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510(k) Data Aggregation

    K Number
    K152189
    Device Name
    EVOTECH ECR
    Date Cleared
    2016-07-20

    (350 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    EVOTECH ECR

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

    The EVOTECH® ECR Endoscope Cleaner and Reprocessor, a washer/disinfector, is indicated for use with high-level disinfectant CIDEX® OPA Concentrate Solution and an enzymatic detergent (CIDEZYME XTRA) to achieve cleaning and high level disinfection of heat sensitive (>60°C) semi-critical endoscopes. Manual cleaning of medical devices (endoscopes) is not required prior to placement in the EVOTECH® ECR Endoscope Cleaner and Reprocessor System when selecting those cycles that contain a wash stage. (Manual cleaning of medical devices (endoscopes) is required when selecting the Disinfect only or Disinfect/Alcohol Flush Cycle.)

    Device Description

    The EVOTECH® ECR Endoscope Cleaner and Reprocessor is a two-basin The washer/disinfector utilizing an enzymatic detergent and a concentrated high level disinfectant, CIDEX® OPA Concentrate Solution. Both the detergent and high level disinfectant are diluted in the system to in-use concentrations. The EVOTECH® ECR Endoscope Cleaner and Reprocessor is capable of cleaning endoscopes that have not been manually cleaned prior to placing in the system.

    AI/ML Overview

    Here's a breakdown of the acceptance criteria and study information for the EVOTECH® ECR Endoscope Cleaner and Reprocessor, based on the provided text:

    Important Note: This document is a 510(k) summary, which focuses on demonstrating substantial equivalence to a predicate device. Therefore, the "acceptance criteria" discussed are largely in reference to meeting established standards and demonstrating performance comparable to previously cleared devices, rather than a novel, bespoke set of criteria for this specific submission's unique functionality. The "study" largely refers to a compilation of previous testing and new verification for the minor modification.


    1. Table of Acceptance Criteria and Reported Device Performance

    Given that this is a 510(k) submission for a device with minor modifications (specifically, DCHP network capability), much of the performance data refers to studies conducted for previous iterations of the device (K040883, K061889, K140977). The "acceptance criteria" are derived from relevant FDA guidance and established standards for endoscope reprocessors.

    Acceptance Criteria CategorySpecific Acceptance Criteria (Derived/Implied)Reported Device Performance
    Software Verification & ValidationCompliance with FDA's "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices" (Moderate Level of Concern)Software verification and validation conducted, showing no significant effect on safety or effectiveness due to software changes (for DHCP network connectivity).
    Electrical Safety & Electromagnetic Compatibility (EMC)Compliance with EN 60601-1-2:2007 Class A, IEC 60601-1-2:2014 Class A, CISPR 11:2009 (Amended by A1: 2010) Class A, CAN/CSA-C22.2 No.: 61010-1 2004, UL 61010-1/R: 2008-10, EN 61010-1:2001All test results met the requirements of the standards for radiated/conducted emissions and safety.
    High-Level Disinfection Efficacy (Simulated Use)≥ 6 Log10 reduction of Mycobacterium terrae when exposed to CIDEX® OPA Concentrate in use solution (0.055% OPA at 50°C) with artificial soil.Achieved and demonstrated a 6 Log10 reduction of Mycobacterium terrae within 5 minutes at 50-52°C using CIDEX® OPA Concentrate (0.042% concentration with 5% fetal bovine serum organic soil load). (Referenced from K040883 and K140977 studies)
    High-Level Disinfection Efficacy (Clinical/In-Use)Sterility testing demonstrates no growth after reprocessing clinically used endoscopes without manual cleaning.Sterility testing demonstrated no growth. (Referenced from K040883 study)
    Cleaning Efficacy (Residual Soil)Residual protein and Total Organic Carbon (TOC) below predefined limit (e.g.,
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    K Number
    K140977
    Device Name
    EVOTECH ECR
    Date Cleared
    2014-12-22

    (250 days)

    Product Code
    Regulation Number
    876.1500
    Reference & Predicate Devices
    Why did this record match?
    Device Name :

    EVOTECH ECR

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

    The EVOTECH® ECR Endoscope Cleaner and Reprocessor, a washer/disinfector, is indicated for use with high-level disinfectant CIDEX® OPA Concentrate and an enzymatic detergent (CIDEZYME GI) to achieve cleaning and high level disinfection of heat sensitive (>60 0C) semi-critical endoscopes. Manual cleaning of medical devices (endoscopes) is not required prior to placement in the EVOTECH® ECR Endoscope Cleaner & Reprocessor when selecting those cycles that contain a wash stage. (Manual cleaning of medical devices (endoscopes) is required when selecting the Disinfect only or Disinfect/Alcohol Flush Cycle.)

    Device Description

    The EVOTECH® ECR Endoscope Cleaner & Reprocessor is a two-basin washer/disinfector utilizing an enzymatic detergent and a concentrated high-level disinfectant, CIDEX OPA Concentrate Solution. Both the detergent and high-level disinfectant are diluted in the system to in-use concentrations. The EVOTECH® ECR Endoscope Cleaner & Reprocessor is capable of cleaning endoscopes that have not been manually cleaned prior to placing in the system.

    AI/ML Overview

    Here's an analysis of the acceptance criteria and study information for the EVOTECH® ECR Endoscope Cleaner & Reprocessor, based on the provided text:

    Important Note: The provided text is a 510(k) summary, which focuses on demonstrating substantial equivalence to a predicate device rather than presenting a detailed, standalone clinical study report. Therefore, some information, particularly regarding specifics like effect sizes for human reader studies or detailed ground truth establishment for training sets, is not present because these types of studies (e.g., MRMC studies with human readers, or specific details about training data for an AI algorithm) are not relevant to the evaluation of a mechanical endoscope reprocessor. The device fundamentally automates a physical process, not an interpretive one involving human readers or AI algorithms for diagnostic purposes.


    1. Table of Acceptance Criteria and Reported Device Performance

    Test/Criteria CategoryAcceptance CriteriaReported Device Performance
    High-Level Disinfection (Simulated Use)A 6 Log$_{10}$ reduction of Mycobacterium terrae when flexible endoscopes, contaminated with Mycobacterium terrae and artificial soil, were exposed to CIDEX OPA Concentrate In Use solution without cleaning.
    Diluted CIDEX® OPA Concentrate at an MEC of 0.055% OPA concentration at 50°C is effective against Mycobacterium terrae in artificial soil.A 6 Log$_{10}$ reduction of Mycobacterium terrae was achieved.
    The diluted CIDEX® OPA Concentrate at an MEC of 0.055% OPA concentration at 50°C was effective against Mycobacterium terrae in artificial soil.
    Cleaning Efficacy (Simulated Use)Residual soil (protein and total organic carbon - TOC) below a predefined limit of 8.5 ug/cm² after processing in the "wash only" cycle with contaminated endoscopes.In all instances, the residuals (protein and TOC) were below the predefined limit of 8.5 ug/cm².
    Cleaning Efficacy (Clinical In-Use, without manual pre-cleaning)Processing in the EVOTECH® ECR Endoscope Cleaner & Reprocessor reduces residual protein and TOC in all channels and surfaces to less than predefined acceptance criteria.Processing in the EVOTECH® ECR Endoscope Cleaner & Reprocessor reduced the residual protein and TOC in all channels and surfaces to less than the predefined acceptance criteria.
    High-Level Disinfection (In-Use, Cleaned Endoscopes)Not explicitly stated with a numerical criterion for this specific test, but implies effectiveness.High-level disinfection of cleaned endoscopes was achieved (studied in K061889).
    High-Level Disinfection (In-Use, Contaminated Endoscopes without manual/automated washing)A >10$^6$ reduction in M. terrae after processing contaminated endoscopes through the disinfect cycle only.There was a >10$^6$ reduction in M. terrae.
    Quantitative Tuberculocidal TestingEffectiveness of OPAC solution at 0.042% concentration in the presence of 5% fetal bovine serum organic soil load within 5 minutes at 50-52°C.Effectiveness demonstrated for OPAC solution at 0.042% concentration in the presence of 5% fetal bovine serum organic soil load within 5 minutes at 50-52°C.
    Sterility Testing (In-Use)No growth after reprocessing clinically used endoscopes.Sterility testing demonstrated no growth.
    BiocompatibilityResidual OPA levels not likely to cause toxic effects in humans.Analysis indicates that the level of OPA residual remaining on an endoscope is not likely to cause toxic effects in humans.
    Material CompatibilityMinimal effect on test articles over extended periods of multiple disinfection cycles, similar to predicate device.Multiple disinfection cycles over extended periods of time resulted in minimal effect on the test articles, similar to the predicate device.
    Non-Inferiority (Automated Wash vs. Manual Wash)Washing in the EVOTECH® ECR Endoscope Cleaner & Reprocessor determined to be non-inferior to washing following SGNA procedure.Washing of endoscopes in the EVOTECH® ECR Endoscope Cleaner & Reprocessor was determined to be non-inferior to washing of endoscopes following the SGNA procedure.

    The study that proves the device meets the acceptance criteria is detailed across the "SUMMARY OF NONCLINICAL TESTS" section of the 510(k) summary. These studies were conducted to support the substantial equivalence of the EVOTECH® ECR Endoscope Cleaner & Reprocessor. The summary references prior clearances (K040883, K061889, K991487) which contained data supporting various aspects of the device's performance.

    Here's the breakdown of other requested information:

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

    • High-Level Disinfection (Simulated Use): Not explicitly stated, but "flexible endoscopes" were contaminated and tested. The data provenance is implied to be laboratory testing rather than real-world clinical data from a specific country.
    • Cleaning Efficacy (Simulated Use): Not explicitly stated, but "endoscopes" were contaminated. The data provenance is implied to be laboratory testing.
    • Sterility Testing (In-Use): "Endoscopes used in a clinical environment" were reprocessed. The exact number of endoscopes is not specified. Data provenance is "clinical environment," but specific country or retrospective/prospective nature is not detailed.
    • Biocompatibility: "An endoscope reprocessed in the EVOTECH® ECR Endoscope Cleaner & Reprocessor" was evaluated. Sample size is at least one endoscope, potentially more for statistical relevance but not specified. Data provenance is laboratory testing.
    • Material Compatibility: "Test articles" (materials commonly used in medical devices) were evaluated. The number of test articles is not specified. Data provenance is laboratory testing.
    • Cleaning Efficacy (Clinical In-Use): "Endoscopes used in clinical procedures" were processed. Number not specified. Data provenance is "clinical procedures."
    • Non-Inferiority Trial (Automated Wash vs. Manual Wash): Not explicitly stated, but implies a comparative study involving multiple endoscopes and conditions. Data provenance is laboratory/simulated environment.
    • High-Level Disinfection (In-Use, Contaminated Endoscopes): "Endoscopes" were contaminated. Number not specified. Data provenance is laboratory testing.

    Overall Data Provenance: The studies appear to be a mix of simulated-use (laboratory-based) and in-use (clinical environment) testing. The country of origin for the data is not specified in the provided text.

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

    This type of information is generally not applicable to the evaluation of an endoscope reprocessor. The "ground truth" for this device's performance is established through objective, measurable laboratory tests (e.g., microbial reduction counts, residual protein/TOC levels, chemical concentration measurements) performed by microbiologists, chemists, and engineers, rather than through expert interpretation of images or clinical cases. Therefore, there were no "experts" in the sense of radiologists or other clinicians establishing ground truth for a test set.

    4. Adjudication Method for the Test Set

    This is not applicable as the evaluation is based on objective measurements from laboratory and in-use tests, not subjective interpretations requiring adjudication.

    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 relevant for AI algorithms or diagnostic tools where human interpretation is involved. The EVOTECH® ECR is a mechanical cleaning and disinfecting device.

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

    This is not applicable. The EVOTECH® ECR is not an algorithm or AI system. Its performance evaluation is inherently "standalone" in the sense that its efficacy for cleaning and disinfection is measured directly as a mechanical system.

    7. The Type of Ground Truth Used

    The ground truth used for these studies was primarily:

    • Microbiological Counts: For disinfection studies, the ground truth was the initial and final counts of specific microorganisms (e.g., Mycobacterium terrae) on the endoscopes, determined through standard microbiological assays.
    • Chemical/Biochemical Assays: For cleaning efficacy, the ground truth was the quantified level of residual soil (e.g., protein, total organic carbon) on the endoscope surfaces, measured using analytical chemistry techniques.
    • Sterility Testing: For sterility, the ground truth was the absence of microbial growth based on culturing methods.
    • Chemical Concentration Measurement: For disinfectant effectiveness, the ground truth included verifying minimum effective concentrations of the disinfectant.

    8. The Sample Size for the Training Set

    This information is not applicable because the device is a mechanical reprocessor, not an AI or machine learning algorithm that requires a "training set."

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

    This information is not applicable for the reasons stated above.

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