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510(k) Data Aggregation

    K Number
    K233571
    Manufacturer
    Date Cleared
    2024-08-02

    (270 days)

    Product Code
    Regulation Number
    878.4040
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    GCI surgical gown is intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities, the surgical gowns met the requirements for Level 2 barrier classification.

    Device Description

    GCI Surgical Gowns are intended to be used during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate materials. The gown is available in multiple sizes. They are provided non- sterile and intended to be sterilized prior to use. They are reusable up to 75 uses. Per ANSI/AAMI PB70 Liquid barrier performance and classification of protective apparel intended for use in health care facilities, the proposed devices meet the requirements for 2, as indicated by their labeling.

    AI/ML Overview

    This document describes the non-clinical performance testing of the GCI Surgical Gown to demonstrate its substantial equivalence to a legally marketed predicate device (K211422).

    1. Table of Acceptance Criteria and Reported Device Performance

    AttributeAcceptance CriteriaReported Device Performance
    FlammabilityMeets Class 1 RequirementsMeets Class 1 Requirements
    Water Resistance: Hydrostatic PressureWater Resistant ≥20 cmWater Resistant ≥20 cm
    Water Resistance: Impact Penetration≤1.0 g water≤1.0 g water
    Breaking / Bursting Strength≥20 N>20 N
    Tearing Strength≥20 N>20 N
    Seam Strength≥20 N>20 N
    LintingLog10 < 4Log10 < 4
    BiocompatibilityBiocompatible in alignment with ISO 10993-1Biocompatible in alignment with ISO 10993-1
    - CytotoxicityNon-cytotoxicUnder the conditions of the study, the device is non-cytotoxic.
    - IrritationNon-irritatingUnder the conditions of the study, the device is not an irritant.
    - SensitizationNon-sensitizingUnder the conditions of the study, the device is not a sensitizer.

    2. Sample size used for the test set and the data provenance

    The document does not specify the exact sample sizes for each non-clinical test. However, the tests are laboratory-based performance tests of the device itself (GCI Surgical Gown). The data provenance is from non-clinical laboratory testing performed to specific standards (e.g., AATCC, ASTM, ISO) to verify the device met design specifications. The country of origin of the data is not explicitly stated, but the submission is to the US FDA by a Canadian company (George Courey, Inc.), suggesting the testing was performed to international standards. This is retrospective testing performed on the final device.

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

    This section is not applicable as the ground truth for this type of device (surgical gown) is established through objective, standardized physical and biological performance tests, not through expert human assessment of images or clinical data. The "ground truth" is defined by the acceptance criteria of the specified international standards.

    4. Adjudication method for the test set

    This section is not applicable. The outcome of non-clinical, objective tests is not subject to adjudication in the same manner as expert consensus for clinical image interpretation. The tests yield quantitative results that are compared directly against predefined numerical or qualitative acceptance criteria specified in the relevant standards.

    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 section is not applicable. The device is a surgical gown, not an AI-powered diagnostic or assistive tool. Therefore, MRMC studies and assessment of human reader improvement with AI are irrelevant to this submission.

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

    This section is not applicable. The device is a physical surgical gown, not an algorithm.

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

    The ground truth used for this device is based on objective, standardized measurements and biological assessments as defined by international and national standards. For example:

    • Physical properties (e.g., water resistance, strength) are evaluated against quantitative thresholds.
    • Biocompatibility is evaluated against qualitative (e.g., "non-cytotoxic," "not an irritant") outcomes determined by specified in-vitro or in-vivo biological tests.

    8. The sample size for the training set

    This section is not applicable. The device is a physical product (surgical gown) that does not utilize machine learning or AI, and therefore does not have a "training set" in the computational sense.

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

    This section is not applicable for the same reasons as #8.

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