K120542 · Cardinal Health-Medical Products and Services · FRG · Jun 1, 2012 · General Hospital
Device Facts
Record ID
K120542
Device Name
CARDINAL HEALTH DURABLUE STERILIZATION WRAP
Applicant
Cardinal Health-Medical Products and Services
Product Code
FRG · General Hospital
Decision Date
Jun 1, 2012
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.6850
Device Class
Class 2
Attributes
3rd-Party Reviewed
Indications for Use
Cardinal Health DuraBlue™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider by 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131 F/55°Cand 40%-80% relative humidity for 60 minutes. The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of the enclosed devices for 30 days. The wrap has been validated for an aeration time of 8 hours at 55°C. Models CH400, CH500 and CH600 have been validated for sterilization of two lumens of 3mm diameter or larger and 400mm in length or less. Cardinal Health DuraBlue™ Sterilization Wrap is not indicated for use with gravity steam sterilization.
Device Story
DuraBlue™ Sterilization Wrap consists of double-layer 100% polypropylene spunbond-meltblown-spunbond (SMS) fabric. Used by healthcare providers to wrap medical devices prior to 100% ethylene oxide (EO) sterilization. The wrap allows sterilant penetration and maintains package sterility for 30 days post-sterilization. Six models (CH100-CH600) accommodate varying load weights (3-25 lbs). The wrap supports simultaneous double-wrapping techniques and aseptic opening. Benefits include protection of sterilized instruments during storage and handling. No electronic or software components.
Clinical Evidence
Bench testing only. Performance validated per FDA guidance for sterilization packaging. Testing included sterilization efficacy, event-related maintenance of sterility, physical properties, EO residuals, and biocompatibility (ISO 10993). Validation confirmed sterilization of specified loads (up to 25 lbs) and lumen configurations (CH400-CH600).
Technological Characteristics
Material: 100% polypropylene spunbond-meltblown-spunbond (SMS) trilaminate nonwoven fabric. Form factor: Six models (CH100-CH600) with varying basis weights. Sterilization compatibility: 100% ethylene oxide. No electronic, software, or energy-based components.
Indications for Use
Indicated for use by healthcare providers to enclose medical devices for sterilization via 100% ethylene oxide (EO) and to maintain sterility for 30 days. Models CH400, CH500, and CH600 are indicated for sterilization of two lumens (≥3mm diameter, ≤400mm length). Not indicated for gravity steam sterilization.
Regulatory Classification
Identification
A sterilization wrap (pack, sterilization wrapper, bag, or accessories, is a device intended to be used to enclose another medical device that is to be sterilized by a health care provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.
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K120542
JUN - 1 2012
# CardinalHealth
1430 Waukegan Road McGraw Park, IL 60085
www.cardinal.com
#### SMDA REQUIREMENTS
#### 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS DuraBlue™ Sterilization Wrap
Manufacturer:
Cardinal Health 200, LLC 1430 Waukegan Road McGaw Park, IL 60085
Lavenia Ford 1430 Waukegan Road McGaw Park, IL 60085
(847) 887-3323
March 13, 2012
Sterilization Wrap
DuraBlue™ Sterilization Wrap
Class II per 21 CFR § 880.6850
Telephone Number:
Date summary Prepared:
Regulatory Affairs Contact:
Trade Name:
Classification:
Classification Name:
Predicate Device:
K082177 - KIMGUARD ONE-STEP Sterilization Wrap (Models KC100, KC200, KC300, KC400, KC500 and KC600)
#### Description:
Cardinal Health DuraBlue™ Sterilization Wraps are double layer sterlization wraps made from 100% polypropylene spunbond-mettblown-spunbond (SMS) fabric. Cardinal Health DuraBlue™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a heath care provider by 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131°F/55°C and 40%-80% relative humidity for 60 minutes. The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterlity of the enclosed device(s) for 30 days. The wrap was validated for an aeration time for EO sterilization of 8 hours at 55°C. Models CH400, CH500 and CH600 have been validated for EO sterlization of two lumens 3 mm in diameter or larger and 400 mm in length or less. The wrap design allows for use of the simultaneous double-wrapping technique and also allows for a sterlized pack to be opened aseptically.
Cardinal Health DuraBlue™ Sterilization Wrap is the subject of three Premarket Notifications cleared by the FDA-K112211, K112283 and K112918--for use with pre-vacuum steam, STERRAD 100S, and V-PRO sterilization modalities respectively. This submission is specifically for the addition for use with EO sterilization.
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This submission covers six different models of Cardinal Health DuraBlue™ Sterilization Wrap. Each model is made from material of a different basis weight, though all models utilize the same material technology.
Extensive performance testing has been completed on Cardinal Health DuraBlue™ Sterilization Wrap. Successful completion of the sterilization performance tests listed below demonstrated that the wrap both allows for sterilization of the enclosed contents and maintains sterlity of the enclosed contents until opened.
#### Indications for Use:
Cardinal Health DuraBlue™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider by 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131 F/55°Cand 40%-80% relative humidity for 60 minutes. The wrap is intended to allow sterlization of the enclosed medical device(s) and to maintain sterility of the enclosed devices for 30 days. The wrap has been validated for an aeration time of 8 hours at 55°C. Models CH400, CH500 and CH600 have been validated for sterilization of two lumens of 3mm diameter or larger and 400mm in length or less.
Cardinal Health DuraBlue™ Sterilization Wrap is not indicated for use with gravity steam sterilization.
| DuraBlue™<br>Sterilization Wrap<br>Model | Intended Load | Maximum Recommended<br>Wrapped Package Content<br>Weights² |
|------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------|
| CH100 | Very light weight package (for<br>example: towel packs) | 3 lbs |
| CH200 | Light weight package (for<br>example: standard linen<br>packs) | 6 lbs |
| CH300 | Light to moderate weight<br>package (for example:<br>general use medical<br>instruments) | 9 lbs |
| CH400 | Moderate to heavy weight<br>package (for example:<br>general use medical<br>instruments) | 13 lbs |
| CH500 | Heavyweight package (for<br>example: general use<br>medical instruments) | 17 lbs |
| CH600 | Very heavy weight package<br>(for example: general use<br>medical instruments) | 25 lbs |
Wrap Model Recommendations'
The following loads were used in the validation studies:
- CH100: 16 huck towels (17 in. x 29 in.). .
- . CH200: 2 huck towels (17 in. x 29 in.), 2 fluid resistant drapes (108 in. x 88 in.), 2.5 lb of metal mass.
- . CH300: 16 huck towels (17 in. x 29 in.), 1 fluid-resistant table cover (90 in. x 60 in.), 5 Ibs of metal mass.
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- CH400: 4 stacked tray liners (20 in. x 25 in.) and 7.5 lbs of metal mass in a ● 23 in. x 11 in. x 3.5 in. tray.
- CH500: 4 stacked tray liners (20 in. x 25 in.) and 11.5 lbs of metal mass in a . 23 in. x 11 in. x 3.5 in. tray.
- CH600: 4 stacked tray liners (20 in. x 25 in.) and 19.5 lbs of metal mass in a . 23 in. x 11 in. x 3.5 in. tray.
Note: The loads used in the validation studies corresponded to the maximum wrapped package content weights in the table.
1 Individual results may differ due to factors such as variations in handling practices, and folding methods. Results may also differ due to the use of irregularly shaped contents, which may put added stress on the wrap. Each healthcare facility should determine for itself which wrap model is most appropriate for each intended use.
2 It is recommended to not exceed the maximum wrapped package content weights indicated for each wrap model. Furthermore, it is recommended to not exceed the number, weight and size of individual content types that were validated for the Cardinal Health DuraBlue™ Sterilization Wrap (i.e., the number and size of the fluid resistant linens or the weight of the metal mass).
#### Substantial Equivalence
The DuraBlue ™ Sterilization Wrap is substantially equivalent to the predicate devices.
- Both devices are double layer sterilization wraps which allow for use of the simultaneous double-. wrapping technique and for a sterilized pack to be opened aseptically.
- Both devices are intended to be used with the same 100% ethylene oxide sterilization . parameters.
- Both devices are available in six comparable models of varying basis weights, which are . recommended for use with the same maximum content weights.
- Both devices have the same dimensional specifications. .
- Both devices are100% polypropylene spunbond-mettblown-spunbond (SMS) trilaminate . nonwoven fabric.
- Both devices demonstrate maintenance of package sterility until opened following sterilization . by100% ethylene oxide.
- Performance and safety attributes are substantially equivalent to the predicate. The physical . properties of all wrap models have been characterized both before and after exposure to 100% ethylene oxide sterilization. The resulting data supports the conclusion that Cardinal Health DuraBlue™ Sterilization Wrap is substantially equivalent to the predicate, and the DuraBlue™ Sterilization Wraps are compatible with the identified 100% ethylene oxide sterilization parameters.
#### Summary of Testing
DuraBlue™ Stenlization Wrap performance has been tested in accordance with the applicable requirements recommended in the FDA's Guidance Document Premarket Notification 510(k) Submissions for Medical Sterilization Packaging System in Health Care Facilities; Draft Guidance for Industry and FDA (March 7. 2002). Testing included sterlization efficacy, event related maintenance of package sterility, physical properties, EO residuals and biocompatibility in compliance with the methods of ISO 10993. Data from testing demonstrates that the performance of the DuraBlue™ Sterilization Wrap is substantially equivalent to that of Kimberly-Clark KIMGUARD ONE-STEP Stenlization Wrap.
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## DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three stripes representing the department's mission. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" is arranged in a circular pattern around the eagle.
#### Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring. MD 20993-0002
Cardinal Health-Medical Products and Services C/O Mr. Ned Devine Responsible Third Party Official Underwriters Laboratories, Inc. 333 Pfingsten Road Northbrook, Illinois 60062
**JUN - 2012**
Re: K120542
Trade/Device Name: Cardinal Health DuraBlue™ Sterilization Wrap . Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: II Product Code: FRG Dated: May 16, 2012 Received: May 17, 2012
Dear Mr. Devine:
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. Devine
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 (QS) 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/ReportaProblem/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 (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours.
Radiological Health
Anthony D. Watson, B.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
Enclosure
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Image /page/5/Picture/0 description: The image shows the logo for Cardinal Health. The logo consists of a stylized graphic above the company name. The graphic is composed of several curved lines that converge at a point, resembling a stylized bird in flight or a network of pathways.
## Indications for Use
## 510(k) Number (if known): K120542
Device Name: Cardinal Health DuraBlue™ Sterilization Wrap
### Ethylene Oxide Sterilization
Indications for Use:
Cardinal Health DuraBlue™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider by 100% ethylene oxide (EO) with a concentration of 725-735 mg/L at 131 F/55°Cand 40%-80% relative humidity for 60 minutes. The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of the enclosed devices for 30 days. The wrap has been validated for an aeration time of 8 hours at 55°C. Models CH400, CH500 and CH600 have been validated for sterilization of two lumens of 3mm diameter or larger and 400mm in length or less.
Cardinal Health DuraBlue™ Sterilization Wrap is not indicated for use with gravity steam sterilization.
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)
Elizabeth T. Claire-Will
(Division Sign-Off) Concurrence of CDRH, Office of Device Evaluation (ODE) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
.510(k) Number: K120542
Page 1 of 2
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Wrap Model Recommendations1
| DuraBlue™<br>Sterilization Wrap<br>Model | Intended Load | Maximum Recommended<br>Wrapped Package Content<br>Weights2 |
|------------------------------------------|------------------------------------------------------------------------------------------|------------------------------------------------------------|
| CH100 | Very light weight package (for<br>example: towel packs) | 3 lbs |
| CH200 | Light weight package (for<br>example: standard linen<br>packs) | 6 lbs |
| CH300 | Light to moderate weight<br>package (for example:<br>general use medical<br>instruments) | 9 lbs |
| CH400 | Moderate to heavy weight<br>package (for example:<br>general use medical<br>instruments) | 13 lbs |
| CH500 | Heavyweight package (for<br>example: general use<br>medical instruments) | 17 lbs |
| CH600 | Very heavy weight package<br>(for example: general use<br>medical instruments) | 25 lbs |
The following loads were used in the validation studies:
- CH100: 16 huck towels (17 in. x 29 in.). ●
- CH200: 2 huck towels (17 in. x 29 in.), 2 fluid resistant drapes (108 in. x 88 in.), 2.5 lb of metal ● mass.
- CH300: 16 huck towels (17 in. x 29 in.), 1 fluid-resistant table cover (90 in. x 60 in.), . ● 5 lbs of metal mass.
- CH400: 4 stacked tray liners (20 in. x 25 in.) and 7.5 lbs of metal mass in a . 23 in. x 11 in. x 3.5 in. tray.
- CH500: 4 stacked tray liners (20 in. x 25 in.) and 11.5 lbs of metal mass in a . · 23 in. x 11 in. x 3.5 in. tray.
- CH600: 4 stacked tray liners (20 in. x 25 in.) and 19.5 lbs of metal mass in a . 23 in. x 11 in. x 3.5 in. tray.
- Note: The loads used in the validation studies corresponded to the maximum wrapped o package content weights in the table.
1 Individual results may differ due to factors such as variations in handling practices, wrapping techniques, and folding methods. Results may also differ due to the use of irregularly shaped contents, which may put added stress on the wrap. Each healthcare facility should determine for itself which wrap model is most appropriate for each intended use.
2 It is recommended to not exceed the maximum wrapped package content weights indicated for each wrap model. Furthermore, it is recommended to not exceed the number, weight and size of individual content types that were validated for the Cardinal Health DuraBlue™ Sterilization Wrap (i.e., the number and size of the fluid resistant linens or the weight of the metal mass).
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.