your 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 requlation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4690. 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 (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Timothy A. Ulatowski

y A. Ulat Directbr Division of Dental, Infection Control, and General Hospital Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Image /page/5/Picture/0 description: The image shows the word "Allegiance" in a bold, stylized font. To the left of the word is a symbol that resembles a plus sign made up of small dots. The word is written in black and is slightly slanted to the right.

Allegiance Healthcare Corporation
1500 Waukegan Road
McGaw Park, Illinois 60085 USA
847-473-1500
FAX: 847-785-2461

510(k) Notification BioShield Express Heavy & Super Duty Sterilization Wrap Addition of Ethylene Oxide & Gravity Steam Indications For Use V. Mueller Business Unit Page 1 of 1

510(k) Number (if known):

Unknown

Device Name:

Indications For Use:

Bioshield® Express™ Heavy & Super Duty Sterilization Wrap

The Bioshield® Express™ Heavy Duty & Super Duty Sterilization Wrap is a device intended to be used to enclose another medical device that is to be sterilized by a healthcare provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.

This wrap is intended for use in Ethylene Oxide and Gravity Steam sterilization processes.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109)

Over-The Counter Use X

ivision Sign-Off Division of Dental, Infectio 510(k) Numbe