AMSCO CHIMERON MEDIUM STEAM STERILIZER

K112055 · STERIS Corporation · FLE · Dec 16, 2011 · General Hospital

Device Facts

• Record ID: K112055
• Device Name: AMSCO CHIMERON MEDIUM STEAM STERILIZER
• Applicant: STERIS Corporation
• Product Code: FLE · General Hospital
• Decision Date: Dec 16, 2011
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6880
• Device Class: Class 2

Intended Use

The AMSCO Chimeron Medium Steam Sterilizers (Models 36H, 48H, 36SL, 48SL, 60SL, 36CH, 48CH, 60CH, 36CSL, 48CSL and 60CSL) are designed for sterilization of heat and moisture-stable materials used in healthcare facilities and are available in the following configuration: - Prevacuum - equipped with Prevacuum, Gravity, Liquid, Leak Test and DART (Bowie-Dick) cycles.

Device Story

AMSCO Chimeron Medium Steam Sterilizers are large-chamber autoclaves for healthcare facilities; used to sterilize heat/moisture-stable materials. Device utilizes steam as the sterilizing agent. Models feature various chamber sizes (36", 48", 60" depths) and door configurations (hinge or horizontal sliding). System includes embedded controller with touch screen interface, chamber transducers, and dual-element drain sensors. Operators select factory-validated cycles (Prevacuum, Gravity, Liquid, Leak Test, DART) via touch screen; system monitors process parameters. If conditions are not met, device aborts cycle and provides alerts/warnings. Output includes printed cycle records. Benefits include effective sterilization of surgical instruments and fabric packs, reducing risk of cross-contamination.

Clinical Evidence

Bench testing only. Validation performed per ANSI/AAMI ST8:2008. Studies included empty chamber testing, fabric test packs, and full-load instrument trays for Prevac and Gravity cycles. Liquid cycles validated with 1,000 ml flasks. All cycles demonstrated SAL of at least 10^-6. DART cycle validated using Bowie-Dick test packs. No clinical data.

Technological Characteristics

Chamber/Shell: Type 316L stainless steel (ASME certified). Sensing: Chamber transducer, dual-element chamber drain sensor. Control: Embedded controller, 320x240 pixel touch screen, ink-on-paper printer. Safety: Pressure relief valve, chamber float switch, emergency stop. Connectivity: Standalone. Sterilization: Steam-based. Software: Moderate level of concern.

Indications for Use

Indicated for sterilization of heat and moisture-stable materials in healthcare facilities. Liquid cycle is for non-patient contact use only.

Regulatory Classification

Identification

A steam sterilizer (autoclave) is a device that is intended for use by a health care provider to sterilize medical products by means of pressurized steam.

Predicate Devices

• AMSCO Century Medium Steam Sterilizer (K010865)

Submission Summary (Full Text)

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# K12055 STERIS®

DEC 1 6 2011

# 510(k) Summary For AMSCO Chimeron Medium Steam Sterilizer

STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: [phone] Fax No: [phone]

Contact:

Robert F. Sullivan Senior Director FDA Regulatory Affairs Telephone:[phone] Fax No: [phone]

Summary Date:

July 15th, 2011

STERIS Corporation ■ 5960 Heisley Road ■ Mentor, OH 44060-1834 USA ■ 440-354-2600

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#### 1. Device Name

Trade Name:

Models:

AMSCO Chimeron Medium Steam Sterilizer

36H, 48H, 60H, 36SL, 48SL, 60SL, 36CH, 48CH, 60CH, 36CSL, 48CSL and 60CSL

Common/Usual Name:

Steam Sterilizer

Classification Name:

Steam Sterilizer (21 CFR 880.6880) Product Code FLE

#### Predicate Device 2.

K010865, AMSCO Century Medium Steam Sterilizer, product code [FLE] cleared May 3184, 2001.

#### 3. Description of Device

The AMSCO Chimeron Medium Steam Sterilizers (Models 36H, 48H, 60H, 36SL, 48SL, 60SL, 36CH, 48CH, 60CH, 36CSL, 48CSL and 60CSL) are designed for sterilization of heat and moisture-stable materials used in healthcare facilities and are available in the following configuration:

- Prevacuum equipped with Prevacuum, Gravity, Liquid, Leak Test and DART . (Bowie-Dick) cycles.
The chamber sizes of the proposed AMSCO Chimeron Medium Steam Sterilizer Models are as follows:

- 26" x 37.5" x 36" (Models 36H, 36CH, 36SL, 36CSL) .
- · 26" x 37.5" x 48" (Models 48H, 48CH, 48SL, 48CSL)
- 26" x 37.5" x 60" (Models 60H, 48CH, 48CH, 48CSL) .

#### 4. Intended Use

The AMSCO Chimeron Medium Steam Sterilizers (Models 36H, 48H, 36SL, 48SL, 60SL, 36CH, 48CH, 60CH, 36CSL, 48CSL and 60CSL) are designed for sterilization of heat and moisture-stable materials used in healthcare facilities and are available in the following configuration:

- . Prevacuum - equipped with Prevacuum, Gravity, Liquid, Leak Test and DART (Bowie-Dick) cycles.

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ﮯ

.

The AMSCO Chimeron Medium Prevacuum Steam Sterilizers are equipped with the following factory-validated sterilization cycles (Table 5-1):

| Cycles | Sterilize Temperature | Sterilize Time | Dry Time | Factory Default | Recommended Load |
|------------------|-----------------------|----------------|---------------|-----------------|-----------------------------------------------------------------------------------------------------------------------|
| Prevac | 270°F<br>(132°C) | 4 minutes | 20 minutes | Yes | Fabric Packs. Refer to Table 5-2 for recommended quantities. |
| Prevac | 270°F<br>(132°C) | 4 minutes | 30 minutes | Yes | Double wrapped instrument trays, maximum weight 25 lbs (11.3 kg) each. Refer to Table 5-2 for recommended quantities. |
| Prevac | 270°F<br>(132°C) | 4 minutes | 5 minutes | No | Single Fabric Pack |
| Prevac | 275°F<br>(135°C) | 3 minutes | 30 minutes | Yes | Double wrapped instrument trays, maximum weight 25 lbs (11.3 kg) each. Refer to Table 5-2 for recommended quantities. |
| Gravity | 250°F<br>(121°C) | 30 minutes | 15 minutes | No | Fabric Packs. Refer to Table 5-2 for recommended quantities. |
| Gravity | 270°F<br>(132°C) | 15 minutes | 30 minutes | No | Double wrapped instrument trays, maximum weight 25 lbs (11.3 kg) each. Refer to Table 5-2 for recommended quantities. |
| Gravity | 250°F<br>(121°C) | 30 minutes | 30 minutes | No | Double wrapped instrument trays, maximum weight 25 lbs (11.3 kg) each. Refer to Table 5-2 for recommended quantities |
| Gravity | 270°F<br>(132°C) | 25<br>minutes | 15<br>minutes | No | Fabric Packs. Refer to<br>Table 5-2 for<br>recommended<br>quantities. |
| Liquid* | 250°F<br>(121°C) | 45<br>minutes | N/A | No | Validated with 3<br>1000ml bottles. Refer<br>to Table 5-3 for<br>recommended full load<br>quantities. |
| DART Warm-<br>Up | 270°F<br>(132°C) | 3 minutes | 1 minute | Yes | N/A |
| DART | 270°F<br>(132°C) | 3 ½<br>minutes | 1 minute | Yes | Bowie-Dick Test Pack,<br>DART Test Pack |
| Leak Test | N/A | N/A | N/A | Yes | N/A |

### Table 5-1

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#### STERIS TRADITIONAL 510(k) PREMARKET NOTIFICATION SUMMARY AMSCO Chimeron Medium Steam Sterilizer

*The liquid cycle is for non-patient contact use only.

The following table lists STERIS' full loads by sterilizer size:

### Table 5-2 AMSCO Chimeron Medium Steam Sterilizer full load per sterilizer size

| Sterilizer Size | Wrapped Instrument Trays | Fabric Packs |
|-------------------|--------------------------|--------------|
| 26" x 37.5" x 36" | 9 | 18 |
| 26" x 37.5" x 48" | 12 | 30 |
| 26" x 37.5" x 60" | 15 | 36 |

The following table is a guideline for liquid cycle processing. The liquid cycle is for non-patient contact use only.

#### Table 5-3 AMSCO Chimeron Medium Steam Sterilizers Liquid Cycle Guideline

| Sterilizer Size | Number of<br>Containers<br>for full<br>load | Number of<br>Containers<br>for validation | Volume of<br>Liquid In One<br>Container | Minimum<br>Recommended<br>Sterilize Time at<br>250°F (121°C) |
|-------------------|---------------------------------------------|-------------------------------------------|-----------------------------------------|--------------------------------------------------------------|
| 26" x 37.5" x 36" | 112 | 3 | 1000 ml | 45 minutes |
| 26" x 37.5" x 48" | 154 | 3 | 1000 ml | 45 minutes |
| 26" x 37.5" x 60" | 196 | 3 | 1000 ml | 45 minutes |

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#### Description of Safety and Substantial Equivalence 5.

一次

A summary of the technological characteristics of the device subject of this premarket notification in comparison to those of the predicate devices is included in Table 5-4.

: 小

| <b>Table 5-4</b> |
|--------------------------------------------------------------------------------|
| Summary of the Proposed and predicate Devices<br>Technological Characteristics |

| General Sterilizer<br>Features | AMSCO Chimeron Medium<br>Steam Sterilizer | AMSCO Century Medium<br>Steam Sterilizer<br>(K010865) |
|---------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------|
| Intended Use | A steam sterilizer intended for<br>sterilization of non-porous and porous,<br>heat- and moisture-stable materials in<br>healthcare facilities. | A steam sterilizer intended for<br>sterilization of non-porous and porous,<br>heat- and moisture-stable materials in<br>healthcare facilities. |
| Operating Principle | Steam is the sterilizing agent. | Steam is the sterilizing agent. |
| Sterilization Cycles<br>Offered | Prevac<br>Gravity<br>Liquid | Prevac<br>Gravity<br>Liquid<br>SFPP |
| Chamber Sizes | 26" x 37.5" x 36"<br>26" x 37.5" x 48"<br>26" x 37.5" x 60" | 26" x 37.5" x 36"<br>26" x 37.5" x 48"<br>26" x 37.5" x 60" |
| Chamber Door | Type 316L stainless steel<br>Hinge or Horizontal Sliding | Type 316L stainless steel<br>Hinge or Horizontal Sliding |
| Shell Assembly | Type 316L stainless steel<br>ASME certified | Type 316L stainless steel<br>ASME certified |
| Control Technology | Embedded Controller<br>Touch Screen<br>320 x 240 Pixel Display<br>Ink on Paper Printer | Embedded Controller<br>Touch Screen<br>320 x 240 Pixel Display<br>Ink on Paper Printer |
| Process Monitors | Chamber Transducer<br>Dual Element Chamber Drain Sensor | Chamber Transducer<br>Dual Element Chamber Drain Sensor |
| Safety Devices | Pressure Relief Valve<br>Chamber Float Switch<br>Emergency Stop Switch on Powered,<br>Sliding Door Units | Pressure Relief Valve<br>Chamber Float Switch<br>Emergency Stop Switch on Powered.<br>Sliding Door Units |

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### Effectiveness

Effectiveness of sterilizer function and exposure time recommendations was demonstrated by complete kill of biological indicators and by verifying an appropriate safety factor or sterility assurance level (SAL) of at least 10° probability of survival. STERIS validates its sterilization cycles using recommended practices, standards and guidelines developed by independent organizations such as the Association for the Advancement of Medical Instrumentation (AAMI). The AMSCO Chimeron Steam Sterilizers have been validated to meet the requirements of ANSI/AAMI ST8: 2008, December 2008.

The results of the AMSCO Chimeron Steam Sterilizer verification studies demonstrate that the sterilizers perform as intended. These reports can be found in Exhibits P and O:

- . Exhibit P: AAMI ST8: 2008 Validation Study for AMSCO Chimeron Medium Series 26" x 37.5" x 60"
- Exhibit Q: Software Verification and Validation Report; Technical Report . No. 2011-022 for AMSCO Chimeron Sterilizer

The results are summarized as follows:

- Empty chamber testing was performed as described in Section 5.4.2.5 of . ANSI/AAMI-ST8, for the Prevac, Gravity, and Liquid cycles. These cycles demonstrated that the sterilizer is capable of providing steady state thermal conditions within the chamber that are consistent with the predicted sterility assurance level (SAL) in the load. The sterilizer meets the requirements of Sections 4.4.2 of ANSI/AAMI-ST8.
- All GRAVITY cycles were validated using the fabric test pack, described in . Section 5.5.2.1 of ANSI/AAMI-ST8, and were qualified according to Section 5.5.2 ANSI/AAMI-ST8. These cycles demonstrated a sterility assurance level of at least 10° through achievement of a time-at-temperature sufficient to produce an Fo value of at least 12, moisture retention of less than 3% increase in presterilization test pack weight, and no evidence of wet spots.
- All GRAVITY cycles were validated using full load instrument trays, described . in 5.5.4.1 of ANSVAAMI-ST8, and were qualified according to Section 5.5.4 ANSI/AAMI-ST8. These cycles demonstrated a sterility assurance level of at least 100 using half-cycle cycle analysis, moisture retention of less than 20% increase in presterilization weight of the towel, and no evidence of wet spots on the outer wrapper.
- All PREVAC cycles were validated using the fabric test pack, described in � Section 5.5.2.1 of ANSI/AAMI-ST8, and were qualified according to Section 5.5.2 ANSI/AAMI-ST8. These cycles demonstrated a sterility assurance level of at least 10 through achievement of a time-at-temperature sufficient to produce an Fo value of at least 12, moisture retention of less than 3% increase in presterilization test pack weight, and exhibited no wet spots.

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- All PREVAC cycles were validated using full load instrument trays, described . in 5.5.4.1 of ANSI/AAMI-ST8, and were qualified according to Section 5.5.4 ANSVAAMI-ST8. These cycles demonstrated a sterility assurance level of at least 106 using half-cycle analysis, moisture retention of less than 20% increase in presterilization weight of the towel, and no evidence of wet spots on the outer wrapper.
- All LIQUID cycles were validated using three 1,000 ml flasks, described in . Section 5.5.3.1 of the ANSVAAMI-ST8, and were qualified according to Section 5.5.3 of ANSVAAMI-ST8. These cycles demonstrated a sterility assurance level of at least 10℃ through achievement of a time-at-temperature sufficient to produce an Fo value of at least 12, water loss not exceeding 50 ml, and automatic sealing of the flask closure. The liquid cycle is for non-patient contact use only.
- The DART cycle was validated using the Bowie-Dick Test Pack, as described in . 5.6.1.1 of the ANSI/AAMI-ST8, was qualified according to Section 5.6.1 of the ANSI/AAMI-ST8, and demonstrated a uniform color change throughout the test sheet. The DART cycle uses the same dynamic air removal routines as the 270°F Prevac cycle.
- The software validation for the cycle operation was performed according to . FDA's moderate level of concern recommendations provided in the document "Guidance for the Content for Premarket Submissions for Software Contained in Medical Devices (05/11/05). "

#### Safety

STERIS sterilizers including the AMSCO Chimeron Steam Sterilizers have been designed, constructed and tested to meet the safety and performance requirements of various national safety codes and standards. The AMSCO Chimeron Steam Sterilizers comply with the following requirements:

- ANSI/UL 61010-1 2nd Edition (7/22/2005) "Safety Requirements for . Electrical Equipment for Measurement, Control and Laboratory Use - Part 1 General Requirements.
- CAN/CSA C22.2 No. 61010-1 2nd Edition (7/12/2004) "Safety . Requirements for Electrical Equipment for Measurement, Control and Laboratory Use - Part 1 General Requirements".
- UL 61010A-2-041 1st Edition (3/27/2002) "Particular Requirements for . Autoclaves Using Steam for Treatment of Medical Materials and for Laboratory Processes"
- CAN/CSA C22.2 No 1010.2.041 (R2004) "Particular Requirements for ● Autoclaves Using Steam for Treatment of Medical Materials and for Laboratory Processes".
- ASME Boiler Pressure Vessel Code, Section VIII (Division 1) (7/1/2007) .

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#### Hazards - Failure of Performance

Failure of the sterilization process can lead to incidence of cross contamination, the transmission of potentially infectious organisms from one infected person to another who was not otherwise infected prior to the incident.

To avoid failure, the user must ensure that the materials, instruments and devices to be sterilized are thoroughly cleaned, the manufacturer's instructions for use are followed, the cycle to be used for each type of sterilizer load has been validated, the sterilizer has been maintained in accordance with the sterilizer manufacturer's recommended maintenance schedule and is operating properly, and each sterilizer load is monitored with available and validated biological and chemical sterilization process indicators.

The technology designed into STERIS steam sterilizers including the AMSCO Chimeron Steam Sterilizers provide control safeguards that abort the cycle and give appropriate signals, alerts and warnings when required conditions have not been met or when a malfunction occurs.

#### Conclusion

The AMSCO Chimeron Medium Steam Sterilizer has been validated to meet the requirements of ANSI/AAMI ST8: 2008, December 4, 2008.

The results of the AMSCO Chimeron Medium Steam Sterilizer validation studies demonstrate that the sterilizer performs as intended.

Based on the information provided in this premarket notification, it can be concluded that the AMSCO Chimeron Medium Steam Sterilizer is substantially equivalent to the predicate device and is safe and effective when used as intended.

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/8/Picture/1 description: The image shows the words "Public Health Service" in a simple, sans-serif font. The text is arranged on a single line, with each word clearly legible. The overall impression is clean and straightforward, suggesting an official or institutional context.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room ~WO66-G609 Silver Spring, MD 20993-0002

Mr. Robert F. Sullivan Senior Director, FDA Regulatory Affairs STERIS Corporation 5960 Heisley Road Mentor, Ohio 44060

DEC 1 6 2011

Re: K112055

Trade/Device Name: AMSCO Chimeron Medium Sterilizer Regulation Number: 21 CFR 880.6880 Regulation Name: Steam Sterilizer Regulatory Class: II Product Code: FLE Dated: December 2, 2011 Received: December 5, 2011

Dear Mr. Sullivan:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Page 2 - Mr. Sullivan

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820): and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801). please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices /ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportalProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers. International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

Anthony b. montour

Anthony D. Watson, B.S., M.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

#### Enclosure

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K112055

## Indications for Use

510(k) Number (if known):

Device Name:

AMSCO Chimeron Medium Steam Sterilizer

Indications For Use:

The AMSCO Chimeron Medium Steam Sterilizers (Models 36H, 48H, 36SL, 48SL, 60SL, 36CH, 48CH, 60CH, 36CSL, 48CSL and 60CSL) are designed for sterilization of heat and moisture-stable materials used in healthcare facilities and are available in the following configuration:

- . Prevacuum - equipped with Prevacuum, Gravity, Liquid, Leak Test and DART (Bowie-Dick) cycles.
The AMSCO Chimeron Medium Prevacuum Steam Sterilizers are equipped with the following factory-programmed sterilization cycles and cycle values (Table 4-1):

#### Table 4-1.

AMSCO Chimeron Medium Prevacuum Steam Sterilizer factory-validated sterilization cycles and cycle values

| Cycles | Sterilize Temperature | Sterilize Time | Dry Time | Recommended Load |
|---------|-----------------------|----------------|------------|-------------------------------------------------------------------------------------------------------------------------------------------------------|
| Prevac | 270°F (132°C) | 4 minutes | 20 minutes | Fabric Packs. Refer to<br>Table 4-2 for recommended<br>quantities. |
| Prevac | 270°F (132°C) | 4 minutes | 30 minutes | Double wrapped instrument<br>trays, maximum weight 25<br>lbs (11.3 kg) each and<br>Fabric Packs. Refer to<br>Table 4-2 for recommended<br>quantities. |
| Prevac | 270°F (132°C) | 4 minutes | 5 minutes | Single Fabric Pack |
| Prevac | 275°F (135°C) | 3 minutes | 30 minutes | Double wrapped instrument<br>trays, maximum weight 25<br>lbs (11.3 kg) each. Refer to<br>Table 4-2 for recommended<br>quantities. |
| Gravity | 250°F (121°C) | 30 minutes | 15 minutes | Fabric Packs. Refer to<br>Table 4-2 for recommended<br>quantities. |

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The following table is a guideline for liquid cycle processing:

### Table 4-3 AMSCO Chimeron Medium Steam Sterilizer Liquid Cycle Guideline

| Sterilizer Size | Number of Containers for full load | Number of Containers for validation | Volume of Liquid In One Container | Minimum Recommended Sterilize Time at 250°F (121°C) |
|-------------------|------------------------------------|-------------------------------------|-----------------------------------|-----------------------------------------------------|
| 26" x 37.5" x 36" | 112 | 3 | 1000 ml | 45 minutes |
| 26" x 37.5" x 48" | 154 | 3 | 1000 ml | 45 minutes |
| 26" x 37.5" x 60" | 196 | 3 | 1000 ml | 45 minutes |

*The liquid cycle is for non-patient contact use only.

The AMSCO Chimeron Medium Steam Sterilizer is offered in the following chamber sizes:

- 26" x 37.5" x 36" (Models 36H, 36CH, 36CH, 36CSL) .
- 26'' x 37.5'' x 48'' (Models 48H, 48CH, 48SL, 48CSL) .
- 26" x 37.5" x 60" (Models 60H, 48CH, 48CH, 48CSL) .

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use _ (21 CFR 801 Subpart C)

### (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

E.J.T. S. Clumic. ULL

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: