SYSTEM 1 endo Liquid Chemical Sterilant Processing System, Model P6900
K230582 · STERIS Corporation · MED · Mar 28, 2023 · General Hospital
Device Facts
Record ID
K230582
Device Name
SYSTEM 1 endo Liquid Chemical Sterilant Processing System, Model P6900
Applicant
STERIS Corporation
Product Code
MED · General Hospital
Decision Date
Mar 28, 2023
Decision
SESE
Submission Type
Special
Regulation
21 CFR 880.6885
Device Class
Class 2
Attributes
Therapeutic
Indications for Use
The SYSTEM 1 endo Liquid Chemical Sterilant Processing System is intended for liquid chemical sterilization of cleaned, immersible, and reusable sensitive medical devices and their accessories in healthcare facilities. The SYSTEM 1 endo Processor automatically dilutes the S40 Sterilant Concentrate to its use dilution (> 1820 mg/L peracetic acid), liquid chemically sterilizes the load during a controlled 6-minute exposure at 45.5 to 60°C and rinses the load with 0.2 micron filtered water. The SYSTEM 1 endo Processor uses only S40 Sterilant Concentrate to liquid chemically sterilize medical devices.
Device Story
Automated liquid chemical sterilization system for heat-sensitive medical devices; uses S40 Sterilant Concentrate (peracetic acid). Processor dilutes sterilant, maintains 45.5-60°C for 6-minute exposure, and performs two rinses with 0.2-micron filtered water. Used in healthcare facilities; operated by staff. Features interchangeable trays/containers and Quick Connects for internal channels. Microprocessor-controlled; includes barcode scanner, touchscreen, and USB for data management. Monitors critical parameters (time, temperature, concentration, filter integrity) and provides alarms/cycle printouts. Benefits include effective sterilization of heat-sensitive instruments while limiting user exposure to sterilant.
Clinical Evidence
No clinical data. Bench testing only. Performance verified via non-clinical testing of new control boards and software confirmation tests, ensuring proper cycle operation and alarm functionality.
Indicated for liquid chemical sterilization of cleaned, immersible, reusable semi-critical heat-sensitive medical devices and accessories in healthcare facilities.
Regulatory Classification
Identification
A liquid chemical sterilant/high level disinfectant is a germicide that is intended for use as the terminal step in processing critical and semicritical medical devices prior to patient use. Critical devices make contact with normally sterile tissue or body spaces during use. Semicritical devices make contact during use with mucous membranes or nonintact skin.
Special Controls
*Classification.* Class II (special controls). Guidance on the Content and Format of Premarket Notification (510(k)) Submissions for Liquid Chemical Sterilants/High Level Disinfectants, and user information and training.
Predicate Devices
SYSTEM 1 endo Liquid Chemical Sterilant Processing System, Model P6900 (K222615)
Submission Summary (Full Text)
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March 28, 2023
STERIS Corporation Jennifer Nalepka Manager, Regulatory Affairs 5960 Heisley Road Mentor, Ohio 44060
Re: K230582
Trade/Device Name: SYSTEM 1 endo Liquid Chemical Sterilant Processing System, Model P6900 Regulation Number: 21 CFR 880.6885 Regulation Name: Sterilant, Medical Devices, Liquid Chemical Sterilants/Disinfectants Regulatory Class: Class II Product Code: MED Dated: March 1, 2023 Received: March 2, 2023
Dear Jennifer Nalepka:
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
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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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
# Clarence W. Murray III -S
Clarence W. Murray III, Ph.D. Assistant Director 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
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#### Indications for Use
#### 510(k) Number (if known) K230582
Device Name
SYSTEM 1 endo Liquid Chemical Sterilant Processing System, Model P6900
Indications for Use (Describe)
The SYSTEM 1 endo Liquid Chemical Sterilant Processing System is intended for liquid chemical sterilization of cleaned, immersible, and reusable sensitive medical devices and their accessories in healthcare facilities.
The SYSTEM 1 endo Processor automatically dilutes the S40 Sterilant Concentrate to its use dilution (> 1820 mg/L peracetic acid), liquid chemically sterilizes the load during a controlled 6-minute exposure at 45.5 to 60°C and rinses the load with 0.2 micron filtered water.
The SYSTEM 1 endo Processor uses only S40 Sterilant Concentrate to liquid chemically sterilize medical devices.
| Type of Use (Select one or both, as applicable) |
|------------------------------------------------------------|
| <span></span> Prescription Use (Part 21 CFR 801 Subpart D) |
| <span></span> Over-The-Counter Use (21 CFR 801 Subpart C) |
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# 510(k) Summary For SYSTEM 1 endo Liquid Chemical Sterilant Processing System Model P6900
K230582
STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: (440) 354-2600
Contact:
Jennifer Nalepka Manager, Regulatory Affairs Phone: (440) 392-7458 Email: jennifer nalepka@steris.com
March 1, 2023 Summary Date:
STERIS Corporation ■ 5960 Heisley Road ■ Mentor, OH 44060-1834 USA ■ 440-354-2600
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#### 1. Device Name
| Trade Name: | SYSTEM 1 endo Liquid Chemical Sterilant Processing<br>System, Model P6900 |
|------------------------|---------------------------------------------------------------------------|
| Device Class: | Class II |
| Common/Usual Name: | Liquid Chemical Sterilizer |
| Classification Name: | Sterilant, Medical Devices, Liquid Chemical<br>Sterilants/Disinfectants |
| Classification Number: | 21 CFR 880.6885 |
| Product Code: | MED |
#### 2. Predicate Device
SYSTEM 1 endo Liquid Chemical Sterilant Processing System, Model P6900, K222615
#### 3. Description of Device
The SYSTEM 1 endo Liquid Chemical Sterilant Processing System, Model P6900 (S1 endo) is a liquid chemical sterilization system, utilizing peracetic acid to process totally immersible semi-critical heat-sensitive medical devices and their accessories. The system consists of the SYSTEM 1 endo Processor and S40 Sterilant concentrate, interchangeable Processing Trays/Containers, and Quick Connects.
The S1 endo Processor is an automated, self-contained device that uses S40 Sterilant Concentrate to create and maintain the conditions necessary for liquid chemical sterilization in 6 minutes. After LCS processing, the liquid chemically sterilized articles are rinsed with 0.2 micron filtered potable water and are ready for use or may be prepared for storage.
The S1 endo Processor uses only S40 Sterilant Concentrate. Upon loading the single-use cup, the active ingredient in S40, peracetic acid, is combined with inert ingredients (builders) to form a use dilution which inhibits corrosion of metals, polymers and other materials.
The interchangeable processing trays/containers are made to accommodate a variety of semi-critical instrument types and models. Each container is designed to maintain instruments in position while specific S1 endo Quick Connects, if required, facilitate delivery of the sterilant use-solution and rinse water to internal channels. Tables 1 and 2 compare the proposed and predicate devices.
#### 4. Indications for Use
The SYSTEM 1 endo Liquid Chemical Sterilant Processing System is intended for liquid chemical sterilization of cleaned, immersible, and reusable semi-critical heat-sensitive medical devices and their accessories in healthcare facilities.
The SYSTEM 1 endo Processor automatically dilutes the S40 Sterilant Concentrate to its use dilution (> 1820 mg/L peracetic acid), liquid chemically sterilizes the load during a controlled 6-minute exposure at 45.5 to 60°C and rinses the load with 0.2 micron filtered water.
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The SYSTEM 1 endo Processor uses only S40 Sterilant Concentrate to liquid chemically sterilize medical devices.
## 5. Technical Characteristic Comparison Table
The S1 endo is the same as the predicate device with the exception of the proposed modification. A comparison between the proposed and predicate devices can be found in Table 1 and Table 2 below.
| Feature | Proposed Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900 | Predicate Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900<br>(K222615) | Comparison |
|------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| Intended<br>Use<br>Indications<br>for Use | The SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System is intended for liquid<br>chemical sterilization of cleaned,<br>immersible, and reusable semi-<br>critical heat-sensitive medical<br>devices and their accessories in<br>healthcare facilities.<br>The SYSTEM 1 endo Processor<br>automatically dilutes the S40<br>Sterilant Concentrate to its use<br>dilution (> 1820 mg/L peracetic<br>acid), liquid chemically sterilizes<br>the load during a controlled 6-<br>minute exposure at 45.5 to 60°C,<br>and rinses the load with 0.2<br>micron filtered water.<br>The SYSTEM 1 endo Processor<br>uses only S40 Sterilant<br>Concentrate to liquid chemically<br>sterilize medical devices. | The SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System is intended for liquid<br>chemical sterilization of cleaned,<br>immersible, and reusable semi-<br>critical heat-sensitive medical<br>devices and their accessories in<br>healthcare facilities.<br>The SYSTEM 1 endo Processor<br>automatically dilutes the S40<br>Sterilant Concentrate to its use<br>dilution (> 1820 mg/L peracetic<br>acid), liquid chemically sterilizes<br>the load during a controlled 6-<br>minute exposure at 45.5 to 60°C,<br>and rinses the load with 0.2<br>micron filtered water.<br>The SYSTEM 1 endo Processor<br>uses only S40 Sterilant<br>Concentrate to liquid chemically<br>sterilize medical devices. | Identical |
| Operating<br>Principles<br>/<br>Technology | A microprocessor controlled unit with interchangeable processing trays/containers. The processor lid opens to reveal the processing chamber in which the load is placed. Devices with internal lumens are interfaced with the processor using connectors, i.e. Quick Connects | A microprocessor controlled unit with interchangeable processing trays/containers. The processor lid opens to reveal the processing chamber in which the load is placed. Devices with internal lumens are interfaced with the processor using connectors, i.e. Quick Connects. | Identical |
| Feature | Proposed Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900 | Predicate Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900<br>(K222615) | Comparison |
| | S40 Sterilant is placed in a specialized compartment and when the processor fills with water, it creates the sterilant use dilution from the single use sterilant cup. The processor monitors and controls the use dilution temperature and contact time. The processor automatically rinses the load with 0.2 micron filtered water to remove sterilant residuals. | S40 Sterilant is placed in a specialized compartment and when the processor fills with water, it creates the sterilant use dilution from the single use sterilant cup. The processor monitors and controls the use dilution temperature and contact time. The processor automatically rinses the load with 0.2 micron filtered water to remove sterilant residuals. | |
| Process<br>Parameters | Standardized cycle parameters cannot be altered by operator. The critical process parameters are: Use dilution contact time Use dilution temperature Peracetic acid concentration Integrity of the internal water filter (tested by the system) | Standardized cycle parameters cannot be altered by operator. The critical process parameters are: Use dilution contact time Use dilution temperature Peracetic acid concentration Integrity of the internal water filter (tested by the system) | Identical |
| Process<br>Monitors: | Cycle Printout documents successful cycle completion or identifies fault if cycle aborts Alarms if thermocouples indicate temperature out of specification Alarms if pressure switch indicates that high pressure pump is not operating Alarms if conductivity probe indicated conductivity specification not met Alarms if pressure transducer indicates circulation pressure is out of specification in Diagnostic cycle Alarms if pressure transducer indicates internal water filter failed integrity test | Cycle Printout documents successful cycle completion or identifies fault if cycle aborts Alarms if thermocouples indicate temperature out of specification Alarms if pressure switch indicates that high pressure pump is not operating Alarms if conductivity probe indicated conductivity specification not met Alarms if pressure transducer indicates circulation pressure is out of specification in Diagnostic cycle Alarms if pressure transducer indicates internal water filter failed integrity test | Identical |
| Design<br>Features | Microprocessor controlled unalterable and standardized | Microprocessor controlled unalterable and standardized | Identical |
| Feature | Proposed Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900 | Predicate Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900<br>(K222615) | Comparison |
| | liquid chemical sterilization<br>and Diagnostic cycles Intended for use only with<br>S40 Sterilant Concentrate Automated dilution and<br>delivery of S40 Sterilant Processor provides 0.2 micron<br>filtered water for liquid<br>chemical sterilization and<br>rinsing Make-up air for processor<br>during drain sequences is<br>filtered through a 0.2 micron<br>membrane air filter Includes a barcode scanner;<br>employs touchscreen display<br>interface; has USB drive for<br>electronic cycle download;<br>facilitates use of a web-based<br>data management system. Separate, optional printer | liquid chemical sterilization<br>and Diagnostic cycles Intended for use only with<br>S40 Sterilant Concentrate Automated dilution and<br>delivery of S40 Sterilant Processor provides 0.2 micron<br>filtered water for liquid<br>chemical sterilization and<br>rinsing Make-up air for processor<br>during drain sequences is<br>filtered through a 0.2 micron<br>membrane air filter Includes a barcode scanner;<br>employs touchscreen display<br>interface; has USB drive for<br>electronic cycle download;<br>facilitates use of a web-based<br>data management system. Separate, optional printer | |
| Cycle Parameters | | | |
| Incoming<br>water temp. | $\geq 43°C$ | $\geq 43°C$ | Identical |
| Temperature<br>to start<br>sterilant<br>exposure | $\geq 46°C$ | $\geq 46°C$ | Identical |
| Temperature<br>alarm point<br>during LCS<br>exposure | $< 45.5$ or $> 60°C$ | $< 45.5$ or $> 60°C$ | Identical |
| Temperature<br>range of<br>typical LCS<br>cycle | 46 - 55°C | 46 - 55°C | Identical |
| Exposure<br>Time - S40<br>use dilution | 6 minutes | 6 minutes | Identical |
| Rinse water<br>preparation | Hot potable tap water is pre-filtered is filtered through 0.2 micron<br>bacterial retentive membrane<br>filter | Hot potable tap water is pre-filtered is filtered through 0.2 micron<br>bacterial retentive membrane<br>filter | Identical |
| Feature | Proposed Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900 | Predicate Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900<br>(K222615) | Comparison |
| Number of<br>rinses | 2 | 2 | Identical |
| Air Purge | Aids in removing excess water<br>from instrument lumens after<br>rinsing | Aids in removing excess water<br>from instrument lumens after<br>rinsing | Identical |
| Internal<br>Water Filter<br>Integrity Test | Conducted during the Diagnostic<br>cycle | Conducted during the Diagnostic<br>cycle | Identical |
| Approximate<br>Cycle Time | 18 - 20 minutes | 18 - 20 minutes | Identical |
| Diagnostic<br>Cycle | Performs 14 tests on processor's<br>systems confirming proper<br>function. Recommended to<br>perform each day of use. After a<br>failed Diagnostic cycle, a liquid<br>chemical sterilization cycle<br>cannot be performed until the<br>problem is rectified and a<br>successful Diagnostic cycle has<br>been completed. | Performs 14 tests on processor's<br>systems confirming proper<br>function. Recommended to<br>perform each day of use. After a<br>failed Diagnostic cycle, a liquid<br>chemical sterilization cycle<br>cannot be performed until the<br>problem is rectified and a<br>successful Diagnostic cycle has<br>been completed. | Identical |
| Accessories | | | |
| Sterilant | Uses S40 Sterilant Concentrate | Uses S40 Sterilant Concentrate | Identical |
| Processing<br>Trays and<br>Containers | Uses interchangeable processing<br>trays/containers<br>• Universal Flex Processing Tray<br>• General Processing Container<br>& Tray<br>• Directed Flow Processing<br>Container & Tray<br>• Flexible Endoscope Processing<br>Container & Tray<br>• Ultrasound Processing Tray | Uses interchangeable processing<br>trays/containers<br>• Universal Flex Processing Tray<br>• General Processing Container<br>& Tray<br>• Directed Flow Processing<br>Container & Tray<br>• Flexible Endoscope Processing<br>Container & Tray<br>• Ultrasound Processing Tray | Identical |
| Quick<br>Connects | Uses Quick Connects to attach<br>instrument lumens to the<br>Tray/Container ports | Uses Quick Connects to attach<br>instrument lumens to the<br>Tray/Container ports | Identical |
| Chemical<br>Indicator | VERIFY Chemical Indicator for<br>S40 Sterilant is available for use<br>in SYSTEM 1 endo LCSPS | VERIFY Chemical Indicator for<br>S40 Sterilant is available for use<br>in SYSTEM 1 endo LCSPS | Identical |
| Spore Test<br>Strip | VERIFY Spore Test Strip for S40<br>Sterilant for use in SYSTEM 1<br>endo LCSPS | VERIFY Spore Test Strip for S40<br>Sterilant for use in SYSTEM 1<br>endo LCSPS | Identical |
| Feature | Proposed Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900 | Predicate Device<br>SYSTEM 1 endo Liquid<br>Chemical Sterilant Processing<br>System, Model P6900<br>(K222615) | Comparison |
| Operator<br>Maintenance | Periodic replacement of water<br>filters and air filter.<br>Periodic replacement of printer<br>tape, if using the external printer<br>option. | Periodic replacement of water<br>filters and air filter.<br>Periodic replacement of printer<br>tape, if using the external printer<br>option. | Identical |
Table 1. Processor Comparison Table.
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| Table 2. S40 Sterilant Concentrate Comparison Table | | |
|-----------------------------------------------------|--|--|
| | | |
| Feature | Proposed Device<br>S40 Sterilant Concentrate | Predicate Device<br>S40 Sterilant Concentrate<br>(K222615) | Comparison |
|-------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| Indications for<br>Use | The SYSTEM 1E Processor<br>uses only S40 Sterilant<br>Concentrate to liquid chemically<br>sterilize medical devices. | The SYSTEM 1E Processor<br>uses only S40 Sterilant<br>Concentrate to liquid chemically<br>sterilize medical devices. | Identical |
| Germicidal<br>claim | Liquid Chemical Sterilant | Liquid Chemical Sterilant | Identical |
| Germicide<br>Exposure<br>Time (min) for<br>intended use | 6 | 6 | Identical |
| Use<br>Temperature | 45.5-60°C – allowable<br>46-55°C - typical<br>Potency and simulated use<br>evaluations conducted at <43°C | 45.5-60°C – allowable<br>46-55°C - typical<br>Potency and simulated use<br>evaluations conducted at <43°C | Identical |
| Reuse | Single use | Single use | Identical |
| Human<br>Factors | Dispensed ready to use.<br>Container is opened and diluted<br>by the processor, thus limiting<br>user exposure to the active<br>ingredient | Dispensed ready to use<br>Container is opened and diluted<br>by the processor, thus limiting<br>user exposure to the active<br>ingredient | Identical |
| Active<br>Ingredient | 35% peroxyacetic (peracetic)<br>acid automatically diluted for<br>use in the SYSTEM 1E<br>Processor. | 35% peroxyacetic (peracetic)<br>acid automatically diluted for<br>use in the SYSTEM 1E<br>Processor. | Identical |
| Mode of<br>Action | It is believed that peracetic acid<br>exerts its germicidal effect by<br>several mechanisms:<br>-oxidizing sulfhydryl and sulfur<br>bonds in proteins and enzymes,<br>particularly in the cell walls 1<br>-hydroxyl radicals produced<br>from PAA are bactericidal 2 | It is believed that peracetic acid<br>exerts its germicidal effect by<br>several mechanisms:<br>-oxidizing sulfhydryl and sulfur<br>bonds in proteins and enzymes,<br>particularly in the cell walls1<br>-hydroxyl radicals produced from<br>PAA are bactericidal2 | Identical |
| Feature | Proposed Device<br>S40 Sterilant Concentrate | Predicate Device<br>S40 Sterilant Concentrate<br>(K222615) | Comparison |
| Rinses | -PAA damages the viral capsid<br>and viral nucleic acid3,4. | -PAA damages the viral capsid<br>and viral nucleic acid3,4 | Identical |
| | Automatic, UV-irradiated, dual<br>0.1 micron filtered, potable hot<br>water. | Automatic, UV-irradiated, dual<br>0.1 micron filtered, potable hot<br>water. | |
| Microbial Efficacy | | | |
| Sporicidal<br>Activity of<br>Disinfectants<br>AOAC<br>Official<br>Method 966.04 | Meets efficacy requirements5.<br>Bacillus subtilis<br>Clostridium sporogenes<br>Testing conducted in vitro | Meets efficacy requirements5.<br>Bacillus subtilis<br>Clostridium sporogenes<br>Testing conducted in vitro | Identical |
| Confirmatory<br>Sporicidal<br>Activity of<br>Disinfectants<br>AOAC<br>Official<br>Method 966.04 | Meets efficacy requirements6.<br>Bacillus subtilis<br>Clostridium sporogenes<br>Testing conducted in vitro | Meets efficacy requirements6.<br>Bacillus subtilis<br>Clostridium sporogenes<br>Testing conducted in vitro | Identical |
| Fungicidal<br>Activity of<br>Disinfectants<br>AOAC<br>Official<br>Method 955.17 | Solution is fungicidal.<br>Trichophyton mentagrophytes<br>Testing conducted in vitro | Solution is fungicidal.<br>Trichophyton mentagrophytes<br>Testing conducted in vitro | Identical |
| Use Dilution<br>Method<br>AOAC,<br>Official<br>Methods<br>955.14, 955.15,<br>964.02 | Solution is bactericidal.<br>Salmonella choleraesuis<br>Staphylococcus aureus<br>Pseudomonas aeruginosa<br>Testing conducted in vitro | Solution is bactericidal.<br>Salmonella choleraesuis<br>Staphylococcus aureus<br>Pseudomonas aeruginosa<br> | Identical |
| EPA Viricidal<br>Testing<br>(DIS/TSS-7,<br>Nov. 1981) | Solution is viricidal.<br>Herpes simplex Type 1<br>Adenovirus Type 5<br>Poliovirus Type 1<br>Testing conducted in vitro | Solution is viricidal.<br>Herpes simplex Type 1<br>Adenovirus Type 5<br>Poliovirus Type 1<br>Testing conducted in vitro | Identical |
| Tuberculocidal<br>Activity<br>Ascenzi<br>Quantitative<br>Suspension<br>Test | Solution is tuberculocidal<br>Mycobacterium terrae<br>Testing conducted in vitro | Solution is tuberculocidal<br>Mycobacterium terrae<br>Testing conducted in vitro | Identical |
| Feature | Proposed Device<br>S40 Sterilant Concentrate | Predicate Device<br>S40 Sterilant Concentrate<br>(K222615) | Comparison |
| Simulated-Use<br>Test | Meets efficacy requirement.<br>$\geq$ 6 log reduction Geobacillus<br>stearothermophilus spores in a<br>manual application | Meets efficacy requirement.<br>$\geq$ 6 log reduction Geobacillus<br>stearothermophilus spores in a<br>manual application | Identical |
| Clinical In-<br>Use | No surviving microorganisms<br>on representative medical<br>devices tested | No surviving microorganisms on<br>representative medical devices<br>tested | Identical |
| Biocompatibility | | | |
| Cytotoxicity<br>Device Extracts | Two rinses with UV treated,<br>dual 0.1-micron membrane<br>filtered water effectively reduce<br>sterilant residues to safe levels. | Two rinses with UV treated, dual<br>0.1-micron membrane filtered<br>water effectively reduce sterilant<br>residues to safe levels. | Identical |
| Residue<br>Reduction | Automatic within the SYSTEM<br>1E Processor:<br>Two rinses with UV treated,<br>dual 0.1-micron membrane<br>filtered water effectively reduce<br>sterilant residues to safe levels. | Automatic within the SYSTEM<br>1E Processor:<br>Two rinses with UV treated, dual<br>0.1-micron membrane filtered<br>water effectively reduce sterilant<br>residues to safe levels. | Identical |
| Device<br>Material<br>Compatibility | Compatible with medical<br>devices as established by<br>testing finished flexible<br>endoscopes through 300 cycles<br>and rigid devices through 150<br>cycles.<br>No functional changes have<br>occurred to flexible devices.<br>Some materials show cosmetic<br>changes such as fading of black<br>anodized aluminum without<br>harm to the base material. | Compatible with medical<br>devices as established by testing<br>finished flexible endoscopes<br>through 300 cycles and rigid<br>devices through 150 cycles.<br>No functional changes have<br>occurred to flexible devices.<br>Some materials show cosmetic<br>changes such as fading of black<br>anodized aluminum without<br>harm to the base material. | Identical |
1 Block, S. ed., Disinfection, Sterilization, and Preservation. 5th edition, 2001.
2 Clapp et al., Free Rad. Res., (1994) 21:147-167.
² Clapp et al., Free Rad. Res., (1994) 21:147-167.
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³ Maillard et. al., J. Med. Mi…
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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.