Saniclave 250

K180272 · Revolutionary Science · FLE · Jul 26, 2018 · General Hospital

Device Facts

• Record ID: K180272
• Device Name: Saniclave 250
• Applicant: Revolutionary Science
• Product Code: FLE · General Hospital
• Decision Date: Jul 26, 2018
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6880
• Device Class: Class 2

Intended Use

The Revolutionary Science Saniclave 250 is designed to be used in medical and dental clinics, hospitals and other facilities where reusable sterile equipment is used. It is intended to sterilize wrapped and unwrapped heat and moisture stable solid instruments, mated surfaces, knurled, hinged devices, including lumened devices and trocars (lumens greater than 3mm inner diameter and less than 70mm in length, excluding dental handpieces) that are compatible with saturated steam sterilization at 121 degrees Celsius for 30 minutes.

Device Story

Saniclave 250 is a 120V front-loading tabletop steam sterilizer; used in medical/dental clinics and hospitals to process reusable instruments. Device operates by boiling water in a pressurized chamber; saturated steam at 121°C kills bacteria. User places instruments (wrapped or unwrapped) into chamber; selects one of three factory-programmed gravity cycles. Device features digital display; optional printer; safety features include spring-loaded release valve. Output is sterile instruments; healthcare providers use these for patient procedures. Benefits include effective sterilization of solid, hinged, and specific lumened devices (trocars). No direct patient contact.

Clinical Evidence

No clinical data. Bench testing only. Sterilization validation performed per ANSI/AAMI ST55:2016 using G. Bacillus Stearothermophilus in artificial soil. Testing confirmed 10^-6 SAL for worst-case loads, including solid instruments, hinged/knurled devices, and lumened devices (3mm ID, 70mm length). Physical testing verified temperature/pressure distribution within chamber.

Technological Characteristics

Chamber: 316 stainless steel; Enclosure: ABS plastic; Base: Galvanized steel; Seal: Silicone; Plumbing: Silicone tubing; Valve: Brass/plastic; Heater: Tubular Incoloy sheathed nichrome wire. Dimensions: 16"x13.5"x21". Energy: 120 VAC. Connectivity: Digital display, optional printer. Standards: ANSI/AAMI ST55, EN 61010-2-040, EN 61010-1, EN 60601-1, EN 60601-1-2.

Indications for Use

Indicated for sterilization of heat/moisture stable solid instruments, mated surfaces, knurled/hinged devices, and lumened devices/trocars (lumens >3mm ID, <70mm length) in medical/dental clinics and hospitals. Excludes dental handpieces. Compatible with saturated steam at 121°C for 30 minutes.

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.

Predicate Devices

• Saniclave 200 (K112811)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

Alternative Pioneering Research and Development Revolutionary Science Isaac Erickson Chief Technology Officer 17319 Lake Blvd Shafer, Minnesota 55074

Re: K180272

Trade/Device Name: Saniclave 250 Regulation Number: 21 CFR 880.6880 Regulation Name: Steam Sterilizer Regulatory Class: Class II Product Code: FLE Dated: June 22, 2018 Received: June 29, 2018

Dear Isaac Erickson:

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 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);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely.

# Clarence W. Murray lii III -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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#### 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)

K180272

Device Name

Saniclave 250

Indications for Use (Describe)

The Revolutionary Science Saniclave 250 is designed to be used in medical and dental clinics, hospitals and other facilities where reusable sterile equipment is used. It is intended to sterilize wrapped heat and moisture stable solid instruments, mated surfaces, knurled, hinged devices, including lumened devices and trocars (lumens greater than 3mm inner diameter and less than 70mm in length, excluding dental handpieces) that are compatible with saturated steam sterilization at 121 degrees Celsius for 30 minutes.

| Cycle | Sterilization<br>Temperature | Sterilize<br>Time | Dry<br>Time | Recommended Load |
|---------------------------------------|------------------------------|-------------------|---------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Gravity,<br>small load,<br>wrapped* | 121°C | 30<br>minutes | 30<br>minutes | 1 tray, wrapped* instruments, maximum weight 4.5 lbs<br>Heat and moisture stable solid instruments, mated surfaces,<br>knurled, hinged devices, including lumened devices and trocars |
| Gravity,<br>small load,<br>unwrapped* | 121°C | 30<br>minutes | N/A | 1 tray, unwrapped* instruments, maximum weight 4.5 lbs<br>Heat and moisture stable solid instruments, mated surfaces,<br>knurled, hinged devices, including lumened devices and trocars |
| Gravity,<br>large load,<br>unwrapped* | 121°C | 30<br>minutes | N/A | 3 trays, unwrapped* loaded evenly, maximum weight 8.0 lbs<br>Heat and moisture stable solid instruments, lumened devices and<br>trocars only |

The Saniclave 250 has 3 factory-programmed cycles:

* A wrapped load is wrapped or pouched in autoclave packaging that is FDA cleared for 30 min at 121°C. An unwrapped load is not wrapped or pouched and is intended for immediate use.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

#### CONTINUE ON A SEPARATE PAGE IF NEEDED.

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#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW!*

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# Revolutionary Science Saniclave 250 (RS-SC-250) 510(k): K180272 510(k) Summary

| Submitted by: | Alternative Pioneering Research and Development<br>Revolutionary Science<br>17319 Lake Blvd.<br>Shafer, MN 55074 |
|-----------------|------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Isaac Erickson, Chief Technology Officer<br>651-353-7806 |
| Date: | 23 July 2018 |
| Device Name: | Saniclave 250 (RS-SC-250) |
| Model Number: | RS-SC-250 |
| Common Name: | Steam Sterilizer |
| Classification: | Steam Sterilizer (21 C.F.R. § 880.6880)<br>Class II Device Product Code: FLE |

Predicate Device: The Revolutionary Science Saniclave 250 (RS-SC-250) is claimed to be substantially equivalent to the FDA cleared Saniclave 200 under the 510(k) number K112811.

Technical Characteristics, Intended Use, and cycle parameters are all similar to the predicate device.

## Intended Use:

The Revolutionary Science Saniclave 250 is designed to be used in medical and dental clinics, hospitals and other facilities where reusable sterile equipment is used. It is intended to sterilize wrapped and unwrapped heat and moisture stable solid instruments, mated surfaces, knurled, hinged devices, including lumened devices and trocars (lumens greater than 3mm inner diameter and less than 70mm in length, excluding dental handpieces) that are compatible with saturated steam sterilization at 121 degrees Celsius for 30 minutes.

The Saniclave 250 has 3 factory-programmed cycles:

| Cycle | Sterilization<br>Temperature | Sterilize Time | Dry Time | Recommended Load |
|---------------------------------------|------------------------------|----------------|---------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Gravity,<br>small load,<br>wrapped* | 121°C | 30<br>minutes | 30<br>minutes | <b>1 tray, wrapped* instruments, maximum weight 4.5 lbs</b><br>Heat and moisture stable solid instruments, mated surfaces, knurled,<br>hinged devices, including lumened devices and trocars |
| Gravity,<br>small load,<br>unwrapped* | 121°C | 30<br>minutes | N/A | <b>1 tray, unwrapped* instruments, maximum weight 4.5 lbs</b><br>Heat and moisture stable solid instruments, mated surfaces, knurled,<br>hinged devices, including lumened devices and trocars |
| Gravity,<br>large load,<br>unwrapped* | 121°C | 30<br>minutes | N/A | <b>3 trays, unwrapped* loaded evenly, maximum weight 8.0 lbs</b><br>Heat and moisture stable solid instruments, lumened devices and<br>trocars only |

*A wrapped load is wrapped or pouched in autoclave packaging that is FDA cleared for 30 min at 121°C. An unwrapped

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#### load is not wrapped or pouched and is intended for immediate use.

Device Description: The Saniclave 250 by Revolutionary Science (model number RS-SC-250) is a 120 volt front loading autoclave.

Explanation of how the device functions: The Saniclave works like most other table top steam sterilizers by boiling water in a pressurized vessel (or chamber). As the water boils, the chamber pressurizes and the steam sterilizes the instruments placed inside.

Scientific concepts that form the basis for the device: The Saniclave technology is based on the scientific concept that prolonged saturated pressurized steam at or over a temperature of 121degrees Celsius kills bacteria.

> Significant physical performance characteristics: Device design: Material used: The following materials were used in the construction of the Saniclave: Chamber (including door): Draw formed stainless steel Exterior enclosure: ABS thermoformed plastic Base plate: Galvanized steel Seal: Injection molded silicone Plumbing: extruded silicone tubing Solenoid valve: Cast brass and plastic Heater: Tubular heating element, nichrome wire and Incoloy sheathe. Circuit board with surface mount electronics This device has no direct or indirect patient contact.

Basic physical properties: The single heating element (permantently affixed to the bottom inside the chamber with bulkhead fittings) generates all heat for the autoclave, including preheat, sterilization and dry modes. It is immersed in the water of the chamber. When the cycle is initiated, the heater turns on and boils the water.

Outside dimensions: 16"x13.5"x21" Internal chamber dimensions (including door): 9" diameter x 10.5" deep

## Comparison to Predicate Device:

The Saniclave 250 employs the same materials in construction as the Saniclave 200. It has the same factoryprogrammed cycle parameters. The only two significant differences between these two machines are: 1. A large unwrapped cycle has been added to accommodate 3 trays and 8lbs of trocars, lumened devices and solid instruments evenly distributed among the trays. This cycle is initiated with the same button as the smaller 4.5 Ibs unwrapped cycle but has been tested with the larger load. 2. Lumened devices of 3mm inner and 70mm in length are claimed in the indications for use.

These differences do not raise new questions for safety or effectiveness. The additional weight and trocars were tested and support a 10 6 SAL for the full sterilization cycle following the gravity steam sterilization half-cycle of 121 degrees C for 15 minutes.

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# Technological Characteristics Comparison Table

| Description | K112811<br>200 Saniclave | K180272<br>250 Saniclave | Comparison |
|---------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| Indications for Use | The Revolutionary Science<br>Saniclave 200 is designed to be<br>used in medical and dental clinics,<br>hospitals and other facilities where<br>reusable sterile equipment is used.<br>It is intended to sterilize wrapped<br>and unwrapped heat and moisture<br>stable solid instruments, mated<br>surfaces, knurled, hinged devices,<br>(excluding lumened devices and<br>dental handpieces) that are<br>compatible with saturated steam<br>sterilization at 121 degrees Celsius<br>for 30 minutes. | The Revolutionary Science<br>Saniclave 250 is designed to be<br>used in medical and dental clinics,<br>hospitals and other facilities where<br>reusable sterile equipment is used.<br>It is intended to sterilize wrapped<br>and unwrapped heat and moisture<br>stable solid instruments, mated<br>surfaces, knurled, hinged devices,<br>including lumened devices and<br>trocars (lumens greater than 3mm<br>inner diameter and less than 70mm<br>in length, excluding dental<br>handpieces) that are compatible<br>with saturated steam sterilization<br>at 121 degrees Celsius for 30<br>minutes. | Similar |
| Chamber Size | 9" diameter x 10.5" deep<br>(including door) | 9" diameter x 10.5" deep<br>(including door) | Same |
| Sterilization cycles | Gravity, small load, wrapped: 121°C<br>for 30 minutes with 30 minutes of<br>dry time. 1 tray, wrapped<br>instruments, maximum weight 4.5<br>lbs: Heat and moisture stable solid<br>instruments, mated surfaces,<br>knurled, hinged devices, excluding<br>lumened devices and dental hand<br>pieces.<br>Gravity, small load, unwrapped:<br>121°C for 30 minutes with no dry<br>time. 1 tray, unwrapped<br>instruments, maximum weight 4.5<br>lbs: Heat and moisture stable solid<br>instruments, mated surfaces,<br>knurled, hinged devices, excluding<br>lumened devices and dental hand<br>pieces. | Gravity, small load, wrapped: 121°C<br>for 30 minutes with 30 minutes of<br>dry time. 1 tray, wrapped<br>instruments, maximum weight 4.5<br>lbs: Heat and moisture stable solid<br>instruments, mated surfaces,<br>knurled, hinged devices, including<br>lumened devices and trocars<br>Gravity, small load, unwrapped:<br>121°C for 30 minutes with no dry<br>time. 1 tray, unwrapped<br>instruments, maximum weight 4.5<br>lbs: Heat and moisture stable solid<br>instruments, mated surfaces,<br>knurled, hinged devices, including<br>lumened devices and trocars<br>Gravity, large load, unwrapped:<br>121°C for 30 minutes with no dry<br>time. 3 trays, unwrapped loaded<br>evenly, maximum weight 8.0 lbs:<br>Heat and moisture stable solid<br>instruments, lumened devices and<br>trocars only | Different |
| Materials used in the<br>sterilizer | Chamber (including door): Draw<br>formed stainless steel (316 grade)<br>Exterior enclosure: ABS<br>thermoformed plastic | Chamber (including door): Draw<br>formed stainless steel (316 grade)<br>Exterior enclosure: ABS<br>thermoformed plastic | Same |
| | Base plate: Galvanized steel<br>Seal: Injection molded silicone<br>Plumbing: extruded silicone<br>tubing<br>Solenoid valve: Cast brass and<br>plastic<br>Heater: Tubular heating element,<br>nichrome wire and Incoloy<br>sheathe.<br>Circuit board with surface mount<br>electronics | Base plate: Galvanized steel<br>Seal: Injection molded silicone<br>Plumbing: extruded silicone<br>tubing<br>Solenoid valve: Cast brass and<br>plastic<br>Heater: Tubular heating element,<br>nichrome wire and Incoloy<br>sheathe.<br>Circuit board with surface mount<br>electronics | |
| Built according to standard | ANSI/AAMI ST55 | ANSI/AAMI ST55 | Same |
| Physical Testing | Parametric testing of temperature<br>(121 ℃ for 30 min) and pressure<br>(15 psi) | Parametric testing of temperature<br>(121 ℃ for 30 min) and pressure<br>(15 psi) | Same |
| Biological Testing | Sterilization validation with worst<br>case load | Sterilization validation with worst<br>case load, including lumened<br>devices | Similar |
| Sterility Assurance Level | 10-6 | 10-6 | Same |
| Biocompatibility | No patient contacting components | No patient contacting components | Same |
| EMC and Electrical Safety | EMC and Electrical Safety<br>Compliance to EN 61010-2-040,<br>EN 61010-1, EN 60601-1-2, EN<br>60601-1-1, EN 60601-1 | EMC and Electrical Safety<br>Compliance to EN 61010-2-040,<br>EN 61010-1, EN 60601-1-2, EN<br>60601-1-1, EN 60601-1 | Same |
| Electrically generated<br>steam | Yes | Yes | Same |
| Multiple Safety features | Yes | Yes | Same |
| Spring loaded safety<br>release valve | Yes | Yes | Same |
| Digital display | Yes | Yes | Same |
| Optional printer | Yes | Yes | Same |
| Plastic enclosure | Yes | Yes | Same |
| 120 VAC input | Yes | Yes | Same |

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* Substantial Equivalence of the new claims are discussed below.

# Non-Clinical Testing:

Physical and biological testing were performed in accordance with ANSVAAMI ST55:2016. Testing showed that Saniclave 250 meets all applicable requirements of this standard. Physical testing measured pressure and temperature inside the chamber in an empty and fully loaded state. Five precalibrated temperature sensors were placed inside the chamber measuring temperature in the front, back, upper, lower, and middle of the chamber so as to provide a good understanding of the temperature distribution in the chamber. One precalibrated pressure

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transducer was used to monitor pressure. Temperature and pressure was found to be within operating parameters. A loaded test with one tray and 4.5 lbs was performed with instruments (including hinged and knurled devices but not lumens) and inoculated with G. Bacillus Stearothermophilus in an artificial soil so as to present the greatest challenge to sterilization. A cycle was run and the inoculum tested. No growth was observed.

A separate test was also performed with the additional trocars (with lumens measuring 3mm inner diameter and 70mm in length) using 3 trays and 8.0 lbs inoculated with G. Bacillus Stearothermophilus in an artificial soil so as to present the greatest challenge to sterilization. A cycle was run and the inoculum tested. No growth was observed.

Electromagnetic Compatibility (EMC) and Safety Compliance: The Saniclave 250 was tested to the following standards.

| EMC: | EN 60601-1-2 MEDICAL ELECTRICAL EQUIPMENT - PART 1: GENERAL<br>REQUIREMENTS FOR SAFETY 2. COLLATERAL STANDARD:<br>ELECTROMAGNETIC COMPATIBILITY - REQUIREMENTS AND TESTS |
|---------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Safety: | EN 60601-1-1 MEDICAL ELECTRICAL EQUIPMENT - PART 1: GENERAL<br>REQUIREMENTS FOR SAFETY 1: COLLATERAL STANDARD:<br>SAFETY REQUIREMENTS FOR MEDICAL ELECTRICAL SYSTEMS |
| | EN 60601-1 MEDICAL ELECTRICAL EQUIPMENT - PART 1: GENERAL<br>REQUIREMENTS FOR BASIC SAFETY AND ESSENTIAL PERFORMANCE |
| | EN 61010-2-040 SAFETY REQUIREMENTS FOR ELECTRICAL EQUIPMENT<br>FOR MEASUREMENT, CONTROL AND LABORATORY USE – PART 2-<br>040: PARTICULAR REQUIREMENTS FOR STERILIZERS AND WASHER-<br>DISINFECTORS USED TO TREAT MEDICAL MATERIALS |
| | EN 61010-1 SAFETY REQUIREMENTS FOR ELECTRICAL EQUIPMENT FOR MEASUREMENT,<br>CONTROL, AND LABORATORY USE. GENERAL REQUIREMENTS |

#### Clinical Data:

No clinical data was needed for this device. This device has no direct patient contact.

#### Conclusion:

Based on a comparison of technologies, indications for use, and process parameters the Saniclave 250 (RS-SC-250) is as safe, as effective, and performs as well or better than the legally marketed predicate device, Saniclave 200 (RS-SC-200), cleared under 510k number K112811.