STATCLAVE G4 Chamber Autoclave

K190062 · Scican , Ltd. · FLE · Jul 26, 2019 · General Hospital

Device Facts

• Record ID: K190062
• Device Name: STATCLAVE G4 Chamber Autoclave
• Applicant: Scican , Ltd.
• Product Code: FLE · General Hospital
• Decision Date: Jul 26, 2019
• Decision: SESE
• Submission Type: Abbreviated
• Regulation: 21 CFR 880.6880
• Device Class: Class 2

Intended Use

The STATCLAVE G4 is a dynamic-air-removal (pre-vacuum) table-top steam sterilizer intended for use by a health care provider to sterilize medical products by means of pressurized steam. It is suitable for the sterilization of dental and medical instruments that are validated to be steam. The STATCLAVE G4 has not been designed to sterilize liquid loads, bio-medical waste or materials not compatible with steam sterilization. The processing of such loads may result in incomplete sterilization and / or damage to the autoclave.

Device Story

STATCLAVE G4 is a table-top dynamic-air-removal (pre-vacuum) steam sterilizer; used by healthcare providers in clinical settings to sterilize medical/dental instruments. Device utilizes pressurized steam to achieve sterilization; operates via pre-programmed cycles (Solid/Unwrapped, Solid/Wrapped, Hollow/Unwrapped, Hollow/Wrapped, Textiles/Porous Wrapped, Rubber & Plastic). User selects cycle based on load type; device executes sterilization parameters (temperature/exposure time/drying time). Output is sterilized instruments ready for clinical use. Benefits include effective pathogen reduction on reusable medical devices, supporting infection control workflows.

Clinical Evidence

No clinical data; bench testing only.

Technological Characteristics

Dynamic-air-removal (pre-vacuum) table-top steam sterilizer. Operates at 121°C or 132°C. Features multiple cycle programs for solid, hollow, textile, and rubber/plastic loads. Capacity up to 6.0 kg. Standalone unit.

Indications for Use

Indicated for healthcare providers to sterilize dental and medical instruments (solid, hollow, textiles, rubber, plastic) validated for steam sterilization. Not for liquid loads, bio-medical waste, or steam-incompatible materials.

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.

Submission Summary (Full Text)

{0}------------------------------------------------

Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health and Human Services logo on the left and the FDA logo on the right. The FDA logo features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

July 26, 2019

SciCan Ltd. Teresa Boyce Director of Regulatory Affairs 1440 Don Mills Road Toronto, M3B 3P9 Ca

Re: K190062

Trade/Device Name: STATCLAVE G4 Chamber Autoclave Regulation Number: 21 CFR 880.6880 Regulation Name: Steam Sterilizer Regulatory Class: Class II Product Code: FLE Dated: July 3, 2019 Received: July 5, 2019

Dear Teresa Boyce:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

{1}------------------------------------------------

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) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

For Elizabeth Claverie, M.S. Assistant Director for THT4B2 Acting Assistant Director for THT4B1 DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

{2}------------------------------------------------

## Indications for Use

510(k) Number (if known) K190062

Device Name STATCLAVE G4 CHAMBER AUTOCLAVE

## Indications for Use (Describe)

The STATCLAVE G4 is a dynamic-air-removal (pre-vacuum) table-top steam sterilizer intended for use by a health care provider to sterilize medical products by means of pressurized steam.

It is suitable for the sterilization of dental and medical instruments that are validated to be steam. The STATCLAVE G4 has not been designed to sterilize liquid loads, bio-medical waste or materials not compatible with steam sterilization. The processing of such loads may result in incomplete sterilization and / or damage to the autoclave.

Please refer to the table below for program description, cycle times, temperature and dry times.

| Type of Use (Select one or both, as applicable) | |
|---------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------|
| <span style="white-space: nowrap;"> <input type="checkbox"/> Prescription Use (Part 21 CFR 801 Subpart D) </span> | <span style="white-space: nowrap;"> <input checked="" type="checkbox"/> Over-The-Counter Use (21 CFR 801 Subpart C) </span> |

## 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 [e-mail]

"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."

{3}------------------------------------------------

| PROGRAM | LOAD DESCRIPTION | STERILIZATION TEMPERATURE / EXPOSURE TIME | MINIMUM DRYING TIME** | MAXIMUM LOAD |
|----------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------|----------------------------------------------------------------------------------------------------|---------------------|
| Solid/Unwrapped | IUSS CYCLE* for<br>unwrapped solid<br>instruments (mirrors,<br>explorers), hinged<br>instruments (hemostats) on<br>trays. | 132°C /270°F for 4<br>minutes | Not Applicable | 6.0 Kg /13.2<br>lbs |
| Solid/Wrapped | Wrapped IMS cassettes<br>with solid instruments, rigid<br>sterilization containers with<br>solid instruments or single-<br>pouched solid instruments<br>on a pouch rack. | 132°C /270°F for 4<br>minutes | 25 minutes (up to 6<br>kg /13.2 lbs of load)<br><br>15 minutes (up to 1.4<br>kg / 3 lbs of load**) | 6.0 Kg /13.2<br>lbs |
| Hollow/Unwrapped | IUSS CYCLE* for<br>unwrapped dental<br>handpieces on trays. | 132°C /270°F for 4<br>minutes | Not Applicable | 6.0 Kg /13.2<br>lbs |
| Hollow/Wrapped | Single-pouched dental<br>handpieces on a pouch<br>rack. | 132°C /270°F for 4<br>minutes | 25 minutes (up to 6<br>kg /13.2 lbs of load)<br><br>15 minutes (up to 1.4<br>kg / 3 lbs of load) | 6.0 Kg /13.2<br>lbs |
| Textiles/Porous<br>Wrapped | Textiles | 132°C /270°F for 4<br>minutes | 20 minutes | 2.0 Kg /4.4 lbs |
| Rubber & Plastic | IUSS CYCLE* for<br>unwrapped solid or hollow<br>instrument | 121 °C /250°F for 20<br>minutes | Not Applicable | 2.0 Kg /4.4 lbs |

*Immediate Use Steam Sterilization cycle.

* Immediate Use Steam Sterlization cycle.
** For optimal drying of these loads, SciCan recommends using only one pouch rack loaded on the second from top rail.