Who is the manufacturer of V-PRO STERILIZATION TRAY/ STERILIZATION MAT?

STERIS Corporation filed the 510(k) submission for V-PRO STERILIZATION TRAY/ STERILIZATION MAT (K140494).

What is the FDA product code for V-PRO STERILIZATION TRAY/ STERILIZATION MAT?

KCT. It is classified under 21 CFR 880.6850 as a Class 2 device in the General Hospital panel.

What is the regulatory pathway for V-PRO STERILIZATION TRAY/ STERILIZATION MAT?

510(k) clearance (submission type: Traditional).

Who can help prepare an FDA 510(k) submission like V-PRO STERILIZATION TRAY/ STERILIZATION MAT?

Innolitics — a medical-device software consultancy — provides regulatory and engineering support for FDA 510(k) submissions. See https://innolitics.com/services/510ks/ or contact https://innolitics.com/contact.

V-PRO STERILIZATION TRAY/ STERILIZATION MAT

Q: What are the predicate devices for V-PRO STERILIZATION TRAY/ STERILIZATION MAT?

VHP® 136 Tray (renamed V-PRO Sterilization Tray) (K070769); Sterilization Mat (K103226).

K140494 · STERIS Corporation · KCT · Jul 25, 2014 · General Hospital

Device Facts

Record ID	K140494
Device Name	V-PRO STERILIZATION TRAY/ STERILIZATION MAT
Applicant	STERIS Corporation
Product Code	KCT · General Hospital
Decision Date	Jul 25, 2014
Decision	SESE
Submission Type	Traditional
Regulation	21 CFR 880.6850
Device Class	Class 2

Intended Use

The V-PRO Sterilization Tray is used to contain medical devices for sterilization in the Lumen, Non Lumen and Flexible Cycles of the V-PRO Low Temperature Sterilization Systems. The trays must be wrapped with a legally marketed sterilization wrap for use in the V-PRO Low Temperature Sterilization Systems prior to placing in the Sterilizer. The V-PRO Sterilization Tray is not intended to maintain sterility; it is intended to be used in conjunction with a validated, FDA-cleared sterilization wrap in order to maintain sterility of the enclosed medical instruments.

Device Story

V-PRO Sterilization Tray is a rigid container system designed to hold medical instruments during low-temperature sterilization cycles. The tray features a lid with clamping mechanisms and numerous holes to facilitate sterilant penetration. Optional accessories include polypropylene instrument organizers for stabilizing cylindrical devices and USP grade VI silicone mats for cushioning. The device is used in clinical settings by healthcare personnel. The tray is placed inside a legally marketed sterilization wrap before being loaded into the V-PRO sterilizer. The system ensures effective sterilant exposure to the enclosed instruments while protecting them from damage during processing and storage. It does not maintain sterility independently; it relies on the external sterilization wrap. The primary benefit is the safe, effective sterilization of heat-sensitive medical devices, including complex endoscopes and hinged instruments, within the V-PRO system.

Clinical Evidence

Bench testing only. Testing included verification of effective sterilant penetration under worst-case conditions, biocompatibility assessment of materials after exposure to V-PRO 60 cycles, and functional testing of trays and accessories after multiple sterilization cycles. All tests met established acceptance criteria.

Technological Characteristics

Materials: Polypropylene, Noryl, stainless steel (trays/organizers); USP grade VI silicone (mats). Design: Rigid tray with lid, clamping mechanisms, and vent holes. Vent-to-volume ratio: 0.137 in-1. Connectivity: None. Sterilization: Compatible with VHP sterilization. Software: None.

Indications for Use

Indicated for containing medical devices during sterilization in V-PRO Low Temperature Sterilization Systems. Patient population includes those undergoing procedures requiring sterilized rigid/semi-rigid endoscopes (single/dual/triple lumen), flexible endoscopes, bronchoscopes, and instruments with diffusion-restricted spaces (e.g., hinged forceps/scissors).

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.

Predicate Devices

VHP® 136 Tray (renamed V-PRO Sterilization Tray) (K070769)
Sterilization Mat (K103226)

Related Devices

K160912 — Sterilization Tray · STERIS Corporation · Oct 7, 2016
K183402 — PRO-LITE Sterilization Tray · STERIS Corporation · Mar 1, 2019
K070769 — VHP 136 TRAY · STERIS Corporation · Oct 5, 2007
K172755 — PRO-LITE Sterilization Trays · STERIS Corporation · Feb 9, 2018
K183301 — PRO-LITE Sterilization Tray · STERIS Corporation · Jan 3, 2019

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image shows the STERIS logo. The logo consists of the word "STERIS" in a bold, sans-serif font, with the trademark symbol to the upper right of the word. Below the word is a graphic of several horizontal lines that are slightly curved, resembling waves. JUL 2 5 2014 # 510(k) Summary For V-PRO Sterilization Tray K140494 # Sponsor Facility STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: (440) 354-2600 Fax No: (440) 357-9198 # Repackager/Relabeler Facility STERIS Corporation 9325 Pinecone Drive Mentor, OH 44060 Phone: (440) 392-7800 Fax No: (440) 392-7896 Tony Piotrkowski Contact: Manager, Regulatory Affairs Telephone: (440) 392-7437 Fax No: (440) 357-9198 e-mail: tpiotrko@steris.com Summary Date: July 25, 2014 STERIS Corporation ■ 5960 Heisley Road ■ Mentor, OH 44060-1834 USA ■ 440-354-2600 T {1}------------------------------------------------ #### Device Name 1. | Trade Name: | V-PRO Sterilization Trays | |----------------------|-----------------------------------------------------------------------| | Common/usual Name: | Sterilization Trays, cassettes and other accessories | | Classification Name: | Sterilization Wrap 21 CFR 880.6850 Class II Product Code KCT | ### 2. Predicate Device VHP® 136 Tray (renamed V-PRO Sterilization Tray) K070769 Sterilization Mat K103226 ### 3. Description of Device The V-PRO Sterilization Tray is available in various sizes, 10"x 10" x 27" to accommodate the loads to be processed. The tray contains two handles that remain internalized during wrapping/processing and a lid with clamping mechanisms for securing to the trav. There are numerous holes in the tray and larger holes in the lids for sterilant penetration. The purpose of this premarket submission is to modify the trays by adding a longer tray to the existing product line (10' x 27"), to increase the vent area of the tray lid, and to extend indications for use of the tray to include the V-PRO 60 Low Temperature Sterilization System. Optional instrument organizers are provided as accessories to the tray and are intended to allow stabilization of various cylindrical medical devices during processing. Each organizer consists of a device holding element and lock base that attaches to the V-PRO Sterilization Trav. The sizes for the device holding element range from a 5 mm diameter and 6 mm stem height to a 19 mm diameter and 25 mm stem height. For attachment to the tray, each device holding element is positioned over one of the numerous holes at the inner tray surface and pushed into a lock base located at the respective tray hole on the outer tray surface. A minimum of two, aligned organizers should be used for each device that requires stabilization. Once the device is placed into the organizers, it is secured by each organizer's twist lock. The organizers are identical to those previously cleared under K070769. Sterilization mats are provided as optional accessories to the trav and are identical to those previously cleared under K103226 for use in V-PRO Low Temperature Sterilizers' Lumen, Non Lumen and Flexible Cycles. A larger mat sized to fit into the new 10" x 27" tray has been added to the existing product line. The sterilization mats are intended to cushion and stabilize devices placed into the V-PRO. {2}------------------------------------------------ Sterilization Trays. The mats are available in sizes to fit the five V-PRO Sterilization Trays. The mats are a diamond grid design with fingers that extend from each corner of the diamond and at the midpoint of each diamond side. The fingers cushion and stabilize instruments, helping to prevent the instruments from freely moving in the tray during packaging, sterilization and storage. The cushioning and stabilization qualities help protect delicate instruments placed into the V-PRO Sterilization Trays. ### 4. Intended Use The V-PRO Sterilization Tray is used to contain medical devices for sterilization in the Lumen, Non Lumen and Flexible Cycles of the V-PRO Low Temperature Sterilization Systems. The trays must be wrapped with a legally marketed sterilization wrap for use in the V-PRO Low Temperature Sterilization Systems prior to placing in the Sterilizer. The V-PRO sterilization Tray is not intended to maintain sterility; it is intended to be used in conjunction with a validated, FDAcleared sterilization wrap in order to maintain sterility of the enclosed medical instruments. | Proposed Tray Model | Intended Sterilization Cycles | Intended Tray Load | |------------------------------------------------|-------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | VP0040 VP0041 VP0042 VP0043 VP0044 | V-PRO 60 Lumen Cycle | • Instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors • Non-lumened devices including non-lumened rigid and semi- rigid endoscopes • Medical devices, including single, dual and triple channeled rigid and semi-rigid endoscopes, with the following configurations: o single or dual lumen devices ■ 0.77 mm ID and 410 mm in length o triple lumen devices ■ 1.2 mm ID and 275 mm in length ■ 1.8 mm ID and 310 mm in length or ■ 2.8 mm ID and 317 mm in length | | | V-PRO 60 Non Lumen Cycle | Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with stainless steel or titanium diffusion-restricted spaces such as the hinged portion of forceps and scissors. | | | V-PRO 60 Flexible Cycle | • One flexible surgical endoscope or bronchoscope with a light cord (if not integral to endoscope) and mat without any additional load. The flexible endoscope may be a: o single or dual lumen device with lumens that are ≥ 1 mm ID and < 990 mm in length | {3}------------------------------------------------ | Proposed Tray Model | Intended Sterilization Cycles | Intended Tray Load | |------------------------------------------------|---------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | V-PRO 1, 1 Plus & max Lumen Cycle | • Instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors • Non-lumened devices including non-lumened rigid and semi- rigid endoscopes • Medical devices, including single, dual and triple channeled rigid and semi-rigid endoscopes, with the following configurations: o single or dual lumen devices 0.77 mm ID and 527 mm in length o triple lumen devices 1.2 mm ID and 275 mm in length 1.8 mm ID and 310 mm in length or 2.8 mm ID and 317 mm in length | | VP0040 VP0041 VP0042 VP0043 VP0044 | V-PRO 1 Plus & max Non Lumen Cycle | Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with stainless steel diffusion-restricted spaces such as the hinged portion of forceps and scissors. | | | V-PRO max Flexible Cycle | Load 1: Single or dual lumen surgical flexible endoscopes (such as those used in ENT, Urology and Surgical Care) and bronchoscopes with a light cord (if not integral to endoscope) and mat with no additional load. The flexible endoscopes may contain either: a single lumen that is ≥ 1 mm ID and ≤ 1050 mm in length or two lumens with: one lumen that is ≥ 1 mm ID and ≤ 990 mm in length and the other lumen that is ≥ 1 mm ID and ≤ 850 mm in length Load 2: Non-lumened instruments including instruments with diffusion-restricted areas such as the hinged portion of forceps or scissors. | Optional instrument organizers are accessories to the trays and are intended to allow stabilization of various cylindrical medical devices during processing. The instrument organizers attach to the V-PRO Sterilization Tray base and stabilize cylindrical medical instruments. Optional sterilization mats are accessories to the trays and are intended to be used in conjunction with the V-PRO Sterilization Trays to cushion and stabilize instruments within the trays.. ### ડાં Summary of Technical Characteristics {4}------------------------------------------------ ۾ - ؟،ﺋ お . . :: :: : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : : 34 The sterilization trays, sterilization mats and instrument organizers are identical in composition to the claimed predicate devices. The technical characteristics are summarized in Tables 5-1 and 5-2 below. | Feature | V-PRO Sterilization Tray (proposed) | V-PRO Sterilization Tray (K070769) | Comparison | |---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------| | Intended Use | The V-PRO Sterilization Tray is used to contain medical devices for sterilization in the Lumen, Non Lumen and Flexible Cycles of the V-PRO Low Temperature Sterilization Systems and to maintain sterility of properly processed medical devices during normal handling and storage until they are removed for use. The trays must be wrapped with a legally marketed sterilization wrap for use in the V-PRO Low Temperature Sterilization Systems prior to placing in the Sterilizer. Optional instrument organizers are accessories to the tray and are intended to allow stabilization of various cylindrical medical devices during processing. The instrument organizers attach to the V-PRO Sterilization Tray base and stabilize cylindrical medical instruments. | The V-PRO Sterilization Tray is used to contain devices for sterilization in the Amsco V-PRO 1 Low Temperature Sterilizer and to maintain sterility of properly processed medical devices during normal handling and storage until they are removed for use. The trays must be wrapped with a legally marketed, FDA cleared sterilization wrap for use in the V-PRO 1 Low Temperature Sterilizer prior to placement in the Sterilizer. The V-PRO Sterilization Tray can be used with V- PRO Instrument Organizers to allow stabilization of various cylindrical medical devices during processing. The Instrument Organizers attach to the V-PRO Sterilization Tray bottom and stabilize cylindrical medical instruments. | Data is presented in this submission to demonstrate safety and effectiveness in the V-PRO 60 Low Temperature Sterilization System. | | Material Compatibility | Compatible with VHP Sterilization. | Compatible with VHP Sterilization. | Same materials of composition | Table 5-1 Summary of Tray Physical Description and Technological Properties {5}------------------------------------------------ | Feature | V-PRO Sterilization Tray (proposed) | V-PRO Sterilization Tray (K070769) | Comparison | |------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Sterilant Penetration | Effective penetration of the VAPROX HC Sterilant into double wrapped trays under worst case conditions during the V-PRO 60 Sterilizer's processing cycles was demonstrated. Verification of effective penetration to sterilize longest /narrowest stainless steel lumen for the V-PRO 1/1 Plus/maX Lumen Cycle is also provided. | Effective penetration of the VAPROX HC Sterilant into double wrapped trays under worst case conditions during the V-PRO 1 Sterilizer's processing cycle was demonstrated. | Data is presented in this submission to demonstrate effective sterilant penetration in the V-PRO 60 Low Temperature Sterilization System. | | Toxicological Properties | Materials of construction retain biocompatibility. | Materials of construction retain biocompatibility | Same | | Microbial Barrier Properties | To be used with legally marketed sterilization wrap. | To be used with legally marketed sterilization wrap. | Same | | Vent to Volume Ratio | All trays are the same: 0.137 in-1 | Minimum: 0.049 in-1 Maximum: 0.054 in-1 | Proposed device has a higher vent to volume ratio due to a modification of the lid vent area, allowing easier sterilant penetration than the predicate. | | Tray Composition | Polypropylene, Noryl and stainless steel | Polypropylene, Noryl and stainless steel | Same | | Organizer Composition | Polypropylene | Polypropylene | Same | 学士 ಳ ﺎﻳﺔ ﺍﻟﻤﺴﺘﻘﻠﺔ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺴﺘﻮﻳﺔ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ ﺍﻟﻤﺘﺤﺪﺓ 区 4 : # Table 5-2 Summary of Mat Physical Description and Technological Properties | Feature | Sterilization Mat (proposed) | Sterilization Mat (K103226) | Comparison | |-----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------| | Intended Use | The sterilization mats are optional accessories intended to be used exclusively in V-PRO Sterilization Trays to cushion and stabilize instruments during sterilization in the Amsco V-PRO Low Temperature Sterilization Systems. | The sterilization mats are intended to be used in conjunction with the V-PROTM Sterilization Trays (K070769) to cushion and stabilize instruments during sterilization in the Amsco® V-PRO Low Temperature Sterilization Systems. | New intended use point out that the mats are optional accessories to the V-PRO Sterilization Tray | | Composition | USP grade VI Silicone | USP grade VI Silicone | Same | | Toxicological Properties | Materials of construction retain biocompatibility. | Materials of construction retain biocompatibility | Same | . · · {6}------------------------------------------------ | Feature | Sterilization Mat (proposed) | Sterilization Mat (K103226) | Comparison | |---------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Sterilant Penetration | Effective penetration of the VAPROX HC Sterilant into double wrapped trays under worst case conditions during the V-PRO 60 Sterilizer's processing cycles was demonstrated. | Effective penetration of the VAPROX HC Sterilant into double wrapped trays under worst case conditions during the V-PRO 1 Sterilizer's processing cycle was demonstrated. | Data is presented in this submission to demonstrate effective sterilant penetration in the V-PRO Sterilization Tray with the sterilization mat in the V- PRO 60 Low Temperature Sterilization System. | | Material Compatibility | Compatible with VHP Sterilization. | Compatible with VHP Sterilization. | Same materials of composition | Models and sizes of V-PRO Sterilization Trays, Sterilization Mats and Instrument Organizers are included in Table 5-3. The 10" x 27" sizes of trays and mats are new for this submission. All other sizes are identical to the predicates VHP® 136 Tray (K070769) and Sterilization Mat (K103226). | Tray Product Code | Tray Base Size (inches)* | Mat Size (inches)* | Mat Product Code | |----------------------|-----------------------------|-----------------------|---------------------| | VP0040 | 10 x 10 | 10 x 10 | VP0030 | | VP0041 | 10 x 14 | 10 x 14 | VP0031 | | VP0042 | 10 x 17 | 10 x 17 | VP0032 | | VP0043 | 10 x 21 | 10 x 21 | VP0033 | | **VP0044 | 10 x 27 | 10 x 27 | VP0034 ** | Table 5-3. V-PRO Sterilization Tray and Mat Sizes *Sizes are approximated for ease of reference. ** The 10" x 27" size is being added in this submission Models and sizes of V-PRO Sterilization Tray Instrument Organizers are included in Table 5-4. The sizes and model numbers are identical to the predicate VHP® 136 Tray (K070769). Table 5-4. Instrument Organizers Available Sizes | Stem Length (mm) | Diameter* (mm) | Part Number | Stem Length (mm) | Diameter* (mm) | Part Number | |---------------------|-------------------|----------------|---------------------|-------------------|----------------| | 6 | 5 | 99101 | 6 | 14 | 99110 | | 13 | 5 | 99102 | 13 | 14 | 99111 | | 25 | 5 | 99103 | 25 | 14 | 99112 | | 6 | 9 | 99104 | 6 | 17 | 99113 | | 13 | 9 | 99105 | 13 | 17 | 99114 | | 25 | 9 | 99106 | 25 | 17 | 99115 | | 6 | 11 | 99107 | 6 | 19 | 99116 | | 13 | 11 | 99108 | 13 | 19 | 99117 | | 25 | 11 | 99109 | 25 | 19 | 99118 | | Lock Base | | 99120 | | | | *Sizes are approximated for ease of reference. {7}------------------------------------------------ #### ર. Summary of Nonclinical Tests The sterilization trays, sterilization mats and instrument organizers are identical in composition and have the same or similar intended use as compared to the predicate device. The only substantial difference is the claim of using the subject device with the V-PRO 60 Low Temperature Sterilization System (subject of a separate, concurrent submission). Therefore, performance testing to demonstrate substantial equivalence to the predicate has been completed and is summarized in Table 5-5 below. | Test | Acceptance Criteria | Conclusion | |--------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------| | Demonstration of Effective Sterilant Penetration | Worst case test article packaged in the trays shall be reproducibly sterilized under worst case ½ cycle conditions. | PASS | | Demonstration of Biocompatibility | Component materials shall be non cytotoxic after exposure to worst case V-PRO 60 Sterilizer Cycle conditions. Residual hydrogen peroxide levels shall be below acceptable levels after exposure to worst case V-PRO 60 Sterilizer Cycle conditions. | PASS | | Demonstration of Sterilant Compatibility | After processing through multiple worst case sterilization cycles, the trays and accessories shall retain functionality. | PASS | ### Table 5-5. Instrument Organizers Available Sizes #### 7. Conclusion The V-PRO Sterilization Trays have been validated to meet the established performance criteria. The results of the verification studies demonstrate that the sterilization trays and accessories perform as intended and based on the nonclinical tests performed the subject device is as safe, as effective and performs at least as safely and effectively as the legally marketed predicate devices, Class II (21 CFR 880.6850, Product code KCT. {8}------------------------------------------------ Image /page/8/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized symbol resembling an eagle or bird in flight, with three curved lines representing its wings or feathers. Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002 July 25, 2014 STERIS Corporation Mr. Tony Piotrkowski Manager, Regulatory Affairs 5960 Heisley Road Mentor, OH 44060 Re: K140494 Trade/Device Name: V-PRO Sterilization Tray Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Containers, Trays, Cassettes and other accessories Regulatory Class: II Product Code: KCT Dated: June 20, 2014 Received: June 23, 2014 Dear Mr. Piotrkowski: 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. {9}------------------------------------------------ # Page 2 - Mr. Tony Piotrkowski 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 contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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. Tejashri Purohit-Sheth, M.D. Tejashri Purohit Clinical Deputy Director DAGRID/ODE/CDRH FOR Erin I. Keith, M.S. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure Sincerely yours. {10}------------------------------------------------ # Indications for Use 510(k) Number (if known): K140494 Device Name: V-PRO Sterilization Tray Indications For Use: The V-PRO Sterilization Tray is used to contain medical devices for sterilization in the Lumen, Non Lumen and Flexible Cycles of the V-PRO Low Temperature Sterilization Systems. The trays must be wrapped with a legally marketed sterilization wrap for use in the V-PRO Low Temperature Sterilization Systems prior to placing in the Sterilizer. The V-PRO Sterilization Tray is not intended to maintain sterility; it is intended to be used in conjunction with a validated, FDA-cleared sterilization wrap in order to maintain sterility of the enclosed medical instruments. | Proposed Tray Model | Intended Sterilization Cycles | Intended Tray Load | |------------------------------------------------|-------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | VP0040 VP0041 VP0042 VP0043 VP0044 | V-PRO 60 Lumen Cycle | • Instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors • Non-lumened devices including non-lumened rigid and semi- rigid endoscopes • Medical devices, including single, dual and triple channeled rigid and semi-rigid endoscopes, with the following configurations: o single or dual lumen devices • 0.77 mm ID and 410 mm in length o triple lumen devices • 1.2 mm ID and 275 mm in length • 1.8 mm ID and 310 mm in length or • 2.8 mm ID and 317 mm in length | | | V-PRO 60 Non Lumen Cycle | Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with stainless steel or titanium diffusion-restricted spaces such as the hinged portion of forceps and scissors. | | | V-PRO 60 Flexible Cycle | One flexible surgical endoscope or bronchoscope with a light cord (if not integral to endoscope) and mat without any additional load. The flexible endoscope may be a: o single or dual lumen device with lumens that are ≥ 1 mm ID and < 990 mm in length | {11}------------------------------------------------ | Proposed Tray Model | Intended Sterilization Cycles | Intended Tray Load | |------------------------------------------------|---------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | | V-PRO 1, 1 Plus & maX Lumen Cycle | • Instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors • Non-lumened devices including non-lumened rigid and semi- rigid endoscopes • Medical devices, including single, dual and triple channeled rigid and semi-rigid endoscopes, with the following configurations: o single or dual lumen devices • 0.77 mm ID and 527 mm in length o triple lumen devices • 1.2 mm ID and 275 mm in length • 1.8 mm ID and 310 mm in length or • 2.8 mm ID and 317 mm in length | | VP0040 VP0041 VP0042 VP0043 VP0044 | V-PRO 1 Plus & maX Non Lumen Cycle | Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with stainless steel diffusion-restricted spaces such as the hinged portion of forceps and scissors. | | | V-PRO maX Flexible Cycle | Load 1: Single or dual lumen surgical flexible endoscopes (such as those used in ENT, Urology and Surgical Care) and bronchoscopes with a light cord (if not integral to endoscope) and mat with no additional load. The flexible endoscopes may contain either: • a single lumen that is ≥ 1 mm ID and ≤ 1050 mm in length • or two lumens with: • one lumen that is ≥ 1 mm ID and ≤ 990 mm in length • and the other lumen that is ≥ 1 mm ID and ≤ 850 mm in length Load 2: Non-lumened instruments including instruments with diffusion-restricted areas such as the hinged portion of forceps or scissors. | Optional instrument organizers are accessories to the trays and are intended to allow stabilization of various cylindrical medical devices during processing. The instrument organizers attach to the V-PRO Sterilization Tray base and stabilize cylindrical medical instruments. Optional sterilization mats are accessories to the trays and are intended to be used in conjunction with the V-PRO Sterilization Trays to cushion and stabilize instruments within the trays. {12}------------------------------------------------ Prescription Use (Part 21 CFR 801 Subpart D) AND/OR Over-The-Counter Use X (21 CFR 801 Subpart C) # (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) Image /page/12/Picture/5 description: The image shows a document with the title "Concurrence of CDRH, Office of Device Evaluation (ODE)". The document includes a digital signature from Elizabeth F. Claverie -S. The signature details include the date 2014.07.25 at 09:52:20 -04'00', and other information such as DN: c=US, o=U.S. Government, ou=HHS, ou=FDA, ou=People, and a numerical identifier 0.9.2342.19200300.100.1.1=1300055864.

V-PRO STERILIZATION TRAY/ STERILIZATION MAT

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V-PRO STERILIZATION TRAY/ STERILIZATION MAT

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