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510(k) Data Aggregation

    K Number
    K200096
    Date Cleared
    2021-07-15

    (546 days)

    Product Code
    Regulation Number
    880.2800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    Crosstex International, Inc. (A Cantel Medical Company)

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

    A chemical indicator for monitoring all cycles within the STERRAD® 100S (Standard & Long), 200, 100NX (Standard, Duo, Flex & Express), NX (Standard & Advanced), STERIS® V-PRO® 1 Plus (Lumen & Non-lumen), V-PRO® maX (Flexible, Lumen & Non-lumen) and Sterilucent™ PSD-85 (Lumen & Non-lumen). The VH2O2 Indicators are intended to be used by health care providers with sterilization wraps, cassettes, or pouches to distinguish between processed and unprocessed units. Colors other than blue such as yellow/green should be treated as a process failure.

    Device Description

    The Crosstex VH2O2 Chemical Indicators are intended for use as process indicators for all vaporized hydrogen peroxide cycles in the STERRAD® 100S, 200, 100NX (Standard, Duo, Flex & Express), NX (Standard & Advanced), STERIS® V-PRO® 1, V-PRO® 1 Plus, V-PRO® maX, and Sterilucent™ PSD-85 sterilization processes. The Crosstex VH2O2Chemical Indicators are intended to be used by health care providers with articles such as sterilization wraps, containers, cassettes, or pouches to distinguish between processed and unprocessed units. Chemical indicators change to a color of blue after exposure to vaporized hydrogen peroxide. Colors other than blue such as yellow/green should be treated as a process failure.

    AI/ML Overview

    This document describes the Crosstex VH2O2 Chemical Indicators, a device designed to monitor vaporized hydrogen peroxide sterilization cycles. The information provided outlines the device's acceptance criteria and the studies conducted to prove its performance.

    Acceptance Criteria and Reported Device Performance

    Test MethodologyPurposeAcceptance CriteriaReported Device Performance
    ANSI/AAMI/ISO 11140-1:2014 testing for Type 1 Process IndicatorTo demonstrate compliance to requirements specified in ISO 11140-1:2014Device functions and transitions to blue when processed in a STERRAD® 100NX™ DUO sterilization cycle.Pass
    Testing Color ChangeTo demonstrate the color change of the device when used in the STERRAD® 100NX™ DUO sterilization cycle.Color change to blue without ink bleedingPass
    End Point Color StabilityTo demonstrate the post sterilization color stability of the device after use in the STERRAD® 100NX™ DUO sterilization cycleNo significant color change after exposure to fluorescent light for a minimum of six (6) months.Pass
    Biocompatibility and ink transfer test.To demonstrate device and materials of construction are biocompatible with end-users and Healthcare Professionals.Tested per ISO 11140-2:2014. Materials of construction is the same as currently cleared device. Device does not release any toxic substance in sufficient quantities to cause a health hazard. No ink migration or transfer observed with unprocessed and processed devices.Pass.

    Detailed Study Information:

    1. Sample size used for the test set and the data provenance:
      The document does not specify a distinct "test set" sample size in terms of number of indicators. The testing involves subjecting the indicators to specific sterilization cycles (e.g., STERRAD® 100NX™ DUO) and then evaluating their performance, color change, and stability. The data provenance is not explicitly stated in terms of country of origin, but the testing was conducted by Crosstex International, Inc., a U.S. company. The studies appear to be prospective, laboratory-based tests designed to evaluate the physical and chemical properties of the indicators under controlled conditions.

    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience):
      This type of device (chemical indicator) does not typically involve human expert interpretation for "ground truth" establishment in the way an AI diagnostic algorithm would. The "ground truth" for these tests is based on objective, measurable changes in the indicator's color and stability following exposure to defined sterilization conditions, and compliance with established international standards (ISO 11140-1:2014). The assessment would likely be performed by trained laboratory personnel or quality control specialists rather than medical experts.

    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:
      Not applicable. The assessment criteria are objective (e.g., "Color change to blue," "No significant color change"). There is no mention of a subjective evaluation process requiring adjudication.

    4. 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. This device is a chemical indicator, not an AI-assisted diagnostic tool for human readers. Its function is to provide a direct visual indication of sterilization processing, not to interpret complex medical images or data.

    5. If a standalone (i.e. algorithm only without human-in-the loop performance) was done:
      This device is not an algorithm. Its performance is observed directly by human users (healthcare providers) who visually assess the color change of the indicator. The "standalone" performance here refers to the intrinsic chemical and physical response of the indicator itself, which is what the non-clinical tests evaluate.

    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc):
      The ground truth is based on the objective physical and chemical reaction of the indicator when exposed to vaporized hydrogen peroxide under specific, controlled sterilization conditions, as defined by international standards (ANSI/AAMI/ISO 11140-1:2014) and verified by direct observation in laboratory settings.

    7. The sample size for the training set:
      Not applicable. This device is a physical chemical indicator, not a machine learning or AI algorithm that requires a training set.

    8. How the ground truth for the training set was established:
      Not applicable, as there is no training set for this type of device.

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    K Number
    K140566
    Date Cleared
    2014-11-24

    (264 days)

    Product Code
    Regulation Number
    880.2800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CROSSTEX INTERNATIONAL

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

    A chemical indicator for monitoring all cycles within the STERRAD® 100S (Standard & Long), 200, 100NX (Standard, Flex & Express), NX (Standard & Advanced), STERIS® V-PRO™ 1, V-PRO" 1 Plus (Lumen & Non-lumen), V-PRO® maX (Flexible, Lumen & Non-lumen) and Sterilucent™ PSD-85 (Lumen & Non-lumen). The VH2O2 Indicators are intended to be used by health care providers with sterilization wraps, containers, cassettes, or pouches to distinguish between processed and unprocessed units. Colors other than blue such as yellow/green should be treated as a process failure.

    Device Description

    The SPSmedical VH2O2 Indicators are single use process indicators which are cleared for use in verifying exposure to all vaporized hydrogen peroxide cycles in the STERRAD® 100S, 200, 100NX, NX, STERIS® V-Pro 1, V-Pro 1 Plus, and V-Pro maX Testing has been performed which validated the SPSmedical VH2O2 Indicators for use in the Sterilucent PSD-85 Sterilizer.

    Indicators will identify if an item has seen H2O2 during the Sterilucent PSD-85 sterilization processes by changing to a Blue signal color. They provide a visual indication to help distinguish between processed and unprocessed items.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the SPSmedical VH2O2 Indicators, based on the provided document:

    This document is a 510(k) Pre-market Notification, which focuses on demonstrating substantial equivalence to an already legally marketed device (the predicate device). Therefore, the "acceptance criteria" and "device performance" are primarily framed in terms of equivalence to the predicate and compliance with relevant standards, rather than specific performance metrics against a clinical gold standard in an AI context. Similarly, the "study" described is a non-clinical verification and validation testing, not a typical clinical trial.


    Acceptance Criteria and Reported Device Performance

    The core acceptance criterion for this 510(k) submission is that the proposed device (SPSmedical VH2O2 Indicators) is substantially equivalent to its predicate device (SPSmedical VH2O2 Indicators cleared under K110152), particularly for the added indication for use with the Sterilucent PSD-85 sterilizer.

    The device's performance is demonstrated through its ability to meet the requirements of relevant standards and its consistent function in specified sterilization processes, mirroring the predicate device.

    Acceptance Criterion (Implicit)Reported Device Performance
    Intended Use: Process Indicator for Vaporized Hydrogen Peroxide (VH2O2) sterilization.Equivalent: Proposed device has the same intended use.
    Indications for Use: Monitor all specified VH2O2 cycles, distinguishing processed from unprocessed items by color change (initial color to signal color blue). Specifically, demonstrate capability with Sterilucent™ PSD-85 (Lumen & Non-lumen) cycles."Equivalent" (with expansion): The proposed device includes expanded listed cycles for STERRAD and STERIS V-PRO devices (which were always cleared for, but not explicitly stated in the predicate's IFU) and adds the Sterilucent PSD-85 (Lumen & Non-lumen) cycles. Testing showed the device performs for the PSD-85 cycles, turning blue for complete cycles. Colors other than blue (e.g., yellow/green) indicate process failure.
    Device Design: Strip, Label, Tape, Card types.Same: Identical design to the predicate.
    Endpoint Color: Signal color of Blue upon exposure to VH2O2.Same: Signal color of Blue.
    Indicator Agent: H2O2 Indicator Ink.Same: H2O2 Indicator Ink.
    Sterilization Method: Vaporized Hydrogen Peroxide.Same: Vaporized Hydrogen Peroxide.
    Device Materials: Synthetic Substrates (e.g., Tyvek®, polypropylene, polystyrene) and non-toxic inks.Same: Identical materials to the predicate.
    Performance under ISO 11140-1 (Complete reaction cycle): Meet requirements for process indicators when run in VH2O2 sterilization processes.Equivalent: Demonstrated equivalent performance to the predicate. "All lots of SPSmedical VH2O2 Indicators gave acceptable results for all tests performed."
    Performance under ISO 11140-1 (Incomplete reaction cycle): Distinguish between complete and incomplete exposure.Equivalent: Demonstrated equivalent performance to the predicate. Implicitly, the color change to blue signifies a complete exposure, while other colors (yellow/green) indicate a process failure or incomplete reaction. "All lots of SPSmedical VH2O2 Indicators gave acceptable results for all tests performed."
    Biocompatibility: Non-toxic, safe for human contact, and will not alter the chemical composition of sterilized products.Equivalent: No modifications made to the proposed device compared to K110152. Manufactured using nontoxic inks and substrates, safe for human contact, will not alter chemical composition. Disposal in general waste.
    Non-clinical Performance - Sterilucent PSD-85 (Lumen & Non-Lumen cycles): Demonstrate appropriate color change for complete cycles and differentiate process failures."Complete Cycle Turns Blue with yellow/green intermediate (Same)": Testing specifically validated the SPSmedical VH2O2 Indicators for use in the Sterilucent PSD-85 Sterilizer, showing a blue signal color for processed items and yellow/green for process failure.
    Shelf-life: Maintain performance over its stated shelf-life.Up to 2 years: Multiple lots of indicators with various levels of shelf life were included in testing, giving acceptable results. (Note: The predicate shelf life is not explicitly stated in the table, but the implication is equivalence).

    Study Details

    Given this is a 510(k) for a chemical indicator (a relatively low-risk device), the "study" is primarily non-clinical verification and validation testing, not a clinical trial involving human patients or complex data interpretation.

    1. Sample size used for the test set and the data provenance:

      • Test Set Sample Size: "Multiple lots of indicators with various levels of shelf life were included in testing." No specific number is provided, but it implies a sufficient number of indicators for robust testing across different manufacturing batches and ages.
      • Data Provenance: The testing was "performed as a result of a Failure Mode and Effects Analysis (FMEA)" and included "simulated use in the Sterilization processes." This indicates laboratory-based, controlled testing simulating real-world conditions, likely in the US (where the submitter is based and FDA is located). It is retrospective in the sense that the testing was performed on manufactured devices.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • No external human experts were explicitly mentioned for interpreting the results of the chemical indicator itself. The ground truth for a chemical indicator is its visual color change according to a known chemical reaction. The "ground truth" for the test set is established by running controlled sterilization cycles (complete vs. incomplete/failure conditions) and observing if the indicator changes color as expected. This involves standard laboratory practices and instrument calibration.
      • The "experts" would be the scientists or engineers performing the testing and confirming compliance with ISO standards and expected color changes. Qualifications are not specified but would include expertise in sterilization processes and chemical indicator testing.
    3. Adjudication method (e.g., 2+1, 3+1, none) for the test set:

      • Not applicable in the conventional sense for image interpretation or diagnosis. The endpoint is a distinct, observable color change (initial color to blue, or other colors for failure). This is a direct chemical reaction, not a subjective interpretation requiring adjudication.
    4. 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:

      • No. This is a physical chemical indicator, not an AI-powered diagnostic device. Therefore, no MRMC study, human reader improvement with AI, or effect size is relevant or reported.
    5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done:

      • Yes, in concept. The "device" in this context is the physical chemical indicator, which performs its function autonomously by reacting to chemical exposure (without human interaction to "run" the function). Its "performance" is its inherent color change. Humans then interpret this change. The testing validates this standalone performance.
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.):

      • For the chemical indicators, the ground truth for testing performance is derived from:
        • Controlled Sterilization Conditions: Exposure to known complete and incomplete vaporized hydrogen peroxide sterilization cycles, as defined by the sterilizer's parameters and industry standards (e.g., partial cycles simulating failure).
        • Standard Reference: Compliance with requirements of ANSI/AAMI/ISO 11140-1 for Process Indicators. The expected color change (e.g., initial pink/yellow to blue) is the predefined correct response.
    7. The sample size for the training set:

      • Not applicable. This is not an AI/machine learning device that requires a training set.
    8. How the ground truth for the training set was established:

      • Not applicable. (See answer to #7).
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    K Number
    K140620
    Date Cleared
    2014-08-07

    (149 days)

    Product Code
    Regulation Number
    880.2800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CROSSTEX INTERNATIONAL

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

    The SPSmedical SporView® Plus Steam BI Test Pack with STEAMPlus Integrator is indicated for use in routine monitoring and sterilizer qualification testing of steam gravity displacement cycles at 121°C/250°F for 30 minutes exposure time and for use in pre-vacuum steam sterilization cycles at 132°C/270°F for 4 minutes exposure time.

    Device Description

    The SporView® Plus BI Test Pack is a single use device designed to assess the effective performance of both gravity displacement and pre-vacuum steam sterilization processes. It consists of layers of paper with a biological indicator and a load record card with chemical integrator placed in the center and all placed within an exterior containment box. A process indicator label placed on the containment box alerts users if a pack has been exposed to the sterilization process. The approximate dimensions of the pack are 4-5/8" x 7/8" x 6-1/4". The load record card is used to record all the detailed information from the sterilization cycle. The subject device replaces the biological indicator in the predicate device with the SporView® 10 Steam Self Contained Biological Indicator.

    AI/ML Overview

    The document describes substantiation for a 510(k) submission for a medical device called "SporView® Plus BI Test Pack." This device is a biological sterilization process indicator. The submission is not for a new device, but for a modification to an existing one (K051173), specifically replacing the biological indicator within the test pack.

    Here's a breakdown of the requested information based on the provided text:

    Acceptance Criteria and Reported Device Performance

    Acceptance CriteriaReported Device Performance
    Steam Sterilization Effectiveness: The SporView® Plus BI Test Pack must assess the effective performance of both gravity displacement and pre-vacuum steam sterilization processes. This implies the device accurately indicates whether sterilization parameters (temperature and time) have been met, leading to spore inactivation.Validation was accomplished with performance testing in steam gravity and prevacuum cycles operating at 250°F/121°C and 270°F/132°C. "All results from testing meet the predetermined acceptance criteria." The device provides a defined challenge to the sterilization process that is equal to or greater than the challenge posed by the AAMI reference PCD. The internal monitoring components and chemical indicator function as expected.
    Equivalence to AAMI Reference PCD: The device's performance must be equivalent to that of the AAMI reference Process Challenge Device (PCD)."The performance of the SporView® Plus BI Test Pack has been demonstrated to be equivalent to that of the AAMI reference PCD."
    Functionality in Pass, Fail, and Partial Cycles: The device must reliably indicate successful (pass), unsuccessful (fail), and partially successful (partial) sterilization cycles.Testing consisted of running test packs and control packs (predicate) within the same cycles for pass, fail, and partial cycles at the end of the product's shelf life (18 months). "We have demonstrated with testing that the SporView® Plus Steam BI Test Pack performs consistently when run in steam gravity and prevacuum cycles operating at 250°F/121°C and 270°F/132°C for pass, fail and partial cycles."
    Reliable Indication of Exposure (External Process Indicator): The external process indicator must alert users if a pack has been exposed to the sterilization process."The external process indicator alerts users when a pack has seen the sterilization process."
    Biological Indicator Culture Conditions: The included biological indicator (Geobacillus Stearothermophilus ATCC 7953) must function correctly under specified culture conditions.Culture Conditions: 55-60°C. (Implied to be met as part of overall performance.)
    Spore Population: The viable spore population must be $10^5$ or greater.Viable spore population: $10^5$ or greater. (Implied to be met as part of overall performance.)
    Resistance Characteristics: The resistance characteristics must be equivalent to the predicate, calculated per USP.Resistance characteristics: Equivalent, calculated per USP. (Implied to be met as part of overall performance.)
    Shelf Life: The device must maintain its performance characteristics for its specified shelf life.Shelf Life: Eighteen (18) months. (Testing was conducted at the end of this shelf life, indicating successful adherence.)

    Study Details

    1. Sample size used for the test set and the data provenance:

      • Sample Size: The document does not specify a precise numerical sample size for the test set. It mentions "running test packs and control packs (predicate) within the same cycles" for various conditions (pass, fail, partial).
      • Data Provenance: The testing was non-clinical, conducted by SPSmedical Supply Corp. in Rush, NY, USA. The study followed the FDA Guidance document for Industry and FDA Staff entitled, "Biological Indicator (BI) Premarket Notification [510(k)] Submissions," issued on October 4, 2007.
    2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts:

      • This is a non-clinical study involving a biological indicator device. The "ground truth" is established by the known conditions of the steam sterilization cycles (e.g., specific temperature and time exposures designed to cause a "pass" or "fail" condition), and the subsequent growth or non-growth of the bacterial spores. There are no human "experts" establishing ground truth in the context of interpreting images or clinical outcomes.
    3. Adjudication method (e.g. 2+1, 3+1, none) for the test set:

      • Not applicable to this type of non-clinical device testing. Adjudication methods like 2+1 or 3+1 are typically used in clinical studies where human interpretation of data (e.g., medical images) requires consensus among multiple readers.
    4. 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:

      • No, a multi-reader multi-case comparative effectiveness study was not conducted. This device is a biological indicator for sterilization processes, not an AI-powered diagnostic or assistive tool for human readers.
    5. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done:

      • Yes, this is effectively a standalone device performance study. The "algorithm" here is the biological and chemical reaction of the indicator to sterilization conditions. Its performance is evaluated independently of human interpretation, although humans observe the results (e.g., color change, bacterial growth).
    6. The type of ground truth used (expert consensus, pathology, outcomes data, etc):

      • The ground truth is based on pre-defined physical and biological parameters of steam sterilization cycles. The cycles are intentionally set up as "pass" (full sterilization conditions), "fail" (insufficient sterilization conditions), or "partial" (borderline conditions) based on established scientific principles for sterility assurance and industry standards (e.g., AAMI). The "truth" of whether the spores should be inactivated is determined by these controlled cycle parameters, and then the BI's ability to reflect this is assessed.
    7. The sample size for the training set:

      • This is not an AI/machine learning device, so there is no training set in the conventional sense. The "training" or development of such a biological indicator involves extensive research into microbial resistance, material science, and sterilization physics, but not data-driven machine learning.
    8. How the ground truth for the training set was established:

      • As stated above, there is no training set for this type of device. The ground truth for biological indicators is established through fundamental microbiology and sterilization science principles.
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    K Number
    K133204
    Date Cleared
    2014-05-05

    (200 days)

    Product Code
    Regulation Number
    880.2800
    Reference & Predicate Devices
    Why did this record match?
    Applicant Name (Manufacturer) :

    CROSSTEX INTERNATIONAL

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

    The AirView™ II Bowie Dick Test Pack is intended for the daily air removal efficacy testing of prevacuum steam sterilizers. It may also be used after sterilizer installation, relocation, after major repairs and after sterilization process failures.

    The AirView" II Bowie Dick Test Pack is designed to detect the presence of residual air in prevacuum steam sterilizers operating at 134°C for 3.5 minutes. The indicator sheet within the AirView II Bowie Dick Test Pack will demonstrate a uniform color change from blue to dark brown black when proper sterilization conditions are met and no air is present. If enough air is present to create a 2°C (+1° /-0°C) temperature difference between the center of the towel pack. as identified in ANSVAAMI/ISO 11140-5, and the drain temperature at the beginning of the final one minute of a three and half minute cycle the AirView" II Bowie Dick Test Pack will demonstrate a non-uniform color change.

    Device Description

    Functionality-The AirView™ II Bowie Dick Test Pack is designed for routine testing of 134°C ' (273°F) prevacuum steam sterilizers. The Bowie Dick test is part of the daily release criteria for any prevacuum steam sterilizer. It may also be used after sterilizer installation, relocation, malfunction, after major repairs and after sterilization process failures. The AirView™M II Bowie Dick Test Pack should always be run in an empty chamber.

    Scientific Concepts-The Bowie Dick Test should be run only after the chamber has been preheated. It is a means of detecting air leaks in gaskets or chamber piping, poor air removal and subsequent steam penetration. The AirView™ II Bowie Dick Test Pack has proven safe and effective as a replacement for the standard Bowie Dick Towel Pack through validated performance testing.

    Physical Characteristics-The AirView™ II Bowie Dick Test Pack consists of layers of paper with an air removal indicator placed in the center of the stack all placed within an exterior containment box. A process indicator label placed on the containment box alerts users if a pack has been exposed to the sterilization process. The approximate dimensions of the pack are 3-3/4" x 5/8" x 5". The air removal indicator within the AirView™ II Bowie Dick Test Pack should be retained as a permanent record while the remainder of the pack can be discarded with regular waste according to local legislation, recycling land filling or incineration. None of the AirView™ II Bowie Dick Test Packs components are made from lead.

    Performance Characteristics-The AirView™ II Bowie Dick Test Pack performs substantially equivalent to the AAMI Standard Towel Pack when tested in conformance with the FDA guidance document for Chemical Indicators and ANSI/AAM1/ISO 11140-5.

    AI/ML Overview

    Here's a summary of the acceptance criteria and the study proving the device meets them, based on the provided 510(k) summary:

    1. Table of Acceptance Criteria and Reported Device Performance:

    Acceptance Criteria CategorySpecific CriteriaReported Device Performance
    Performance - Pass CycleUniform dark brown/black color when subjected to a 134°C for 3.5 minutes prevacuum steam sterilizer cycle with a complete vacuum air removal phase and temperature limits of 0.5°C or less difference within the test pack compared to drain temperature.The AirView™ II Bowie Dick Test Pack turns a uniform dark brown/black color when subjected to the standard pass cycle (134°C for 3.5 minutes, complete vacuum, ≤0.5°C temp difference).
    Performance - Fail CycleNon-uniform color when subjected to a modified air removal phase (fault condition) resulting in residual air entrapped within the test pack, creating a 2-3°C lower temperature in the center of the test pack compared to the drain at the start of the last minute of the exposure phase.The AirView™ II Bowie Dick Test Pack turns a non-uniform color when subjected to the standard fault condition (modified air removal, 2-3°C lower temperature in pack center). The indicator is sensitive enough to detect when enough air is left to create a 2°C or greater temperature difference in the test pack.
    Performance - Dry HeatRequire the presence of steam molecules to turn to specified endpoint color (i.e., no color change in dry heat).Indicators require the presence of steam molecules to turn to their specified endpoint color. (No color change in dry heat).
    Indicator PorosityMeet predetermined acceptance criteria for indicator material porosity.Results documented the porosity of the indicator material which meet the predetermined acceptance criteria.
    BiocompatibilityNon-toxic (despite being intended for an empty chamber).Biocompatibility testing concluded the indicators to be non-toxic.
    Interfering SubstancesNot sensitive to acidic or basic environments (both unprocessed and processed form).Testing verified that the indicators in their unprocessed form are not sensitive to an acidic or basic environment. Testing verified that the indicators in their processed form are not sensitive to an acidic or basic environment.
    Shelf LifeMaintain effectiveness for three (3) years from the date of manufacture.Maintains a shelf life of three (3) years from the date of manufacture when properly stored.
    Post-Processing StabilityMaintain indicator stability for two (2) years or more post-processing.Post processing indicator stability has been documented to exceed two (2) years when properly stored.

    2. Sample Size Used for the Test Set and Data Provenance:

    The document mentions "multiple lots of indicators" were used for testing. However, it does not explicitly state a specific numerical sample size for the test set.

    The provenance is implied to be laboratory-based testing conducted by the manufacturer (SPSmedical Supply Corp.) in the U.S.A., following FDA guidance. It's a prospective study designed to validate the device's performance.

    3. Number of Experts Used to Establish Ground Truth for the Test Set and Qualifications:

    Not applicable. This device is a chemical indicator, and its "ground truth" is established through physical and chemical reactions under controlled sterilization conditions, rather than expert interpretation of complex data (like medical images). The "ground truth" for pass/fail cycles is defined by temperature differences and air removal efficacy within the sterilizer, measured by instrumentation, not human experts.

    4. Adjudication Method for the Test Set:

    Not applicable. The "adjudication" is based on the visual color change of the indicator and objective physical measurements (temperature, vacuum) within the sterilizer during the validation process. The determination of "uniform" vs. "non-uniform" color change for pass/fail conditions is a direct observation of the indicator's performance against predefined criteria, not a consensus among experts.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was Done:

    No, an MRMC comparative effectiveness study was not done. This type of study is typically relevant for interpretative devices where human readers are involved (e.g., AI-assisted diagnosis). The AirView™ II Bowie Dick Test Pack is a chemical indicator that produces a direct visual result.

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) was Done:

    Yes, the testing described is a standalone performance assessment of the device itself. The chemical indicator operates independently to display a visual outcome (color change) based on environmental conditions within the sterilizer. There is no "human-in-the-loop" component in its direct function, although a human is required to interpret the final visual output.

    7. The Type of Ground Truth Used:

    The ground truth used is primarily physical and chemical measurements under controlled conditions, established by:

    • Defined sterilizer cycle parameters (e.g., 134°C for 3.5 minutes).
    • Objective measurements of air removal and steam penetration (e.g., temperature differences within the test pack and at the drain, vacuum levels).
    • Compliance with recognized standards (ANSI/AAMI/ISO 11140-5).

    Specifically, "pass cycles" and "fail cycles" were experimentally created and defined by these physical conditions.

    8. The Sample Size for the Training Set:

    Not applicable. This device is a passive chemical indicator, not an AI/ML algorithm that requires a "training set" in the conventional sense. The "training" or development of the indicator's chemical formulation would involve laboratory research and development, but not a data-driven training set like those for AI.

    9. How the Ground Truth for the Training Set was Established:

    Not applicable, as explained in point 8. The "ground truth" for the development of such an indicator would be established through chemical principles and laboratory experiments to ensure the indicator ink responds predictably and accurately to specific sterilization parameters (temperature, steam, air presence).

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    Why did this record match?
    Applicant Name (Manufacturer) :

    CROSSTEX INTERNATIONAL, INC.

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

    The following Crosstex® Isofluid Plus Surgical Masks are intended for use in infection control practices to minimize contamination caused by inhaled and exhaled microorganisms and reduce the potential exposure of the wearer to blood and body fluids. (non-sterile)

    • Crosstex® Isofluid Plus Surgical Earloop Face Mask Blue .
    • Crosstex® Isofluid Plus FogFree Surgical Earloop Face Mask Blue .
    • Crosstex® Isofluid Plus FogFree Surgical Earloop Face Mask with Splash Visor Blue .
    Device Description

    The Crosstex Isofluid Plus Surgical Masks are constructed of a cellulose inner facing, a 100% Spundonded porypropyitent elastic loops. The nose piece for the polypropyiene inter firedia, with non facil cae no fog strip (if applicable) is made of melt blow polypropylene.

    AI/ML Overview

    The provided text describes the acceptance criteria and performance of Crosstex® Isofluid Plus Surgical Masks, focusing on non-clinical tests to demonstrate substantial equivalence to a predicate device.

    Here's the information extracted and organized:

    1. Table of Acceptance Criteria and Reported Device Performance

    DescriptionAcceptance Criteria (Predicate Device K082258)Reported Device Performance (Crosstex Surgical Masks)
    Fluid Resistance: ASTM 186230 of 32 pass at 80mm Hg32 of 32 pass at 80mm Hg
    Particulate Filtration Efficiency: ASTM F229998.5% at 0.5 µm99.01% at 0.1 µm
    Bacterial Filtration Efficiency: ASTM F210199.8%99.8%
    Flammability Class: 16CFR161011
    Delta-P (Differential Pressure): Mil M36954C (or similar)2.86 (implied from predicate)2.5

    Note: The "Acceptance Criteria" column is derived from the reported performance of the predicate device, as the submission states that the new device meets "all relevant requirements of the aforementioned test standards" and is "substantially equivalent." Typically, substantial equivalence is established by meeting or exceeding the performance of the predicate device for relevant parameters.

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not explicitly state a separate "test set" in the context of a dataset for an AI/ML device. Instead, the performance evaluation is based on bench testing of the physical masks.

    • Fluid Resistance (ASTM 1862): "32 of 32 pass at 80mm Hg" for the new device, suggesting a sample size of 32 units tested. The predicate device had "30 of 32 pass at 80mm Hg," also implying 32 units tested for the predicate.
    • Other tests (PFE, BFE, Flammability, Delta-P): Specific sample sizes are not explicitly stated for these tests within the provided text, but they would typically involve multiple samples to ensure statistical validity.
    • Data Provenance: The data provenance is from non-clinical laboratory bench testing conducted to evaluate the physical and performance characteristics of the surgical masks. There is no information about the country of origin of the data beyond the submitter's identification in New York, USA. The nature of these tests makes them prospective in the sense that they are performed on manufactured products for regulatory submission.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    This information is not applicable to this submission. The device is a physical surgical face mask, and its performance is evaluated through standardized bench tests (e.g., fluid resistance, particulate filtration). There is no "ground truth" in the context of expert consensus, pathology, or clinical outcomes that would require human experts to interpret data for the test set.

    4. Adjudication Method for the Test Set

    This information is not applicable as the evaluation relies on objective, standardized physical performance tests rather than subjective human interpretation requiring adjudication.

    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

    This information is not applicable. This submission is for a physical medical device (surgical face mask), not an AI/ML-driven diagnostic or image analysis system. Therefore, an MRMC study and the concept of "human readers improving with AI" are irrelevant to this device.

    6. If a Standalone (i.e. algorithm only without human-in-the loop performance) was done

    This information is not applicable. This is a physical product, not an algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for the performance evaluation of these surgical masks is established by standardized laboratory test methods (e.g., ASTM 1862 for fluid resistance, ASTM F2299 for particulate filtration, ASTM F2101 for bacterial filtration, 16CFR1610 for flammability, and Mil M36954C for Delta-P). These methods define objective criteria and measurements to determine the performance against established industry standards and the predicate device's performance.

    8. The Sample Size for the Training Set

    This information is not applicable. There is no "training set" as this is a physical device, not an AI/ML algorithm.

    9. How the Ground Truth for the Training Set was Established

    This information is not applicable. As there is no training set, there is no corresponding ground truth for it.

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    K Number
    K103303
    Date Cleared
    2010-12-23

    (44 days)

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

    CROSSTEX INTERNATIONAL, INC.

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

    The following Crosstex® Surgical Masks are intended for use in infection control practices to minimize contamination caused by inhaled and exhaled microorganisms and reduce the potential exposure of the wearer to blood and body fluids.

    • Crosstex® Surgical Earloop Mask White ●
    • Crosstex® Surgical Earloop No Fog Mask White .
    • Crosstex® Surgical Earloop No Fog Mask with Splash Visor White .
    Device Description

    The Crosstex Surgical Masks are constructed of a cellulose inner facing, a 100% spunbonded polypropylene white outer facing, a 100% meltblown polypropylene filter media, with white non-latex elastic loops. The nose piece for the Crosstex Surgical Masks is aluminum wire while the no fog strip (if applicable) is made of melt blow polypropylene.

    AI/ML Overview

    This document describes a 510(k) summary for Crosstex Surgical Masks, focusing on non-clinical performance tests rather than an AI-powered diagnostic device. Therefore, many of the requested categories related to AI studies, ground truth, and expert adjudication are not applicable.

    Here's an analysis based on the provided text:

    1. Table of Acceptance Criteria and Reported Device Performance

    TestAcceptance Criteria (Implied)Reported Device Performance
    Fluid Resistance (Synthetic Blood Penetration Test)Meet relevant requirements of test standardsMet all relevant requirements
    Bacterial Filtration Efficiency (BFE) / Differential Pressure (△P) TestsMeet relevant requirements of test standardsMet all relevant requirements
    Flammability TestingMeet relevant requirements of test standardsMet all relevant requirements
    Latex Particle Challenge TestMeet relevant requirements of test standardsMet all relevant requirements
    Biocompatibility Testing (Per ISO 10993)Meet relevant requirements of ISO 10993Met all relevant requirements

    2. Sample Size Used for the Test Set and Data Provenance

    This information is not applicable as the study involves functional testing of a physical medical device (surgical masks), not an AI algorithm processing data. No "test set" in the context of data for an AI model is used. The testing would be performed on samples of the manufactured masks.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Their Qualifications

    This information is not applicable. "Ground truth" in the context of AI models refers to definitively labeled data. For performance testing of a physical device like a mask, the "ground truth" is established by adherence to standardized testing protocols and measurements, not expert consensus on data points. The laboratories conducting these tests are assumed to be accredited and their personnel qualified to perform the specific tests.

    4. Adjudication Method for the Test Set

    This information is not applicable. Adjudication methods like 2+1 or 3+1 are used in AI studies where multiple human readers interpret data to establish a consensus ground truth. For device performance testing, the results are typically quantitative measurements comparing against established standards.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study Was Done, and Effect Size

    No, an MRMC comparative effectiveness study was not done. This type of study is relevant for comparing the diagnostic performance of human readers with and without AI assistance, which is outside the scope of this device (surgical masks).

    6. If a Standalone (Algorithm Only Without Human-in-the-Loop Performance) Was Done

    This information is not applicable. The device is a surgical mask, not an algorithm.

    7. The Type of Ground Truth Used

    The "ground truth" for the device's performance is established by objective measurements against recognized industry standards and test methods. For example, the Bacterial Filtration Efficiency (BFE) test produces a quantitative percentage that is compared to an accepted threshold. This is distinct from expert consensus, pathology, or outcomes data which are typically used for diagnostic devices.

    8. The Sample Size for the Training Set

    This information is not applicable. There is no "training set" as this is not an AI or machine learning device.

    9. How the Ground Truth for the Training Set Was Established

    This information is not applicable. There is no "training set" for this device.

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    K Number
    K082258
    Date Cleared
    2008-10-16

    (69 days)

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

    CROSSTEX INTERNATIONAL

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

    The following Crosstex® Surgical Masks are intended for use in infection control practices to minimize contamination caused by inhaled and exhaled microorganisms and reduce the potential exposure of the wearer to blood and body fluids.

    • Crosstex® Isolite® Earloop Face Masks Blue, Pink .
    • Crosstex® Isofluid® Earloop Face Masks Blue, Pink, White, Green .
    • Crosstex® Isofluid FogFree® Earloop Face Masks Blue, Peach .
    • Crosstex® Isofluid FogFree® Face Masks with Splash Visor Blue, Peach ●
    • . Crosstex® Procedural Earloop Face Masks - Blue, Pink, Yellow
    • Crosstex® Ultra Fluid Resistant No-Fog® Earloop Face Masks Blue .
    • Crosstex® Ultra Fluid Resistant No-Fog® Face Masks with Splash Visor Blue ●
    Device Description

    The seven (7) Crosstex® Surgical Masks are constructed of either an inner/outer facing of tissue or 100% spunbonded polypropylene, a 100% meltblown polypropylene filter media, with white elastic loops and/or a fogfree strip. The nose piece for all seven (7) Crosstex® Surgical Masks is 27 gauge aluminum wire, some have an anti-fog strip, with the Crosstex® Ultra Fluid Resistant No Fog® having a vapor barrier. All of the materials used in the construction of the Crosstex® Surgical Masks are being used in currently marketed devices (see predicate information).

    AI/ML Overview

    This 510(k) summary (K082258) describes the Crosstex® Surgical Masks. The document does not describe an AI/ML device, and therefore the standard questions about acceptance criteria, study design, and ground truth for such a device are not applicable.

    The submission is for surgical masks and primarily relies on non-clinical performance testing to demonstrate substantial equivalence to predicate devices.

    Here's the information as it relates to the provided document:

    1. A table of acceptance criteria and the reported device performance

    TestAcceptance CriteriaReported Device Performance
    Fluid Resistance (Liquid (Water) Resistance Test/Impact Penetration Test)Not explicitly stated, implied to meet requirements of "relevant test standards""Performance Testing met all relevant requirements of the aforementioned test standards."
    Bacterial Filtration Efficiency (BFE)Not explicitly stated, implied to meet requirements of "relevant test standards""Performance Testing met all relevant requirements of the aforementioned test standards."
    Differential Pressure (△P)Not explicitly stated, implied to meet requirements of "relevant test standards""Performance Testing met all relevant requirements of the aforementioned test standards."
    Flammability TestingNot explicitly stated, implied to meet requirements of "relevant test standards""Performance Testing met all relevant requirements of the aforementioned test standards."
    Latex Particle Challenge TestNot explicitly stated, implied to meet requirements of "relevant test standards""Performance Testing met all relevant requirements of the aforementioned test standards."
    Biocompatibility Testing (Per ISO 10993)Not explicitly stated, implied to meet requirements of "relevant test standards""Performance Testing met all relevant requirements of the aforementioned test standards."

    2. Sample sizes used for the test set and the data provenance (e.g., country of origin of the data, retrospective or prospective)

    This information is not provided in the 510(k) summary. The document mentions "Performance Testing" but does not detail the specific sample sizes used for each test or the provenance of the test data.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g., radiologist with 10 years of experience)

    This is not applicable as the device is not an AI/ML diagnostic tool that requires expert-established ground truth from a test set. The evaluation is based on objective physical and biological performance tests.

    4. Adjudication method (e.g., 2+1, 3+1, none) for the test set

    This is not applicable as there is no mention of human adjudication in the context of establishing ground truth for a test set.

    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

    This is not applicable as the device is not an AI/ML system and therefore no MRMC study was conducted.

    6. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done

    This is not applicable as the device is not an AI/ML algorithm.

    7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

    The "ground truth" in this context is the results of standardized laboratory performance tests (e.g., BFE, fluid resistance, flammability) against established benchmarks or predicate device performance. It's not based on expert consensus, pathology, or outcomes data in the way an AI diagnostic tool would be.

    8. The sample size for the training set

    This is not applicable as there is no AI/ML model that requires a training set.

    9. How the ground truth for the training set was established

    This is not applicable as there is no AI/ML model that requires a training set.

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