Midmark and Ritter M9 and M11 UltraClave® Automatic Sterilizers and Ritter M9D AutoClave® Automatic Sterilizer
K163337 · Midmark Corporation · FLE · Aug 31, 2017 · General Hospital
Device Facts
Record ID
K163337
Device Name
Midmark and Ritter M9 and M11 UltraClave® Automatic Sterilizers and Ritter M9D AutoClave® Automatic Sterilizer
Applicant
Midmark Corporation
Product Code
FLE · General Hospital
Decision Date
Aug 31, 2017
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.6880
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The Midmark and Ritter M9 and M11 UltraClave® Automatic Sterilizers and the Ritter M9D AutoClave® Automatic Sterilizer can be used in medical and dental offices, hospitals, clinics, nursing homes, laboratories, and other facilities to sterilize heat and moisture stable reusable items (including dental handpieces) that are compatible with steam sterilization.
Device Story
Self-contained tabletop steam sterilizers; utilize steam-flush pressure-pulse (SFPP) technology to remove air from chamber and processed materials. Inputs: user-selected cycle (Unwrapped, Pouches, Packs, Handpieces) via front panel keypad. Operation: microcontroller-controlled; uses immersion heater to generate steam; sensors (platinum RTD for temperature, pressure transducer) monitor cycle parameters. Outputs: sterilized items; visual status/error codes on LCD; optional thermal printer records cycle stats (time, temp, pressure). M9/M11 models feature automatic door opening for drying; M9D requires manual door operation. Used in clinical/dental settings by staff to ensure instrument sterility; benefits patient by reducing risk of cross-contamination.
Clinical Evidence
No clinical data. Bench testing performed per ANSI/AAMI ST55:2010/(R)2014. Validation included thermal profiling of empty chambers and biological indicator (BI) testing using Geobacillus stearothermophilus (1.0 x 10^6 spores) in fully loaded chambers to confirm a Sterility Assurance Level (SAL) of 10^-6.
Indicated for sterilization of heat and moisture stable reusable items, including dental handpieces, in medical, dental, laboratory, and clinical facilities. Compatible with steam sterilization.
Regulatory Classification
Identification
A steam sterilizer (autoclave) is a device that is intended for use by a health care provider to sterilize medical products by means of pressurized steam.
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Image /page/0/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the top half of the circle. Inside the circle is an abstract symbol that resembles three human profiles facing to the right, stacked on top of each other.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
August 31, 2017
Midmark Corporation Adam Clutter Regulatory Affairs Specialist 60 Vista Dr. Versailles, Ohio 45380
Re: K163337
Trade/Device Name: Midmark and Ritter M9 and M11 UltraClave® Automatic Sterilizers and Ritter M9D AutoClave® Automatic Sterilizer Regulation Number: 21 CFR 880.6880 Regulation Name: Steam Sterilizer Regulatory Class: Class II Product Code: FLE Dated: August 3, 2017 Received: August 3, 2017
Dear Adam Clutter:
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
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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 devicerelated 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 Industry and Consumer Education (DICE) 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. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 (DICE) 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,
# Tara A. Ryan -S
Lori Wiggins, MPT, CLT 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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#### DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use
Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.
510(k) Number (if known) K163337
Device Name
MIDMARK and Ritter M9 and M11 UltraClave and Ritter M9D AutoClave Self-Contained Steam Sterilizer
#### Indications for Use (Describe)
The Midmark and Ritter M9 and M11 UltraClave Automatic Sterilizers and the Ritter M9D AutoClave Automatic Sterilizer can be used in medical and dental offices, hospitals, clinics, nursing homes, laboratories, and other facilities to sterilize heat and moisture stable items (including dental handpieces) that are compatible with steam sterilization. Refer to Standard Cycle Parameters on the following page for detailed information.
Type of Use (Select one or both, as applicable)
_ Prescription Use (Part 21 CFR 801 Subpart D)
区 Over-The-Counter Use (21 CFR 801 Subpart C)
#### CONTINUE ON A SEPARATE PAGE IF NEEDED.
This section applies only to requirements of the Paperwork Reduction Act of 1995.
*DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*
The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:
> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov
"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number.
FORM FDA 3881 (7/17)
Page 1 of 1
PSC Publishing Services (301) 443-6740
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| Cycle Type | Cycle Parameters | | | Drying<br>Time | Items to be Sterilized<br>(Always consult the item manufacturer's<br>recommendations for sterilization.) |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------|---------|-----------------------|----------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Unwrapped | 270°F<br>(132°C) | 3 min. | 27.1 psi<br>(186 kPa) | 30 min. | • Instruments loose on a tray.<br>• Open glass or metal canisters.<br>• Tubing not used in surgical procedures.<br>(Max. length - 40" & Min. inside diameter - .187")<br>• Loose items manufacturers recommend for<br>exposure at 270°F (132°C) for 3 minutes.<br>Note: The sterility of unwrapped items is compro-<br>mised on exposure to a non-sterile environment. |
| Pouches | 270°F<br>(132°C) | 4 min. | 27.1 psi<br>(186 kPa) | 30 min. | • Pouched or loosely wrapped instruments.<br>• Multiple layers of instruments separated by<br>fabric.<br>• Wrapped trays of loose instruments.<br>• Wrapped cassettes.<br>• Wrapped items manufactures recommend for<br>exposure at 270°F (132°C) for 4 minutes. |
| Packs | 250°F<br>(121°C) | 30 min. | 15 psi<br>(104 kPa) | 30 min. | • Textiles and surgical packs wrapped for<br>sterilization.<br>• Items, except liquids, manufacturers<br>recommend for exposure at 250°F (121°C) for<br>30 minutes. |
| Handpieces | 270°F<br>(132°C) | 4 min. | 27.1 psi<br>(186 kPa) | 30 min. | • Dental handpieces (wrapped or unwrapped).<br>Note: Verify acceptability of sterilization<br>parameters with handpiece manufacturer. |
| 1. The pressure shown in this table is for reference only. It's the ideal pressure of saturated steam<br>at the sterilization temperature. The pressure shown on the sterilizer display may be higher. | | | | | |
## Standard Cycle Parameters
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| M9 Maximum Capacities | | | |
|-----------------------|----------------------------------------------------------------------|---------------------------------------------------------------------|----------------------------------------------------------------------|
| Load Type | Large Tray | Small Tray | Total |
| Solid Instruments | 2.4 lbs. (1089 grams) or | 1.6 lbs. (726 grams) or | 8.0 lbs. (3629 grams) or |
| Handpieces | 2 handpieces with other instru-<br>ments<br>2.4 lbs. (1089 grams) or | 2 handpieces with other instru-<br>ments<br>1.6 lbs. (726 grams) or | 8 handpieces with other instru-<br>ments<br>8.0 lbs. (3629 grams) or |
| Packs* | 90 in3 ≤ 1.25 in. thick<br>(1475 cm3 ≤ 3.2 cm thick) | 55 in3 ≤ 0.75 in. thick<br>(901 cm3 ≤ 1.9 cm thick) | 290 in3<br>(4752 cm3) |
## Description of Validated Loads
| M11 Maximum Capacities | | | |
|---------------------------------------------------------------------------------------------|-----------------------------------------------------------------|----------------------------------------------------------------|-----------------------------------------------------------------|
| Load Type | Large Tray | Small Tray | Total |
| Solid Instruments | 2.7 lbs., (1225 grams) or | 1.8 lbs., (816 grams) or | 9.0 lbs., (4082 grams) or |
| Handpieces | 2 handpieces with other instruments<br>2.7 lbs. (1225 grams) or | 2 handpieces with other instruments<br>1.8 lbs. (816 grams) or | 8 handpieces with other instruments<br>9.0 lbs. (4082 grams) or |
| Packs* | 145 in3 ≤ 1.5 in. thick<br>(2376 cm3 ≤ 3.8 cm thick) | 108 in3 ≤ 1.5 in. thick<br>(1770 cm3 ≤ 3.8 cm thick) | 505 in3<br>(8275 cm3) |
| *Allow a minimum of 1/4" (6.4 mm) space between each pack, and also from the chamber wall.. | | | |
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Image /page/5/Picture/0 description: The image shows the logo for Midmark. The logo is a dark blue rectangle with the word "MIDMARK" in white, sans-serif font. There is a white swoosh above the word "MIDMARK". Below the logo is the tagline "Because we care." in a smaller, black, sans-serif font.
Midmark Corporation 60 Vista Drive Versailles, Ohio 45380-0286 1-800-MIDMARK midmark.com
# 510(k) Summary
# Table 7-1 Administrative Information
| Date Summary<br>Prepared | August 28, 2017 |
|---------------------------|--------------------------------------------------------------------------------------------------------------|
| 510(k) Sponsor<br>Address | MIDMARK® Corporation<br>60 Vista Drive<br>Versailles, Ohio 45380 |
| Contact Person | Adam Clutter<br>Regulatory Affairs Specialist<br>Phone: (937) 526-8474<br>FAX: (937) 526-7412 |
| Trade Name | MIDMARK® and Ritter® M9 and M11 UltraClave®<br>and Ritter® M9D AutoClave® Self-Contained Steam<br>Sterilizer |
| Common Name | Table Top Steam Sterilizer |
| Classification Name | Sterilizer, Steam<br>(21 CFR §880.6880<br>Product Code 80 FLE) |
| Device Classification | Class II |
| Review Panel | General Hospital |
| 510(k) Number | K163337 |
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| Model | Brand | Input<br>Voltage | GTIN<br>Number | Chamber Size | Door<br>Operation |
|-----------------------|---------|------------------|----------------|--------------------------------------------|-------------------|
| M9-04X<br>UltraClave | Midmark | 115 Vac | 00841709100222 | 9" (22.9 cm) Dia. x<br>15" (38.1 cm) Deep | Automatic |
| | Midmark | 230 Vac | 00841709100239 | 9" (22.9 cm) Dia. x<br>15" (38.1 cm) Deep | Automatic |
| | Ritter | 115 Vac | 00841709100246 | 9" (22.9 cm) Dia. x<br>15" (38.1 cm) Deep | Automatic |
| M9D-042<br>Autoclave | Ritter | 115 Vac | 00841709100253 | 9" (22.9 cm) Dia. x<br>15" (38.1 cm) Deep | Manual |
| M11-04X<br>UltraClave | Midmark | 115 Vac | 00841709100277 | 11" (27.9 cm) Dia. x<br>18" (45.7 cm) Deep | Automatic |
| | Midmark | 230 Vac | 00841709100284 | 11" (27.9 cm) Dia. x<br>18" (45.7 cm) Deep | Automatic |
| | Ritter | 115 Vac | 00841709100291 | 11" (27.9 cm) Dia. x<br>18" (45.7 cm) Deep | Automatic |
Table 7-2 Device Models
## Table 7-3 Predicate Devices
| Manufacturer<br>Name | Trade Name | 510(k)<br>Number | Decision<br>Date | Model<br>Number |
|-------------------------|------------------------------------------------|------------------|------------------|-----------------|
| MIDMARK®<br>Corporation | MIDMARK®<br>UltraClave®<br>Steam<br>Sterilizer | K023348 | 03/03/2003 | M9/<br>M9D-02X |
| MIDMARK®<br>Corporation | MIDMARK®<br>UltraClave®<br>Steam<br>Sterilizer | K990189 | 04/19/1999 | M11-00X |
## Device Description
The Midmark and Ritter M9 and M11 UltraClave and Ritter M9D AutoClave Self-Contained steam sterilizers are designed to sterilize medical, surgical, laboratory, and dental items, using pressurized steam. The M9 UltraClave models include a variation designated as the M9D Autoclave, the only difference being that the M9 UltraClave includes a motor to automatically open the door for drying and the M9D Autoclave is a manual model which requires the operator to open the door for drying. They are self-contained devices that are electrically powered with automatic controls for controlling time and temperature that are designed for safe, easy operation with minimal operator training.
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The Midmark and Ritter M9 and M11 UltraClave and RitterM9D AutoClave Self-Contained steam sterilizers have an overall chamber dimension / volume size of 9" (22.9 cm) x 15" (38.1 cm) / 0.47 ft (13.4 L) for the M9 and 11" (27.9 cm) x 18" (45.7cm) / 0.87 ft (24.6 L) for the M11.
The steam sterilizers operating temperatures of the preset cycles are 250°F +6°F/-0°F (121°C +3°C/-0°C) and 270°F +6°F/-0°F (132°C +3°C/-0) which utilize a steam-flush pressure-pulse (SFPP) cycle consisting of three (3) or four (4) sequential steam flushes and pressure pulses to remove air from the sterilizing chamber and processed materials. SFPP cycles rely on diffusion of residual air in the steam and subsequent flushing of the air-steam mixture from the sterilizer resulting in shorter cycle times than gravity displacement sterilizers. Air removal is achieved with the sterilizing chamber pressure at above atmospheric pressure.
The operation of the sterilizer is controlled by a software controlled microcontroller internal to the unit. The software provides for user control of the device via a keypad on the unit's front panel. The same software is used for the Midmark and Ritter M9 and M11 UltraClave" and Ritter M9D AutoClave® Self-Contained Steam Sterilizers.
Image /page/7/Picture/3 description: The image shows a front panel of a machine with several buttons and a display screen. The display screen reads "SELECT CYCLE". There are buttons labeled "P", "1", and "2", as well as buttons with icons representing "Unwrapped", "Pouches", "Packs", and "Handpieces". There are also green "Start" and red "Stop" buttons.
Figure 7-1 Front Panel
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| Cycle<br>Cycle | Pre-Treatment<br>(SFPP) | Sterilizing<br>Temperature | Sterilizing<br>Time | Pressure<br>(Ref¹) | Drying<br>Time |
|--------------------|-------------------------|----------------------------|---------------------|-----------------------|----------------|
| Unwrapped<br>Cycle | 3 Pulses | 270°F<br>(132°C) | 3 min | 27.1 psi<br>(186 kPa) | 30 min |
| Pouches Cycle | 3 Pulses | 270°F<br>(132°C) | 4 min | 27.1 psi<br>(186 kPa) | 30 min |
| Packs<br>Cycle | 3 Pulses | 250°F<br>(121°C) | 30 min | 15 psi<br>(104 kPa) | 30 min |
| Handpiece Cycle | 4 Pulses | 270°F<br>(132°C) | 4 min | 27.1 psi<br>(186 kPa) | 30 min |
# Table 7-4 Cycle Parameters for M9/M11 UltraClave and M9D AutoClave
# Table 7-5 Description of Validated Loads
| M9 Maximum Capacities | | | |
|-----------------------|----------------------------------------------------------------------|---------------------------------------------------------------------|----------------------------------------------------------------------|
| Load Type | Large Tray | Small Tray | Total |
| Solid Instruments | 2.4 lbs. (1089 grams) or | 1.6 lbs. (726 grams) or | 8.0 lbs. (3629 grams) or |
| Handpieces | 2 handpieces with other instru-<br>ments<br>2.4 lbs. (1089 grams) or | 2 handpieces with other instru-<br>ments<br>1.6 lbs. (726 grams) or | 8 handpieces with other instru-<br>ments<br>8.0 lbs. (3629 grams) or |
| Packs* | 90 in3 ≤ 1.25 in. thick<br>(1475 cm3 ≤ 3.2 cm thick) | 55 in3 ≤ .75 in. thick<br>(901 cm3 ≤ 1.9 cm thick) | 290 in3<br>(4752 cm3) |
| M11 Maximum Capacities | | | |
|--------------------------------------------------------------------------------------------|----------------------------------------------------------------------|---------------------------------------------------------------------|----------------------------------------------------------------------|
| Load Type | Large Tray | Small Tray | Total |
| Solid Instruments | 2.7 lbs., (1225 grams) or | 1.8 lbs., (816 grams) or | 9.0 lbs., (4082 grams) or |
| Handpieces | 2 handpieces with other instru-<br>ments<br>2.7 lbs. (1225 grams) or | 2 handpieces with other instru-<br>ments<br>1.8 lbs. (816 grams) or | 8 handpieces with other instru-<br>ments<br>9.0 lbs. (4082 grams) or |
| Packs* | 145 in3 ≤ 1.5 in. thick<br>(2376 cm3 ≤ 3.8 cm thick) | 108 in3 ≤ 1.5 in. thick<br>(1770 cm3 ≤ 3.8 cm thick) | 505 in3<br>(8275 cm3) |
| *Allow a minimum of 1/4" (6.4 mm) space between each pack, and also from the chamber wall. | | | |
<sup>1</sup> The pressure shown in this table is for reference only. It's the ideal pressure of saturated steam at the sterilization temperature.
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Table 7-6 Cycle Sequence and Display M9/M11 UltraClave and M9D AutoClave
| Stage of Cycle | Description | Display |
|-----------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------|
| Filling | Chamber begins filling with water.<br>When water reaches the proper level... | FILLING<br>CHAMBER<br>CHAMBER<br>IS FULL |
| Heating | Display changes as temperature and<br>pressure in chamber changes.<br>(Metric units may be displayed if desired). | HEATING - UNWRAPPED<br>XXX°F XX.X PSI |
| Sterilizing | Sterilizing begins when correct<br>temperature / pressure is reached.<br>Time remaining in cycle counts down<br>while current temperature / pressure in<br>chamber is continuously updated. | STERILIZING<br>MM:SS XXX°F XX.X PSI |
| Ready to Vent | 'READY TO VENT' is displayed when<br>10 seconds remain in sterilization cycle. | READY TO VENT<br>XXX°F XX.X PSI |
| Fast Vent | When time runs out in sterilizing mode,<br>the vent valve opens. Steam / water are<br>released back into the reservoir.<br>The display changes as temperature and<br>pressure in chamber changes. | FAST VENT<br>XXX°F XX.X PSI |
| | <b>Caution</b><br>Keep clear when M9/M11 door is ready to open!<br>Failure to do so could result in severe bums from steam being released. | |
| Door To Open<br>(automatic)<br>Pertains only to<br>M9/M11 UltraClave® | An audible signal is emitted to indicate<br>that the door is about to open.<br>When pressure in chamber reaches zero,<br>the door actuates to partially open (drying<br>mode) position. | DOOR TO OPEN<br>XXX°F XX.X PSI |
| Manual Door Open<br>Pertains only to<br>M9D AutoClave | An Audible signal is emitted when pres-<br>sure inside chambers reaches zero to<br>indicate Operator to open door. The door<br>should be opened to the first stop (dry-<br>ing mode) position. The audible signal<br>will continue to repeat every minute until<br>either the door is opened to the DRY (par-<br>tially opened) position, or by pressing the<br>STOP button, aborting the DRY cycle. | OPEN DOOR TO DRY<br>STOP TO ABORT |
| | <b>Caution</b><br>The processed loads may still be wet if the Dry Cycle is aborted<br>prior to completion. Always allow processed loads to dry in the<br>sterilizer before they are handled to avoid re-contamination. | |
| Drying | Time of Dry Cycle is counted down. If<br>desired, the Dry Cycle can be aborted by<br>pressing the STOP button.<br>When Drying time reaches 0:00... | DRYING<br>MM:SS<br><br>DRY CYCLE<br>COMPLETE |
| Cycle Complete | An audible signal is emitted for 10<br>seconds. | SELECT CYCLE |
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| Item | M9/M11 UltraClave and M9D AutoClave |
|------------------------------------------------------|------------------------------------------------------------------------------------------------|
| Chamber Dimensions<br>M9/M9D | 9" (22.9 cm) x 15" (38.1 cm) / Stainless Steel |
| M11 | 11" (27.9 cm) x 18" (45.7cm) / Stainless Steel |
| Chamber Volume<br>M9/M9D | 0.47 ft³ (13.4 L) |
| M11 | 0.87 ft³ (24.6 L) |
| Double Hinged Door<br>(M9/M9D & M11) | Carbon Steel w/ Stainless Steel Liner |
| Door Latch<br>M9/M11 | Manual Double Bolt Latch w/Automatic Opening |
| M9D | Manual Double Bolt Latch |
| Door Gaskets<br>(M9/M9D & M11) | High Temperature Silicon Rubber |
| Trays<br>M9/M9D | 2 small (5.6"W x 12"L x .9"D)<br>2 large (7.3"W x 12"L x .9"D)<br>(Perforated Stainless Steel) |
| M11 | 2 small (6.6"W x 15"L x 1.1"D)<br>2 large (9"W x 15"L x 1.1"D)<br>(Perforated Stainless Steel) |
| Tray Rack<br>(M9/M9D & M11) | Formed Stainless Steel Sheet |
| Water Reservoir<br>M9/M9D | Polyethylene Plastic - 1.1 gal (4.16 L) |
| M11 | Polyethylene Plastic - 1.4 gal (5.3 L) |
| Water Fill System<br>(M9/M9D & M11) | Gravity fill w/ Chamber Water Level Sensor |
| Water Fill Valve<br>(M9/M9D & M11) | Electronic Solenoid |
| Heater<br>(M9/M9D & M11) | 1425 Watt Immersion Heater (115 volt models)<br>1500 Watt Immersion Heater (230 volt models) |
| Air Removal Valve<br>(M9/M9D & M11) | Electronic Solenoid |
| Vent Valve<br>(M9/M9D & M11) | Electronic Solenoid |
| Dry Cycle Features M9/M11 | Door Automatically Opens Partially (Motor<br>Driven) |
| M9D | Manual Door (Operator manually opens door) |
| (All models incorporate an<br>active drying system.) | |
# Table 7-7 Design / Materials
## Indications for Use
"The Midmark and Ritter M9 and M11 UltraClave® Automatic Sterilizers and the Ritter M9D AutoClave® Automatic Sterilizer can be used in medical offices, hospitals, clinics,
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nursing homes, laboratories, and other facilities to sterilize heat and moisture stable reusable items (including dental handpieces) that are compatible with steam sterilization. Refer to Standard Cycle Parameters on the following page for detailed information."
| Cycle Type | Cycle Parameters | | | Drying Time | Items to be Sterilized<br>(Always consult the item manufacturer's<br>recommendations for sterilization.) |
|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------|---------|-----------------------|-------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | Temp.<br>(Min.) | Time | Press.¹<br>(Ref.) | | |
| Image: Unwrapped | 270°F<br>(132°C) | 3 min. | 27.1 psi<br>(186 kPa) | 30 min. | • Instruments loose on a tray.<br>• Open glass or metal canisters.<br>• Tubing not used in surgical procedures.<br>(Max. length - 40" & Min. inside diameter - .187")<br>• Loose items manufacturers recommend for<br>exposure at 270°F (132°C) for 3 minutes.<br>Note: The sterility of unwrapped items is compromised on exposure to a non-sterile environment. |
| Image: Pouches | 270°F<br>(132°C) | 4 min. | 27.1 psi<br>(186 kPa) | 30 min. | • Pouched or loosely wrapped instruments.<br>• Multiple layers of instruments separated by fabric.<br>• Wrapped trays of loose instruments.<br>• Wrapped cassettes.<br>• Wrapped items manufactures recommend for exposure at 270°F (132°C) for 4 minutes. |
| Image: Packs | 250°F<br>(121°C) | 30 min. | 15 psi<br>(104 kPa) | 30 min. | • Textiles and surgical packs wrapped for sterilization.<br>• Items, except liquids, manufacturers recommend for exposure at 250°F (121°C) for 30 minutes. |
| Image: Handpieces | 270°F<br>(132°C) | 4 min. | 27.1 psi<br>(186 kPa) | 30 min. | • Dental handpieces (wrapped or unwrapped).<br>Note: Verify acceptability of sterilization parameters with handpiece manufacturer. |
| 1. The pressure shown in this table is for reference only. It's the ideal pressure of saturated steam at the sterilization temperature. The pressure shown on the sterilizer display may be higher. | | | | | |
### Standard Cycle Parameters
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| M9 Maximum Capacities | | | |
|------------------------|-----------------------------------------------------------------|----------------------------------------------------------------|-----------------------------------------------------------------|
| Load Type | Large Tray | Small Tray | Total |
| Solid Instruments | 2.4 lbs. (1089 grams) or | 1.6 lbs. (726 grams) or | 8.0 lbs. (3629 grams) or |
| Handpieces | 2 handpieces with other instruments<br>2.4 lbs. (1089 grams) or | 2 handpieces with other instruments<br>1.6 lbs. (726 grams) or | 8 handpieces with other instruments<br>8.0 lbs. (3629 grams) or |
| Packs* | 90 in3 ≤ 1.25 in. thick<br>(1475 cm3 ≤ 3.2 cm thick) | 55 in3 ≤ .75 in. thick<br>(901 cm3 ≤ 1.9 cm thick) | 290 in3<br>(4752 cm3) |
| M11 Maximum Capacities | | | |
| Load Type | Large Tray | Small Tray | Total |
| Solid Instruments | 2.7 lbs., (1225 grams) or | 1.8 lbs., (816 grams) or | 9.0 lbs., (4082 grams) or |
| Handpieces | 2 handpieces with other instruments<br>2.7 lbs. (1225 grams) or | 2 handpieces with other instruments<br>1.8 lbs. (816 grams) or | 8 handpieces with other instruments<br>9.0 lbs. (4082 grams) or |
| Packs* | 145 in3 ≤ 1.5 in. thick<br>(2376 cm3 ≤ 3.8 cm thick) | 108 in3 ≤ 1.5 in. thick<br>(1770 cm3 ≤ 3.8 cm thick) | 505 in3<br>(8275 cm3) |
### Description of Validated Loads
# Technological Characteristics
The intended use, technological characteristics (i.e., design, material, energy source) principles of operation, safeguards, target population, and performance are the same for the proposed devices and their corresponding predicate devices.
| CHARACTERISTIC | PREDICATE<br>MIDMARK M9 UltraClave | NEW MODELS<br>MIDMARK & Ritter M9<br>UltraClave & Ritter M9D<br>Autoclave |
|--------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 510(k) Clearance | K023348 | K163337 |
| Midmark Models #s | M9-02X & M9D-02X | M9-04X & M9D-042 |
| Type of Steam<br>Sterilizer | Tabletop<br>Dynamic-Air-Removal (SFPP) | Same |
| Intended Use<br>(Same for all models) | The M9 UltraClaveTM is<br>intended to be used in medical<br>and dental offices, hospitals,<br>clinics, nursing homes,<br>laboratories, and other facilities<br>to sterilize heat and moisture<br>stable reusable items (including<br>dental handpieces) that are<br>compatible with steam | The Midmark and Ritter M9 and<br>M11 UltraClave® Automatic<br>Sterilizers and the Ritter M9D<br>AutoClave® Automatic Sterilizer<br>can be used in medical and<br>dental offices, hospitals, clinics,<br>nursing homes, laboratories, and<br>other facilities to sterilize heat<br>and moisture stable reusable |
| | | |
| | sterilization. | items (including dental handpieces) that are compatible with steam sterilization. |
| Indications for Use:<br>(Cycle Comparison) | Parameters<br>(Sterilize Time/Temp./Dry<br>Time¹) | Parameters<br>(Sterilize Time/Temp./Dry Time) |
| Unwrapped Cycle | 3 min./ 270°F (132°C) / 30 min. | Same |
| Pouches Cycle | 6 min./ 270°F (132°C) / 30 min. | 4 min./ 270°F (132°C)/ 30 min. |
| Packs Cycle | 30 min./ 250°F (121°C)/30 min. | Same |
| Handpiece Cycle | 6 min./ 270°F (132°C) / 30 min. | 4 min./ 270°F (132°C)/ 30 min. |
| Programmable 1 | 3-90 min./ 230-275°F / 30 min.<br>(110-135°C) | N/A |
| Programmable 2 | 3-90 min./ 230-275°F / 30 min.<br>(110-135°C) | N/A |
| Controls: | | |
| Main Controller | Micro Processor Based<br>Embedded Control | Same w/ Modifications to<br>Incorporate a Real Time Clock<br>(RTC) & Power Supply for New<br>Printer Accessory |
| User Controls | Membrane Type Switches | Same |
| Temperature Sensor | Platinum RTD | Same |
| Pressure Sensor | PC Mounted Gauge Pressure<br>Transducer | Same |
| Process Monitors: | | |
| Display Type | LCD<br>(2 row x 20 character) | Same |
| Operator Alerts | Audible Alarms & Visual<br>Signals Displaying Status,<br>Instructions & Self-Diagnostic<br>Error Codes on LCD Display | Same |
| Printer Accessory<br>(Optional) | 5 VDC, 24 Character<br>Dot Matrix Printer<br>Records: Cycle Stats. - Time,<br>Temp. & Press. | 5 VDC, 24 Character<br>Thermal Printer<br>Records: Sterilizer ID, Date &<br>Time in Addition to Cycle Stats.<br>- Time, Temp. & Press. |
| Safety Features: | | |
| Overpressure Protection | ASME press. relief valve (40<br>psi) | Same |
| Overheat Protection | Dual Auto-Reset Thermostats<br>450°F (232°C) | Same |
| Door Interlock | High Integrity Safety Switch | Same |
| CHARACTERISTIC | PREDICATE<br>MIDMARK M11 UltraClave | NEW MODELS<br>MIDMARK & Ritter M11<br>UltraClave |
| 510(k) Clearance | K990189 | K163337 |
| Midmark Models #s | M11-0XX | M11-04X |
| Type of Steam<br>Sterilizer | Tabletop<br>Gravity Displacement | Tabletop<br>Dynamic-Air-Removal (SFPP) |
| Intended Use<br>(Same for all models) | The M11 UltraClave is intended<br>to be used in medical and dental<br>offices, hospitals, clinics, nursing<br>homes, laboratories, and other<br>facilities to sterilize heat and<br>moisture stable, reusable<br>equipment. Dental handpieces<br>can be sterilized in the M11 in<br>the Pouches cycle. This device is<br>not recommended for<br>sterilization of liquids intended<br>for direct patient contact. | The Midmark and Ritter M9<br>and M11 UltraClave®<br>Automatic Sterilizers and the<br>Ritter M9D AutoClave®<br>Automatic Sterilizer can be<br>used in medical and dental<br>offices, hospitals, clinics,<br>nursing homes, laboratories,<br>and other facilities to sterilize<br>heat and moisture stable<br>reusable items (including<br>dental handpieces) that are<br>compatible with steam<br>sterilization. |
| Indications for Use:<br>(Cycle Comparison) | Parameters<br>(Sterilize Time/Temp./Dry Time) | Parameters<br>(Sterilize Time/Temp./Dry Time) |
| Unwrapped Cycle | 3 min./ 270°F (132°C) / 30 min. | Same |
| Pouches Cycle | 15 min./ 270°F (132°C) / 30 min. | 4 min./ 270°F (132°C) / 30 min. |
| Packs Cycle | 30 min./ 250°F (121°C)/30 min. | Same |
| Liquids | 30 min./ 250°F (121°C) / NA | N/A |
| Handpiece Cycle | N/A<br>Cleared for Handpieces in<br>Pouches Cycle | 4 min./ 270°F (132°C) / 30 min. |
| Programmable 1 | N/A | N/A |
| Programmable 2 | N/A | N/A |
| Controls: | |…
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.