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510(k) Data Aggregation

    K Number
    K070428
    Manufacturer
    Date Cleared
    2007-07-17

    (154 days)

    Product Code
    Regulation Number
    880.6850
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    A.R. MEDICOM, INC.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The self-sealing sterilization pouches are intended to provide health care workers with an effective method to enclose devices intended for sterilization in steam auto claves and via Ethylene Oxide (EO). The recommended steam sterilization cycle parameters are 30 minutes at 121°C. The recommended EO sterilization cycle is 100 - 120 minutes at 50 °C with a relative humidity between 60 - 85% and a sterilant concentration of 600 mg/L. Furthermore, the sterilization pouch maintains the enclosed devices sterile up until one year post sterilization. Lastly, the pouch's external chemical ink indicators are designed to indicate to the user that the pouch has undergone either a steam or EO sterilization process.

    Device Description

    The pouches are manufactured from a medical grade paper that is thermally sealed to a laminated film on the left, right, and bottom of pouch. The fourth side has an adhesive strip that is used to seal the paper to the film prior to sterilization of the enclosed medical device. The pouches contain external indicators used to indicate the pouches were processed via steam or EO sterilization.

    AI/ML Overview

    The provided text describes the 510(k) summary for the Medicom Self Sealing – Sterilization Pouch. This device is a sterilization pouch with external chemical indicators, not an AI/ML-driven medical device for diagnosis or treatment. Therefore, the questions related to clinical studies, human readers, ground truth, and training sets for an AI/ML model are not applicable to this submission.

    However, I can extract information related to the device's acceptance criteria and how its performance was evaluated for substantial equivalence.


    Acceptance Criteria and Reported Device Performance

    1. Table of Acceptance Criteria and Reported Device Performance

    ParameterAcceptance Criteria (Implied by Predicate & Standards)Reported Device Performance (Medicom Self Sealing Sterilization Pouch)
    Material CompatibilityEquivalent to predicate (Winner® Self Seal pouch)Demonstrated equivalence to predicate through side-by-side testing.
    Sterility MaintenanceMaintains sterility up to one year post-sterilization.Claimed to maintain sterility up to one year post-sterilization (based on the intended use statement).
    Chemical Indicator EfficacyComplies with ISO 11140-1:2005 for steam and EO indicators.Demonstrated efficacy for indicating steam and EO sterilization processes. Substantial equivalence testing conducted against the predicate device.
    Sterilant PenetrationEquivalent to predicate.Demonstrated equivalence to predicate through side-by-side testing.
    Drying TimeEquivalent to predicate.Demonstrated equivalence to predicate through side-by-side testing.
    AerationEquivalent to predicate.Demonstrated equivalence to predicate through side-by-side testing.
    BiocompatibilityEquivalent to predicate.Demonstrated equivalence to predicate through side-by-side testing.
    Package IntegrityEquivalent to predicate.Demonstrated equivalence to predicate through side-by-side testing.

    Study Proving Device Meets Acceptance Criteria:

    The study proving the device meets the acceptance criteria is a "Comparison Testing" and "Substantial Equivalence" assessment against a legally marketed predicate device, the Winner® Self Seal Sterilization pouch (K051242), and relevant recognized standards, specifically ISO 11140-1:2005 for chemical indicators.

    Non-Applicability for AI/ML Specific Questions:

    The following questions are not applicable to this 510(k) submission as it concerns a physical medical device (sterilization pouch) and not an AI/ML diagnostic or therapeutic algorithm:

    2. Sample size used for the test set and the data provenance: Not applicable. The "test set" refers to physical samples of the device and predicate, not data for an AI/ML model.
    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. Ground truth for an AI/ML model.
    4. Adjudication method for the test set: Not applicable.
    5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance: Not applicable.
    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable.
    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable, in the context of AI/ML ground truth. For this device, "ground truth" would be the verified performance of the predicate device and compliance with established ISO standards for physical characteristics and chemical indicator performance.
    8. The sample size for the training set: Not applicable.
    9. How the ground truth for the training set was established: Not applicable.


    Summary of the Device Evaluation Approach:

    The evaluation of the Medicom Self Sealing Sterilization Pouch for 510(k) clearance relied on demonstrating substantial equivalence to a predicate device. This was achieved through:

    • Side-by-side testing: Comparing the new device directly with the predicate (Winner® Self Seal pouch) across several key performance parameters including:
      • Sterilant Penetration
      • Drying Time
      • Aeration
      • Biocompatibility
      • Package Integrity
    • Compliance with recognized standards: Specifically, the chemical indicators were evaluated against ISO 11140-1:2005 for efficacy.
    • Material Compatibility: Shown to be equivalent to the predicate.
    • Sterility Maintenance: The intended use statement claims sterility maintenance for up to one year, which would typically be supported by accelerated or real-time aging studies and microbiological challenge tests, the specifics of which are not detailed in this summary but are implicit requirements for such a claim.

    The 510(k) summary indicates that these comparisons and compliance demonstrations were sufficient for the FDA to determine substantial equivalence and allow the device to be marketed.

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    K Number
    K051291
    Manufacturer
    Date Cleared
    2005-09-20

    (125 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    A.R. MEDICOM, INC.

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    The medical/surgical masks listed below are indicated as a protective nose and mouth covering for health care workers and patients involved in medical and surgical procedures. The masks are indicated in any procedure or situation where there is a risk of microorganism, body fluid, and particulate aerosol transfer.

    Device Description

    The new surgical masks are pleated 3-ply masks. The outer layers are made with 100% spun-bound polypropylene (SBPP). The filter media is composed of 100% melt-blown polypropylene (MBPP). The inner layer is made of either 100% medical grade tissue paper or 100% SBPP. The ear loops are made of flat latex and fiberglass free elastic. The nosepieces are made of malleable aluminum wire. All of the materials used in the construction of the new masks are being used in currently marketed devices.

    AI/ML Overview

    The device in question is a Non-Sterile Surgical Mask manufactured by A.R. Medicom Inc. The filing is a 510(k) Summary, indicating a demonstration of substantial equivalence to predicate devices, rather than a de novo clinical study with specific acceptance criteria in the traditional sense of AI/medical imaging device performance.

    Therefore, the "acceptance criteria" for a surgical mask are typically based on recognized performance standards, which in this case is ASTM F2100-04, "Standard Specification for Performance of Materials Used in Medical Face Masks." The "study" that proves the device meets these criteria would involve various material and barrier property tests, not a clinical trial with human readers or AI.

    Given the nature of the device (a surgical mask) and the provided document (a 510(k) Summary for a medical device cleared in 2005), many of the requested categories (e.g., sample size for test set, number of experts for ground truth, adjudication method, MRMC study, AI standalone performance, training set details) are not applicable as they pertain to the evaluation of AI/software as a medical device or diagnostic imaging devices, not a physical barrier device like a surgical mask.

    However, I will address the relevant aspects based on the information provided:


    1. Table of Acceptance Criteria and Reported Device Performance

    For surgical masks, "acceptance criteria" and "reported device performance" are typically defined by recognized consensus standards. In this case, ASTM F2100-04 is listed as the recognized performance standard. This standard categorizes masks into different levels based on their performance in a series of tests. While the exact performance levels for this specific mask are not detailed in the provided 510(k) summary (only the standard itself is mentioned as being applicable), the various tests and their criteria from ASTM F2100-04 are implied to be the 'acceptance criteria'.

    The 510(k) summary states that the device is "substantially equivalent" to predicate devices K955513 and K040333, implying it meets similar performance standards. The device's description (3-ply, spun-bound polypropylene outer layers, melt-blown polypropylene filter media, medical grade tissue paper or SBPP inner layer) strongly suggests the materials are chosen to meet these performance characteristics.

    Test Parameter from ASTM F2100-04 (Implied Acceptance Criteria)Reported Device Performance (Implied from 510(k) based on substantial equivalence to predicate and meeting ASTM F2100-04)
    Bacterial Filtration Efficiency (BFE)Not explicitly stated, but expected to meet ASTM F2100-04 specified level (e.g., ≥95% or ≥98%)
    Particle Filtration Efficiency (PFE)Not explicitly stated, but expected to meet ASTM F2100-04 specified level (e.g., ≥95% or ≥98% at 0.1 micron)
    Fluid ResistanceNot explicitly stated, but expected to meet ASTM F2100-04 specified level (e.g., 80, 120, or 160 mmHg)
    Differential Pressure (Breathability)Not explicitly stated, but expected to meet ASTM F2100-04 specified level (e.g.,
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