Patient-soiled, clinically-cleaned medical instruments
An 'In Use Test' was conducted to demonstrate the ability of the V-PRO 60 Sterilizer cycles to sterilize medical instruments that had been used in a clinical setting and subsequently cleaned via routine clinical procedures.
In Use Test; Performance testing using clinically-used instruments
Patient-soiled, clinically-cleaned medical instruments
Not applicable for this study
Sterilization efficacy on patient-soiled instruments
Indications for Use
The V-PRO 60 Low Temperature Sterilization System, with VAPROX® HC Sterilant, is a vaporized hydrogen peroxide sterilizer intended for use in the terminal sterilization of cleaned, rinsed and dried reusable metal and nonmetal medical devices used in healthcare facilities. The pre-programmed sterilization cycles (Lumen Cycle, Non Lumen Cycle, and Flexible Cycle) operate at low pressure and low temperature and are thus suitable for processing medical devices sensitive to heat and moisture.
Device Story
V-PRO 60 is a vaporized hydrogen peroxide (VHP) sterilizer for heat/moisture-sensitive reusable medical devices. Uses VAPROX HC Sterilant (59% hydrogen peroxide). Operates via three pre-programmed cycles: Lumen, Non Lumen, and Flexible. Each cycle includes conditioning, sterilization, and aeration phases; no post-cycle cool-down required. Used in healthcare facilities by clinical staff. System controlled by microcomputer board with memory backup for cycle settings. Provides terminal sterilization, ensuring devices are ready for immediate reuse. Benefits include rapid processing of delicate surgical instruments and endoscopes without thermal damage.
Clinical Evidence
Bench testing only. Studies included AOAC sporicidal testing (720 carriers), D-value determination, 1/2 cycle modified total kill endpoint verification, and 1/2 cycle sterilization verification for all lumen/non-lumen/flexible configurations. Additional testing covered mated surfaces, simulated use, in-use testing with patient-soiled instruments, biocompatibility (23 materials), and material compatibility. All tests passed.
Technological Characteristics
Vaporized hydrogen peroxide sterilizer. Materials: 23 compatible types. Energy: Electrical. Connectivity: Standalone with microcomputer control board. Sterilization: VAPROX HC (59% H2O2). Standards: EN 61010-1 (Safety), EN 61326-1 (EMC).
Indications for Use
Indicated for terminal sterilization of cleaned, rinsed, and dried reusable metal and nonmetal medical devices in healthcare facilities. Suitable for heat- and moisture-sensitive devices, including rigid/semi-rigid endoscopes (single, dual, triple channeled) and flexible endoscopes/bronchoscopes. Specific lumen diameter and length constraints apply per cycle type.
Regulatory Classification
Identification
An ethylene gas sterilizer is a nonportable device intended for use by a health care provider that uses ethylene oxide (ETO) to sterilize medical products.
Predicate Devices
Amsco V-PRO maX Low Temperature Sterilization System (K131120)
Submission Summary (Full Text)
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Image /page/0/Picture/0 description: The image shows the word "STERIS" in a large, bold font, with the registered trademark symbol next to it. Above the word "STERIS" is the code "K140498". Below the word "STERIS" is a graphic of several horizontal wavy lines stacked on top of each other.
JUL 2 4 2014
# 510(k) Summary For V-PRO® 60 Low Temperature Sterilization System
STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: (440) 354-2600 Fax No: (440) 357-9198
Bill Brodbeck Contact: Director, Regulatory Affairs
Telephone: (440) 392-7690 Fax No: (440) 357-9198
July 24, 2014 Summary Date:
STERIS Corporation = 5960 Heisley Road = Mentor, OH 44060-1834 USA = 440-354-2600
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#### 1. Device Name
| Trade Name: | V-PRO® 60 Low Temperature Sterilization System |
|----------------------|-----------------------------------------------------------------------|
| Common/usual Name: | Vapor Phase Hydrogen Peroxide Sterilizer |
| Classification Name: | Sterilizer, Ethylene Oxide Gas<br>21 CFR 880.6860<br>Product Code MLR |
| Device Class: | Class II |
#### Predicate Devices 2.
Amsco V-PRO maX Low Temperature Stetilization System (K131120). Please note that the predicate device was originally cleared under K102330.
A comparison between the proposed V-PRO 60 Low Temperature Sterilization System to the predicate device is summarized in the table below.
| Feature | V-PRO 60 Low Temperature<br>Sterilization System<br>(Proposed Device) | V-PRO maX Low Temperature Sterilization System<br>(Predicate Device/K131120) |
|-------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | The V-PRO 60 Low Temperature<br>Sterilization System, with VAPROX® HC<br>Sterilant, is a vaporized hydrogen<br>peroxide sterilizer intended for use in the<br>terminal sterilization of cleaned, rinsed<br>and dried reusable metal and nonmetal<br>medical devices used in healthcare<br>facilities. The pre-programmed<br>sterilization cycles (Lumen Cycle, Non<br>Lumen Cycle, and Flexible Cycle)<br>operate at low pressure and low<br>temperature and are thus suitable for<br>processing medical devices sensitive to<br>heat and moisture. | The Amsco V-PRO 1, V-PRO 1 Plus and V-<br>PRO maX Low Temperature Sterilization<br>Systems, with VAPROX® HC Sterilant, are<br>vaporized hydrogen peroxide sterilizers<br>intended for use in the terminal sterilization of<br>cleaned, rinsed and dried reusable metal and<br>nonmetal medical devices used in healthcare<br>facilities. The three pre-programmed<br>sterilization cycles (Lumen Cycle, Non Lumen<br>Cycle, and Flexible Cycle) operate at low<br>pressure and low temperature and are thus<br>suitable for processing medical devices<br>sensitive to heat and moisture. |
| | The V-PRO 60 Sterilizer's Lumen Cycle<br>can sterilize:a Instruments with diffusion-restricted<br>spaces such as the hinged portion of<br>forceps and scissors Non-lumened devices including non-<br>lumened rigid and semi-rigid<br>endoscopes Medical devices, including single,<br>dual and triple channeled rigid and<br>semi-rigid endoscopes, with the<br>following configurations: a | The Amsco V-PRO 1, V-PRO 1 Plus and V-<br>PRO maX Low Temperature Sterilization<br>System's Lumen Cycle, can sterilize:a Lumened and non-lumened instruments<br>with diffusion-restricted spaces such as<br>the hinged portion of forceps and<br>scissors Medical devices, including single, dual<br>and triple channeled rigid and semi-rigid<br>endoscopes, with the following<br>configurations: a single channeled devices with a<br>stainless steel lumen that is ≥ 0.77<br>mm internal diameter (ID) and < |
| Feature | V-PRO 60 Low Temperature<br>Sterilization System<br>(Proposed Device) | V-PRO maX Low Temperature Sterlization<br>System<br>(Predicate Device/K131120) |
| | o single or dual lumen devices with<br>stainless lumens that are<br>■ ≥ 0.77 mm (~1/32") internal<br>diameter (ID) and ≤ 410 mm<br>(16-9/64") in length<br>o triple lumen devices with<br>stainless steel lumens that are<br>■ ≥ 1.2 mm (~3/64") ID and ≤<br>275 mm (~10-55/64") in length<br>■ ≥ 1.8 mm (~5/64") ID and ≤<br>310 mm (~12-13/64") in length<br>or<br>■ ≥ 2.8 mm (~7/64") ID and ≤<br>317 mm (12-31/64") in length | 500 mm in length<br>o dual lumen devices with stainless<br>lumens that are ≥ 0.77 mm ID and<br>≤ 527 mm in length<br>o triple lumen devices with stainless<br>steel lumens that are<br>■ ≥ 1.2 mm ID and ≤ 275 mm in<br>length<br>■ ≥ 1.8 mm ID and ≤ 310 mm in<br>length<br>or<br>■ ≥ 2.8 mm ID and ≤ 317 mm in<br>length |
| a | The validation studies for all lumen<br>configurations were conducted using<br>a maximum of twelve (12) lumens<br>per load. Hospital loads should not<br>exceed the maximum number of<br>lumens validated by this testing. The<br>validation studies were performed<br>using a validation load consisting of<br>one instrument tray with instrument<br>organizers and mat and two pouches<br>for a total weight of 11 lbs (5.0 kg). | a The validation studies for all channel/<br>lumen configurations were conducted<br>using a maximum of twenty (20)<br>lumens per load. Hospital loads<br>should not exceed the maximum<br>number of lumens validated by this<br>testing. The validation studies were<br>performed using a validation load<br>consisting of two instrument trays and<br>two pouches for a total weight of<br>19.65 lbs. |
| | The V-PRO 60 Sterilizer's Non Lumen<br>Cycle can sterilize: b<br>• Non-lumened devices including non-<br>lumened rigid, semi-rigid and flexible<br>endoscopes and non-lumened devices<br>with stainless steel or titanium<br>diffusion-restricted spaces such as the<br>hinged portion of forceps and<br>scissors. | The Amsco V-PRO 1 Plus and V-PRO maX<br>Low Temperature Sterilization Systems' Non<br>Lumen Cycle, cleared under K083097,<br>K102394 and K111810, can sterilize:b<br>• Non-lumened instruments including non-<br>lumened rigid, semi-rigid and flexible<br>endoscopes and non-lumened<br>instruments with stainless steel<br>diffusion-restricted areas such as the<br>hinged portion of forceps or scissors. |
| | b The validation studies were<br>performed using a validation load<br>consisting of one instrument tray<br>with instrument organizers and mat<br>and one pouch for a total weight of<br>12 lbs (5.4 kg). | b The validation studies were conducted<br>using a validation load consisting of two<br>instrument trays and two pouches for a<br>total weight of 19.65 lbs. |
| | The V-PRO 60 Sterilizer's Flexible<br>Cycle can sterilize: c<br>• One flexible surgical endoscope or<br>bronchoscope with a light cord (if not | The Amsco V-PRO maX Low Temperature<br>Sterilization System's Flexible Cycle, cleared<br>under K102330 and K112760, can sterilize<br>single or dual lumen surgical flexible<br>endoscopes (such as those used in ENT,<br>Urology and Surgical Care) and<br>bronchoscopes in either of two load<br>configurations:<br>1.Two flexible endoscopes with a light cord<br>(if not integral to endoscope) and mat<br>with no additional load.c |
| Feature | V-PRO 60 Low Temperature<br>Sterilization System<br>(Proposed Device) | V-PRO maX Low Temperature Sterlization<br>System<br>(Predicate Device/K131120) |
| | integral to endoscope) and mat<br>without any additional load. The<br>flexible endoscope may be a:<br>o single or dual lumen device with<br>lumens that are ≥ 1 mm (~3/64")<br>ID and ≤ 990 mm (38-63/64") in<br>length<br>c The validation studies were<br>conducted with one flexible<br>endoscope, packaged into a tray with<br>silicone mat, instrument organizers<br>and light cord (if not integral to<br>scope) and no additional load. | The flexible endoscopes may contain<br>either:<br>o a single lumen that is ≥ 1 mm ID and<br>≤ 1050 mm in length<br>o or two lumens with:<br>one lumen that is ≥ 1 mm ID and ≤<br>998 mm in length and the other<br>lumen that is ≥ 1 mm ID and ≤ 850<br>mm in length<br>c The validation studies were conducted<br>with two flexible endoscopes, each packaged into<br>a tray with silicone mat and light cord (if not<br>integral to endoscope).<br>2. One flexible endoscope with a light cord<br>(if not integral to endoscope) and mat and<br>additional non-lumened instruments<br>including instruments with diffusion-<br>restricted areas such as the hinged portion<br>of forceps or scissors.d<br>The flexible endoscope can contain either:<br>• a single lumen that is ≥ 1 mm ID and<br>≤ 1050 mm in length<br>• or two lumens with:<br>a single lumen that is ≥ 1 mm ID and<br>≤ 998 mm in length and the other<br>lumen that is ≥ 1 mm and ≤ 850 mm<br>in length<br>d The validation studies were conducted<br>with a flexible endoscope in a tray with silicone<br>mat and light cord (if not integral to endoscope).<br>Also included in the load were an additional<br>instrument tray and one pouch for a total load<br>weight of 24.0 lbs. |
| | | |
| | The critical process parameters are: | The critical process parameters are: |
| Process<br>Parameters | • Time | • Time |
| | • Chamber Temperature | • Chamber Temperature |
| | • Vaporizer Temperature | • Vaporizer Temperature |
| | • Chamber Pressure Prior to Injection | • Chamber Pressure Prior to Injection |
| | • Sterilant Injection Weight | • Sterilant Injection Weight |
| Feature | V-PRO 60 Low Temperature<br>Sterilization System<br>(Proposed Device) | V-PRO maX Low Temperature Sterilization<br>System<br>(Predicate Device/K131120) |
| Software/<br>Firmware<br>Controlled | Control system consists of a<br>microcomputer control board and<br>peripheral function circuit boards, located<br>within the control housing. A memory<br>backup system maintains cycle settings<br>and current cycle information<br>indefinitely.<br>The software allows user selection of<br>either the Lumen, Non Lumen, or<br>Flexible pre-programmed cycle. | Programmable Logic Control (PLC). The<br>software allows user selection of either the<br>Lumen, Non Lumen, or Flexible pre-<br>programmed cycle. |
| Total<br>Cycle<br>Time | Lumen Cycle - 60 minutes<br>Non Lumen Cycle - 28 minutes<br>Flexible Cycle - 38 minutes | Lumen Cycle - 55 minutes<br>Non Lumen Cycle - 28 minutes<br>Flexible Cycle - 35 minutes |
| Sterilant | VAPROX HC Sterilant (59% Hydrogen<br>Peroxide).<br>The same amount of sterilant is injected<br>for each of the sterilization pulses for all<br>three cycles. | VAPROX HC Sterilant (59% Hydrogen<br>Peroxide).<br>The same amount of sterilant is injected for<br>each of the sterilization pulses for all three<br>cycles. |
| Accessories | Accessories were submitted under<br>separate, individual, concurrent 510(k)s<br>and cover the following:<br>Self-contained biological indicator<br>and biological indicator challenge<br>pack Chemical indicator Trays & Tray Accessories Pouches | The following accessories are available for the<br>V-PRO maX Low Temperature Sterilization<br>System<br>Self-contained biological indicator Biological indicator challenge pack Chemical indicator Trays & Tray Accessories Pouches |
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:
1
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. . .
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The proposed device has an intended use similar to the predicate with the same technological characteristics. Although, the devices slightly differ, the provided descriptive characteristics and performance data demonstrate equivalence. Therefore, the proposed V-PRO 60 Low Temperature Sterilization System is substantially equivalent to the predicate device, the V-PRO maX Low Temperature Sterilization System.
#### 3. Description of Device
The V-PRO 60 Low Temperature Sterilization System is a new vaporized hydrogen peroxide sterilizer model to be added to the STERIS V-PRO family of sterilizers. The V-PRO product line currently consists of the Amsco V-PRO 1, Amsco V-PRO 1 Plus and Amsco V-PRO maX Sterilizers.
As with the predicate device (K102330), the V-PRO 60 Sterilizer has three preprogrammed cycles: the Lumen Cycle, the Non Lumen Cycle and the Flexible Cycle. The V-PRO 60 Low Temperature Sterilization System is intended for terminal sterilization of cleaned, rinsed, dried and packaged reusable surgical instruments used in healthcare facilities.
{5}------------------------------------------------
The V-PRO 60 Sterilizer uses VAPROX® HC Sterilant to sterilize the intended devices through exposure to vaporized hydrogen peroxide (VHP). Its three preprogrammed cycles all utilize a conditioning phase, a sterilize phase and an aeration phase. The packaged sterilized devices are ready for use at the completion of the cycle, no cool down or aeration period is required following completion of the cvcle.
#### 4. Intended Use
0
.
The V-PRO 60 Low Temperature Sterilization System, with VAPROX HC Sterilant, is a vaporized hydrogen peroxide sterilizer intended for use in the terminal sterilization of cleaned, rinsed and dried reusable metal and nonmetal medical devices used in healthcare facilities. The pre-programmed sterilization cycles (Lumen Cycle, Non Lumen Cycle, and Flexible Cycle) operate at low pressure and low temperature and are thus suitable for processing medical devices sensitive to heat and moisture.
The V-PRO 60 Sterilizer's Lumen Cycle can sterilize: 4
- · 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: 3
- single or dual lumen devices with stainless steel lumens that are o
- = > 0.77 mm (~1/32") internal diameter (ID) and ≤ 410 mm (16-9/64") in length triple lumen devices with stainless steel lumens that are
- . ≥ 1.2 mm (~3/64") ID and ≤ 275 mm (~10-55/64") in length
- ≥ 1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length = or
- . ≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length
4 The validation studies for all lumen configurations were conducted using a maximum of twelve (12) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray with instrument organizers and mat and two pouches for a total weight of 11 1bs (5.0 kg).
The V-PRO 60 Sterilizer's Non Lumen Cycle can sterilize °
- · Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with stainless steel or titanium diffusionrestricted spaces such as the hinged portion of forceps and scissors.
{6}------------------------------------------------
- b The validation studies were performed using a validation load consisting of one instrument tray with instrument organizers and mat and one pouch for a total weight of 12 lbs (5.4 kg).
The V-PRO 60 Sterilizer's Flexible Cycle can sterilize: 6
- 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:
- single or dual lumen device with lumens that are ≥ 1 mm (~3/64") ID and ≤ 990 . O mm (38-63/64") in length
- C The validation studies were conducted with one flexible endoscope, packaged into a tray with silicone mat, instrument organizers and light cord (if not integral to scope) and no additional load.
#### 5. Summary of Nonclinical Tests
The V-PRO 60 Low Temperature Sterilization System has the same or similar intended use and the same technological characteristics as compared to the predicate device. Performance testing to assess and demonstrate substantial equivalence to the predicate is summarized below.
| Test | Result | Conclusion |
|----------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| AOAC Sporicidal<br>Test | All 720 carriers processed using 3 lots of EOSL<br>sterilant were sterile. | PASS |
| Determination of D-<br>value and Total Kill<br>Endpoint | Greater than a 12 log reduction of the most resistant<br>organism is achieved within all cycle (Lumen<br>Cycle, Non Lumen Cycle and Flexible Cycle) of<br>the V-PRO 60 Sterilizer. | PASS |
| ½ Cycle Modified<br>Total Kill Endpoint<br>Verification | Modified total kill end point analysis was<br>demonstrated for all three V-PRO 60 Sterilizer<br>cycles. The standard injection weight of 1.1 g and<br>at least one lower injection weight resulted in all<br>sterile results within the validation load used to<br>qualify each sterilizer cycle. Partial positives or all<br>survive results were seen at lower injection<br>weights. | PASS |
| ½ Cycle Sterilization<br>Verification of Cycle<br>Claims | • The Lumen Cycle reproducibly sterilizes single,<br>dual and triple lumen devices under worst case<br>conditions in ½ Cycle<br>• The Flexible Cycle reproducibly sterilizes 1 x<br>990 mm flexible endoscope lumens under worst<br>case conditions in ½ Cycle<br>• The Non Lumen Cycle reproducibly sterilizes<br>non-lumened devices under worst case<br>conditions in ½ Cycle | PASS |
{7}------------------------------------------------
| Test | Result | Conclusion |
|---------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| ½ Cycle Verification<br>of Mated Surfaces | Sterile efficacy was demonstrated for mated<br>surfaces under worst case conditions | PASS |
| Simulated Use Test | Simulated use testing verified the ability of the<br>V-PRO 60 Sterilizer cycles to sterilize medical<br>devices under worst case processing conditions. | PASS |
| In Use Test | The in use investigation demonstrated the ability of<br>the V-PRO 60 Sterilizer cycles to sterilize patient-<br>soiled, clinically-cleaned, medical instruments. | PASS |
| Biocompatibility | Cytotoxicity and residue analysis of 23 materials<br>have demonstrated biocompatibility after<br>processing in the V-PRO 60 Sterilizer. | PASS |
| Medical Device<br>Material<br>Compatibility | Evaluation of medical devices after multiple cycles<br>in the V-PRO 60 Sterilizer has demonstrated<br>compatibility with 23 materials of construction. | PASS |
| Final Process<br>Qualification | The V-PRO 60 Sterilizer final process qualification<br>was successful for all three (3) sterilizer cycles. All<br>three lots of CI exhibited complete color change.<br>All three SCBI PIs exhibited a passing color change<br>and all SCBIs were negative for growth. Manual<br>inspection of the process parameter data confirmed<br>that all cycle specifications were met. | PASS |
The V-PRO 60 Low Temperature Sterilization System has been tested for conformity and is certified to the following standards:
- . EN 61010-1:2001 Safety requirements for electrical equipment for measurement, control and laboratory use. General requirements; Part 1: General Requirements
- . EN61326-1:2006 Electrical equipment for measurement, control and laboratory use - EMC requirements - Part 1: General requirements
#### ર્. Conclusion
The V-PRO 60 Low Temperature Sterilization System's Lumen, Non Lumen and Flexible Cycles have been validated to meet the established performance criteria. The results of the V-PRO 60 Low Temperature Sterilization System verification studies demonstrate that the sterilizer performs as intended and the proposed device is substantially equivalent to the predicate device.
{8}------------------------------------------------
### DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-000
July 24, 2014
STERIS Corporation Dr. William Brodbeck Director, Regulatory Affairs 5960 Heisley Road Mentor, OH 44060
Re: K140498
Trade/Device Name: V-Pro 60 Low Temperature Sterilization System Regulation Number: 21 CFR 880.6860 Regulation Name: Sterilizer, Ethylene Oxide Gas Regulatory Class: II Product Code: MLR Dated: June 24, 2014 Received: June 25, 2014
Dear Dr. Brodbeck
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}------------------------------------------------
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/ResourcesforYou/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.
Sincerely yours,
・・
Teiashri Purohi 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
{10}------------------------------------------------
# Indications for Use
510(k) Number (if known): K140498
Device Name:
## V-PRO® 60 Low Temperature Sterilization System
Indications For Use:
The V-PRO 60 Low Temperature Sterilization System, with VAPROX® HC Sterilant, is a vaporized hydrogen peroxide sterilizer intended for use in the terminal sterilization of cleaned, rinsed and dried reusable metal and nonmetal medical devices used in Healthcare facilities. The pre-programmed sterilization cycles (Lumen Cycle, Non Lumen Cycle, and Flexible Cycle) operate at low pressure and low temperature and are thus suitable for processing medical devices sensitive to heat and moisture.
The V-PRO 60 Sterilizer's Lumen Cycle can sterilize: 4
- · 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: 4
- single or dual lumen devices with stainless steel lumens that are o ■ ≥ 0.77 mm (~1/32") internal diameter (ID) and ≤ 410 mm (16-9/64") in length
- triple lumen devices with stainless steel lumens that are o
- ≥ 1.2 mm (~3/64") ID and ≤ 275 mm (~10-55/64") in length .
- ≥ 1.8 mm (~5/64") ID and ≤ 310 mm (~12-13/64") in length 1 or
- ≥ 2.8 mm (~7/64") ID and ≤ 317 mm (12-31/64") in length 사
- a The validation studies for all lumen configurations were conducted using a maximum of twelve (12) lumens per load. Hospital loads should not exceed the maximum number of lumens validated by this testing. The validation studies were performed using a validation load consisting of one instrument tray with instrument organizers and mat and two pouches for a total weight of 11 lbs (5.0 kg).
The V-PRO 60 Sterilizer's Non Lumen Cycle can sterilize °
- · 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.
Page 1 of 2
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- b The validation studies were performed using a validation load consisting of one instrument tray with instrument organizers and mat and one pouch for a total weight of 12 lbs (5.4 kg).
The V-PRO 60 Sterilizer's Flexible Cycle can sterilize: 6
- · 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:
- single or dual lumen device with lumens that are ≥ 1 mm (~3/64") ID and ≤ 990 o mm (38-63/64") in length
- E The validation studies were conducted with one flexible endoscope, packaged into a tray with silicone mat, instrument organizers and light cord (if not integral to scope) and no additional load.
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)
Image /page/11/Picture/11 description: The image shows a digital signature of Sreekanth Gutala. The signature includes the name "Sreekanth Gutala -S" in a large font on the left side of the image. On the right side, there is information about the digital signature, including the date and time: 2014:07:24 12:48:52 -04'00'.
Page 2 of 2
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?
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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.