The Cardinal Health™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider by using: · Advanced Sterilization Products (ASP) STERRAD® 200 System The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of the enclosed devices until it is used.
Device Story
Cardinal Health™ Sterilization Wrap consists of 100% polypropylene spunbond-meltblown-spunbond (SMS) trilaminate nonwoven fabric. Used by healthcare providers to wrap medical instruments prior to sterilization in the ASP STERRAD® 200 System. Available in six basis weights and various dimensions; configurations include single-layer, dual-layer, and two-color dual-layer (blue/green). Wraps are ultrasonically bonded. Device maintains sterility of enclosed contents for up to 365 days post-sterilization. Single-use only; OTC use.
Clinical Evidence
No clinical data. Substantial equivalence supported by bench testing including microbial barrier properties (microbial aerosol challenge), event-related shelf life (365 days), sterilant penetration, material physical properties (ASTM D3776, D737, D3786, D5034, D5587, AATCC127, WSP 160.1), and biocompatibility (ISO 10993-5, ISO 10993-10).
Indicated for use by healthcare providers to enclose reusable metal and non-metal medical devices (including specific lumen dimensions) for sterilization via the ASP STERRAD® 200 System and to maintain sterility until use.
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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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
April 20, 2017
Cardinal Health 200, LLC Tatyana Bogdan Director, Regulatory Affairs 1500 Waukegan Road Waukegan, Illinois 60085
Re: K161910
Trade/Device Name: Cardinal Health™ Sterilization Wrap Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization wrap Regulatory Class: Class II Product Code: FRG Dated: March 10, 2017 Received: March 17, 2017
Dear Tatyana Bogdan:
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.
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
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forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education 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. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely,
# Michael J. Ryan -S
for Tina Kiang, Ph.D. Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K161910
Device Name Cardinal HealthTM Sterilization Wrap
#### Indications for Use (Describe)
The Cardinal Health™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider by using:
· Advanced Sterilization Products (ASP) STERRAD® 200 System
The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of the enclosed devices until it is used.
All models of the Cardinal Health™ Sterilization Wrap have been validated for use with the Advanced Sterilization Products (ASP) STERRAD® 200 in Table 1.
Table 1 – Validated Advanced Sterilization Products STERRAD® 200 Sterilization Cycle and Intended Load
| Advanced<br>Sterilization<br>Products (ASP)<br>STERRAD®<br>System | Maximum<br>Recommended<br>Chamber Load | Intended Load |
|-------------------------------------------------------------------|----------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ASP<br>STERRAD® 200 | 36.48 lbs | Reusable metal and non-metal medical devices, including up to 12<br>lumens of the following lumen dimensions per chamber load:<br>• An inside diameter of 1 mm or larger and a length of 125 mm or<br>shorter of single-channel stainless steel lumens<br>• An inside diameter of 2 mm or larger and a length of 250 mm or<br>shorter of single-channel stainless steel lumens<br>• An inside diameter of 3 mm or larger and a length of 400 mm or<br>shorter of single-channel stainless steel lumens<br>• An inside diameter of 6 mm or larger and a length of 310 mm or<br>shorter of a single-channel Teflon®/Polyethylene lumen |
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| Sterilization<br>Wrap Model | Intended Load | Maximum Recommended<br>Wrapped Package<br>Content Weights2 |
|-----------------------------|-------------------------------------------------------------------------------------|------------------------------------------------------------|
| | | Advanced Sterilization<br>Products (ASP)<br>STERRAD® 200 |
| CH100 | Very light weight package<br>(for example: towel packs or batteries). | 9.12 lbs |
| CH200 | Light weight package<br>(for example: telescope with light cord). | 9.12 lbs |
| CH300 | Light to moderate weight package<br>(for example: general use medical instruments). | 9.12 lbs |
| CH400 | Moderate to heavy weight package<br>(for example: general use medical instruments). | 9.12 lbs |
| CH500 | Heavy weight package<br>(for example: general use medical instruments). | 9.12 lbs |
| CH600 | Very heavy weight package<br>(for example: general use medical instruments). | 9.12 lbs |
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™ Sterilization Wraps.
The following loads were used in the Advanced Sterilization Products (ASP) STERRAD® 200 Sterility Validation Studies:
· CH100 - CH600: 23 in. x 11 in. x 4 in. tray containing metal instruments.
Note: The loads used in each Sterility Validation Study corresponded to the maximum wrapped package content weights in Table 2.
Type of Use (Select one or both, as applicable)
Prescription Use (Part 21 CFR 801 Subpart D)
X Over-The-Counter Use (21 CFR 801 Subpart C)
#### CONTINUE ON A SEPARATE PAGE IF NEEDED.
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Cardinal Health
1500 Waukegan Road
Waukegan, IL 60085
Waukegan, IL 60085
cardinalhealth.com
## 510(k) SUMMARY
# Cardinal Health™ Sterilization Wrap
| Manufacturer: | Cardinal Health 200, LLC<br>1500 Waukegan Road<br>Waukegan, IL 60085 |
|----------------------------------|----------------------------------------------------------------------|
| Regulatory Affairs Contact: | Tatyana Bogdan<br>1500 Waukegan Road<br>Waukegan, IL 60085 |
| Telephone Number: | (847) 887-6812 |
| Fax Number: | (847) 887-2461 |
| Date summary Prepared: | April 20, 2017 |
| Product Trade Name: | Cardinal HealthTM Sterilization Wrap |
| Classification: | Class II per 21 CFR § 880.6850 |
| Classification Name: | Sterilization Wrap |
| Common Name: | Sterilization Wrap |
| Product Code: | FRG |
| Predicate Device: | K151445 - Cardinal HealthTM Sterilization Wrap |
| Reason for 510(k)<br>Submission: | Additional product offering of a legally marketed device |
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## Device Description:
The Cardinal Health™ Sterilization Wraps are made from 100% polypropylene spunbondmeltblown-spunbond (SMS) trilaminate nonwoven fabric. The sterilization wraps are provided in six different material basis weights (models) of four product offerings in various dimensions. Cardinal Health™ Sterilization Wrap, Single Layer is comprised of a single sheet or one layer of SMS fabric. Cardinal Health™ Sterilization Wrap, Dual Layer and Cardinal Health™ Sterilization Wrap, Two Color comprised of two single layer sheets of SMS fabric ultrasonically bonded along two opposing sides. The wrap design allows for use of the sequential or simultaneous double-wrapping technique per recommendations from ANSVAAMI ST79:2010 and also allows for a sterilized pack to be opened aseptically. All models utilize the same material technology. These products are a single-use device and for over-the-counter use only.
They are intended to be used to enclose another medical device that is to be sterilized by a health care provider using the Advanced Sterilization Products (ASP) STERRAD® 200 System.
The Cardinal Health™ Sterilization Wraps are available in the models and dimensions below.
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| Dimensional<br>Specifications | Cardinal Health™ Sterilization Wrap Models | | | | | |
|----------------------------------------|--------------------------------------------|-------------|-------------|-------------|-------------|-------------|
| | CH100 | CH200 | CH300 | CH400 | CH500 | CH600 |
| 12 in. x 12 in.<br>(30 cm. x 30 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | | | | |
| 15 in. x 15 in.<br>(38 cm. x 38 cm.) | 1<br>2<br>3 | | | | | |
| 18 in. x 18 in.<br>(45 cm. x 45 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | | 1<br>2<br>3 | 1<br>2<br>3 | |
| 20 in. x 20 in.<br>(50 cm. x 50 cm.) | 1<br>2<br>3 | | | | | |
| 24 in. x 24 in.<br>(60 cm. x 60 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | |
| 30 in. x 30 in.<br>(76 cm. x 76 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | |
| 36 in. x 36 in.<br>(91 cm. x 91 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 |
| 40 in. x 40 in.<br>(101 cm. x 101 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 |
| 45 in. x 45 in.<br>(114 cm. x 114 cm.) | 1<br>2<br>3 | | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 |
| 48 in. x 48 in.<br>(121 cm. x 121 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 |
| 54 in. x 54 in.<br>(137 cm. x 137 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 |
| 60 in. x 60 in.<br>(152 cm. x 152 cm.) | | | | | 1<br>2<br>3 | |
| 54 in. x 72 in.<br>(137 cm. x 182 cm.) | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 | 1<br>2<br>3 |
| 54 in. x 90 in.<br>(137 cm. x 228 cm.) | | | | | 1<br>2<br>3 | |
- 1. Single Layer Sterilization Wrap
- 2. Dual Layer Sterilization Wrap
- 3. Two Color Sterilization Wrap
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## Indications for Use
The Cardinal Health™ Sterilization Wrap is intended to be used to enclose another medical device that is to be sterilized by a health care provider by using:
- Advanced Sterilization Products (ASP) STERRAD® 200 System .
The wrap is intended to allow sterilization of the enclosed medical device(s) and to maintain sterility of the enclosed devices until used.
All models of the Cardinal Health™ Sterilization Wrap have been validated for use with the Advanced Sterilization Products (ASP) STERRAD® 200 in Table 1.
Table 1 – Validated Advanced Sterilization Products STERRAD® 200 Cycle and Intended Load
| Advanced<br>Sterilization<br>Products (ASP)<br>STERRAD® System | Maximum<br>Recommended<br>Chamber Load | Intended Load |
|----------------------------------------------------------------|----------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| ASP<br>STERRAD® 200 | 36.48 lbs | Reusable metal and non-metal medical devices, including up to<br>12 lumens of the following lumen dimensions per chamber load:<br>• an inside diameter of 1 mm or larger and a length of 125 mm<br>or shorter of single-channel stainless steel lumens<br>• an inside diameter of 2 mm or larger and a length of 250 mm<br>or shorter of single-channel stainless steel lumens<br>• an inside diameter of 3 mm or larger and a length of 400 mm<br>or shorter of single-channel stainless steel lumens<br>• an inside diameter of 6 mm or larger and a length of 310 mm<br>or shorter of a single-channel Teflon®/Polyethylene lumen |
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| Sterilization<br>Wrap Model | | Maximum Recommended Wrapped<br>Package Content Weights2 |
|-----------------------------|-------------------------------------------------------------------------------------|---------------------------------------------------------|
| | Intended Load | Advanced Sterilization Products (ASP)<br>STERRAD® 200 |
| CH100 | Very light weight package<br>(for example: towel packs or batteries). | 9.12 lbs |
| CH200 | Light weight package<br>(for example: telescope with light cord). | 9.12 lbs |
| CH300 | Light to moderate weight package<br>(for example: general use medical instruments). | 9.12 lbs |
| CH400 | Moderate to heavy weight package<br>(for example: general use medical instruments). | 9.12 lbs |
| CH500 | Heavy weight package<br>(for example: general use medical instruments). | 9.12 lbs |
| CH600 | Very heavy weight package<br>(for example: general use medical instruments). | 9.12 lbs |
Table 2: Wrap Model Recommendations 1
The following loads were used in the Advanced Sterilization Products (ASP) STERRAD® 200 Sterility Validation Studies:
· CH100 - CH600: 23 in. x 11 in. x 4 in. tray containing metal instruments.
Note: The loads used in each Sterility Validation Study corresponded to the maximum wrapped package content weights in Table 2.
<sup>1</sup> 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.
<sup>2</sup> 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™ Sterilization Wraps.
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# Table 3: Summary of the Technological Characteristics and Performance
| Summary of the technological characteristics and Performance of the device compared to the<br>predicate device | | |
|----------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Element of<br>Comparison | PREDICATE<br>Cardinal Health™ Sterilization Wrap<br>(K151445) | PROPOSED<br>Cardinal Health™ Sterilization Wrap<br>(K161910) |
| Manufacturer | Cardinal Health Inc. | Cardinal Health Inc. |
| Regulation/<br>Product Code | Sterilization Wrap: 880.6850 / FRG | Sterilization Wrap: 880.6850 / FRG |
| Trade Name | Cardinal Health™ Sterilization Wrap | Cardinal Health™ Sterilization Wrap |
| Intended Use | Cardinal Health™ Sterilization Wrap is<br>intended to enclose another medical device<br>that is to be sterilized by a health care<br>provider using:<br>• Advanced Sterilization Products (ASP)<br>STERRAD® 200 System<br><br>The wrap is intended to allow sterilization of<br>the enclosed medical device(s) and to<br>maintain sterility of the enclosed device(s)<br>until used. | Cardinal Health™ Sterilization Wrap is<br>intended to enclose another medical<br>device that is to be sterilized by a health<br>care provider using:<br>• Advanced Sterilization Products (ASP)<br>STERRAD® 200 System<br><br>The wrap is intended to allow sterilization<br>of the enclosed medical device(s) and to<br>maintain sterility of the enclosed device(s)<br>until used. |
| Prescription<br>vs. OTC | OTC | OTC |
| Single Use<br>Only vs.<br>Reusable | Single Use Only | Single Use Only |
| Material<br>Composition | Polypropylene fabric using SMS (spunbond-<br>meltblown-spunbond) production process | Polypropylene fabric using SMS<br>(spunbond-meltblown-spunbond)<br>production process |
| Chemical<br>Properties | Polypropylene with blue pigment and<br>antistatic treatment | Polypropylene with blue pigment and<br>antistatic treatment<br><br>Polypropylene with green pigment and<br>antistatic treatment |
| Element of<br>Comparison | PREDICATE<br>Cardinal Health™ Sterilization Wrap<br>(K151445) | PROPOSED<br>Cardinal Health™ Sterilization Wrap<br>(K161910) |
| Device Design | Dual Layer, fold-over: Double-layer<br>wrap comprised of a single sheet of blue<br>pigmented SMS fabric that has been<br>folded over in half and ultrasonically<br>sealed to itself on the three non-folded<br>edges | Dual Layer, fold-over: Double-layer wrap<br>comprised of a single sheet of blue<br>pigmented SMS fabric that has been<br>folded over in half and ultrasonically<br>sealed to itself on the three non-folded<br>edges |
| | Dual Layer: Double-layer wrap<br>comprised of two separate sheets of<br>blue pigmented SMS fabric that have<br>been ultrasonically sealed on two<br>opposing edges | Dual Layer: Double-layer wrap<br>comprised of two separate sheets of blue<br>pigmented SMS fabric that have been<br>ultrasonically sealed on two opposing<br>edges |
| | Single Layer: Single-layer wrap<br>comprised of a single sheet of blue<br>pigmented SMS fabric | Single Layer: Single-layer wrap<br>comprised of a single sheet of blue<br>pigmented SMS fabric |
| | | Two Color: Double-layer wrap comprised<br>of one sheet of blue pigmented SMS<br>fabric and one sheet of green pigmented<br>SMS fabric that have been ultrasonically<br>sealed on two opposing edges |
| Sterilization | Advanced Sterilization Products (ASP) | Advanced Sterilization Products (ASP) |
| Parameters | STERRAD® 200 System | STERRAD® 200 System |
| Models/ | Six basis weights models | Six basis weights models |
| Dimensions | Fourteen sizes | Fourteen sizes |
| Maximum<br>Wrapped<br>Package Content<br>Weights | STERRAD® 200: 9.12 pounds | STERRAD® 200: 9.12 pounds |
| Maintenance of<br>Sterility | STERRAD® 200: 365 days | STERRAD® 200: 365 days |
| Sterilant<br>Penetration | Passed | Passed |
| Biocompatibility -<br>Cytotoxicity, ISO<br>10993-5: 2009 | Non-cytotoxic , under the conditions of<br>the test | Non-cytotoxic , under the conditions of the<br>the test |
| Biocompatibility -<br>Sensitization, ISO<br>10993-10: 2010 | Non-sensitizing, under the conditions of<br>the test | Non-sensitizing, under the conditions of<br>the test |
| Biocompatibility -<br>Irritation, ISO<br>10993-10:2010 | Non-irritating, under the conditions of<br>the test | Non-irritating, under the conditions of the<br>the test |
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#### Discussion of Similarities and Differences:
The proposed Cardinal Health™ Sterilization Wrap is substantially equivalent in intended use, indication for use, materials, characteristics, dimensions and product features to the predicate device Cardinal Health™ Sterilization Wrap (K151445). Both devices have identical manufacturing processes.
The difference between the proposed and the predicate device is an additional product offering, Two Color, Dual-layer wrap to the previously cleared and currently marketed Single Color Dual-layer sterilization wrap. The additional product offering is the same design as the Single Color, Dual Layer offering with one exception; there is one sheet of green pigmented SMS fabric and one sheet of blue SMS that has been ultrasonically sealed on two opposing edges. This change was made to address customer preferences for end user identification of instrument trays for aesthetic purposes only.
This pigment difference does not impact safety or efficacy of the product. The Two Color Sterilization Wrap offering is of the same design, technology, base raw material, and has the same intended use, with the only difference being the addition of a green pigment. There has been no change to the performance from one color to two color. Non-clinical data as seen in Table 4 demonstrates that the additional product offering is substantially equivalent to predicate device.
### Summary of Non-Clinical Testing
Performance testing included sterilization efficacy, event related maintenance of package sterility, physical properties, and biocompatibility in compliance with the methods of ISO 10993. Data from testing demonstrates that the Cardinal Health™ Sterilization Wrap allows for sterilization of the enclosed contents and also maintains sterility of the enclosed devices after sterilization with the Advanced Sterilization Products (ASP) STERRAD® 200 System.
| Summary of Non-Clinical Tests Conducted for Determination of Substantial Equivalence | | |
|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------|------------------------------------------------------|
| Study | Results Summary | |
| Microbial Barrier Properties | Maintenance of Package Integrity Test<br>(Microbial Aerosol Challenge) | PASSED |
| | Event Related Shelf Life Test - 365 days | PASSED |
| Sterrad® 200 Sterilant Penetration | PASSED | |
| Material Compatibility with Indicated Sterilization Method<br>Basis weight, ASTM D3776-09<br>Air permeability, ASTM D737-04 (2012)<br>Material burst strength, ASTM D3786-13<br>Tensile strength and elongation, ASTM D5034-09<br>Tear strength, ASTM D5587-15<br>Hydrostatic Pressure, AATCC127-2014<br>Lint Generation, WSP 160.1 (12) | Compatible | |
| Post-Sterilization<br>Biocompatibility Testing | Cytotoxicity ISO 10993-5: 2009 | Non-cytotoxic, under the<br>conditions of the test |
| | Sensitization, ISO 10993-10: 2010 | Non-sensitizing, under the<br>conditions of the test |
| | Irritation, ISO 10993-10:2010 | Non-irritating, under the<br>conditions of the test |
#### Table 4: Summary of Non-Clinical Testing
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# Summary of Clinical Testing:
Not applicable
## Conclusions Drawn from Non-Clinical Data:
Non-clinical data demonstrates that the Cardinal Health™ Sterilization Wrap are as safe, as effective, and performed as well as the legally marketed device identified in this summary.
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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.
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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.