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510(k) Data Aggregation

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

    The Dukal Sterile AAMI Level 3 Reinforced Surgical Gown, Sterile AAMI Level 3 Surgical Gown, Sterile AAMI Level 4 Surgical Gown, and Sterile AAMI Level 4 Splicing Surgical Gown are 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, Dukal AAMI Level 3 Reinforced Surgical Gown and Sterile AAMI Level 3 Surgical Gown met the requirements for Level 3 classification; Dukal Sterile AAMI Level 4 Surgical Gown and Sterile AAMI Level 4 Splicing Surgical Gown met the requirements for Level 4 classification.

    The Dukal Sterile AAM Level 3 Reinforced Surgical Gown, Sterile AAMI Level 3 Surgical Gown, Sterile AAMI Level 4 Surgical Gown, and Sterile AAMI Level 4 Splicing Surgical Gown are single use, disposable medical devices, and are provided sterile.

    Device Description

    Surgical Gowns are 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. The Dukal Sterile AAMI Level 3 Reinforced Surgical Gown, Sterile AAMI Level 3 Surgical Gown, Sterile AAMI Level 4 Surgical Gown, and Sterile AAMI Level 4 Splicing Surgical Gown are single use, disposable medical devices, and are provided sterile. Each type of Surgical Gown is available in six product sizes: M, L, XL, XXL, XXXL and XXXL-XL.

    Dukal Sterile AAMI Level 3 Reinforced Surgical Gown and Sterile AAMI Level 3 Surgical Gown are made with SMS nonwoven material. The Dukal Sterile AAMI Level 4 Surgical Gown and Sterile AAMI Level 4 Splicing Surgical Gown are made with BVB material.

    Only the Dukal Sterile AAMI Level 3 Reinforced Surgical Gown is reinforced with laminated material. Dukal Sterile AAMI Level 3 Surgical Gown, Sterile AAMI Level 4 Surgical Gown, Sterile AAMI Level 4 Splicing Surgical Gown are non-reinforced.

    Only the Sterile AAMI Level 4 Splicing Surgical gown has a different material for the back of the gown (SMS nonwoven fabric). The back of the gown for the Sterile AAMI Level 4 Surgical gown is made with BVB material.

    All gowns are blue, with hook and loop closures, belt ties, and knitted cuff sleeves.

    AI/ML Overview

    This document describes a 510(k) premarket notification for Dukal Sterile AAMI Level 3 Reinforced Surgical Gown, Sterile AAMI Level 3 Surgical Gown, Sterile AAMI Level 4 Surgical Gown, and Sterile AAMI Level 4 Splicing Surgical Gown. The submission establishes substantial equivalence to a predicate device (K192290: Xuchang Zhengde Environstar Medical Products Co., Ltd SMS Standard Surgical Gown (level 3), SMS Surgical Gown with Reinforcement (level 3), BVB Surgical Gown (level 4), BVB Splicing Surgical Gown (level 4)).

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are generally "Same" as the predicate device or "Meets requirement" based on specific test standards. The reported device performance consistently meets these criteria.

    AAMI Level 3 Surgical Gowns:

    Test ItemTest Standard MethodsAcceptance Criteria (Test Requirements)Reported Device Performance (Test Results of Subject Device)
    Flammability16 CFR 1610Class IClass I
    Water Resistance-Hydrostatic PressureAATCC 127≥50 cm H2O (for AAMI Level 3)≥50 cm H2O
    Water Resistance-Impact PenetrationAATCC 42≤1.0 g (for AAMI Level 3)≤1.0 g
    Tensile strengthASTM D 5034Latitude/Transverse: ≥30N, Longitude: ≥30NLatitude/Transverse: ≥30N, Longitude: ≥30N
    Tear strengthASTM D 5733Latitude/Transverse: ≥10N, Longitude: ≥10NLatitude/Transverse: ≥10N, Longitude: ≥10N
    Seam StrengthASTM D 1683≥30N (Predicate states ≥70N, Subject device meets ≥70N)≥70N
    Lint GenerationISO 9073-10Size of particles counted: 3mcg-25mcgSize of particles counted: 3mcg-25mcg
    Air PermeabilityASTM D737-18Test Pressure: 125Pa; Test area 38 cm²Test Pressure: 125Pa; Test area 38 cm²
    Biocompatibility (Cytotoxicity, Irritation, Sensitization)ISO 10993-5, ISO 10993-10Non-cytotoxic, Negligible irritation, No significant evidence of delayed dermal contact sensitizationDid not show cytotoxicity potential, Irritation response category classified as Negligible, Showed no significant evidence of causing delayed dermal contact sensitization
    EO Sterilization ResidualISO 10993-7EO ≤ 4mg/device, ECH ≤ 9mg/device, TCL of EO ≤ 10 µg/cm², TCL of ECH ≤ 5000µg/cm²Residual of EO did not exceed 4mg/device, ECH did not exceed 9mg/device, TCL of EO did not exceed 10 µg/cm², ECH did not exceed 5000µg/cm²

    AAMI Level 4 Surgical Gowns:

    Test ItemTest Standard MethodsAcceptance Criteria (Test Requirements)Reported Device Performance (Test Results of Subject Device)
    Flammability16 CFR 1610Class IClass I
    Resistance to Bacteriophage Phi-X174ASTM F1671/F1671M-13Pass (None Seen for Penetration of Phi-X174 Bacteriophage)Pass
    Water Resistance-Hydrostatic PressureAATCC 127≥120 cm H2O≥120 cm H2O
    Water Resistance-Impact PenetrationAATCC 42≤1.0 g≤1.0 g
    Tensile strengthASTM D 5034Latitude/Transverse: ≥30N, Longitude: ≥30NLatitude/Transverse: ≥30N, Longitude: ≥30N
    Tear strengthASTM D 5733Latitude/Transverse: ≥10N, Longitude: ≥10NLatitude/Transverse: ≥10N, Longitude: ≥10N
    Seam StrengthASTM D 1683≥30N (Predicate states ≥70N, Subject device meets ≥70N)≥70N
    Lint GenerationISO 9073-10Size of particles counted: 3mcg-25mcgSize of particles counted: 3mcg-25mcg
    Air PermeabilityASTM D737-18Test Pressure: 125Pa; Test area 38 cm²Test Pressure: 125Pa; Test area 38 cm²
    Biocompatibility (Cytotoxicity, Irritation, Sensitization)ISO 10993-5, ISO 10993-10Non-cytotoxic, Negligible irritation, No significant evidence of delayed dermal contact sensitizationDid not show cytotoxicity potential, Irritation response category classified as Negligible, Showed no significant evidence of causing delayed dermal contact sensitization
    EO Sterilization ResidualISO 10993-7EO ≤ 4mg/device, ECH ≤ 9mg/device, TCL of EO ≤ 10 µg/cm², TCL of ECH ≤ 5000µg/cm²Residual of EO did not exceed 4mg/device, ECH did not exceed 9mg/device, TCL of EO did not exceed 10 µg/cm², ECH did not exceed 5000µg/cm²

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

    The document does not explicitly state the sample sizes used for each specific test in the "Test Results of Subject Device" columns. However, it indicates that the tests conform to recognized standards (e.g., AATCC, ASTM, ISO). These standards typically specify minimum sample sizes for each test.

    The data provenance is not explicitly stated in terms of country of origin or whether it's retrospective or prospective. It is assumed to be prospective testing conducted on the finished device to demonstrate compliance with the referenced standards.

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

    This is a submission for a physical medical device (surgical gowns) and not an AI/software device. Therefore, the concept of "experts used to establish ground truth" (e.g., radiologists) in the context of diagnostic interpretation is not applicable here. The "ground truth" is established by direct measurement and testing against established physical and chemical standards.

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

    Not applicable. This is not a study involving human interpretation or adjudication of diagnostic findings. The tests are based on objective physical and chemical measurements following established laboratory protocols.

    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. An MRMC study is relevant for AI-powered diagnostic devices, which is not the case for surgical gowns.

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

    Not applicable. This is not an AI/algorithm-based device.

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

    The ground truth is based on recognized consensus standards for physical and chemical testing of surgical apparel, such as:

    • ANSI/AAMI PB70:2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes
    • 16 CFR Part 1610 Standard for the Flammability of Clothing Textiles
    • AATCC 127:2017 Water Resistance: Hydrostatic Pressure Test
    • AATCC 42:2017 Water Resistance: Impact Penetration Test
    • ASTM F1671/F1671M-13 Standard Test Method for Resistance to Materials Used in Protective Clothing to Penetration by Blood-Borne Pathogens
    • ISO 9073-10:2003 Textiles-Test Methods for Nonwovens-Part 10: Lint and Other Particles Generation in the Dry State
    • ASTM D1683/D1683M-17:2017/(R)2018 Standard Test Method for Failure in Sewn Seams of Woven Fabrics
    • ASTM D5733-99 Standard Test Method for Tearing Strength of Nonwoven Fabrics by the Trapezoid Procedure
    • ASTM D5034-09:2017 Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test)
    • ASTM D737-18:2018 Standard Test Method for Air Permeability of Textile Fabrics
    • ASTM F88/F88M-15 Standard Test Method for Seal Strength of Flexible Barrier Materials
    • ASTM F1929-15 Standard Test Method for Detecting Seal Leaks in Porous Medical Packaging by Dye Penetration
    • ISO 10993-7:2008 Biological Evaluation of Medical Devices-Part 7:Ethylene Oxide Sterilization Residuals
    • ISO 10993-5:2009 Biological Evaluation of Medical Devices-Part 5: Tests for in Vitro Cytotoxicity
    • ISO 10993-10:2010 Biological Evaluation of Medical Devices-Part 10: Tests for Irritation and Skin Sensitization

    8. The sample size for the training set

    Not applicable. This is not a machine learning or AI device that requires a training set.

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

    Not applicable. As this is not an AI/ML device, there is no training set or ground truth in that context.

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