PRO-LITE Sterilization Tray

K231501 · STERIS Corporation · KCT · Aug 7, 2023 · General Hospital

Device Facts

• Record ID: K231501
• Device Name: PRO-LITE Sterilization Tray
• Applicant: STERIS Corporation
• Product Code: KCT · General Hospital
• Decision Date: Aug 7, 2023
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 880.6850
• Device Class: Class 2

Intended Use

The PRO-LITE Sterilization Trays are used to contain medical devices for sterilization in the following Cycles: Lumen, Non Lumen, Flexible, Fast Non Lumen, Fast and Specialty Cycles of the V-PRO Low Temperature Sterilization Systems; Default Cycle of the STERRAD 100S Sterilizer; Standard and Advanced Cycles of the STERRAD NX and NX with ALLClear Technology Sterilizers; Standard, Flex Scope, Express and DUO Cycles of the STERRAD 100NX and 100NX with ALLClear Technology Sterilizers. Prior to placing in the Sterilizer, the trays must either be: wrapped with a legally marketed sterilization wrap for use in the Sterilizers listed above or placed inside a legally marketed pouch for enclosing trays in the Sterilizers listed above. The PRO-LITE Sterilization Trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated, FDA-cleared sterilization wrap or pouch in order to maintain sterility of the enclosed medical instruments.

Device Story

PRO-LITE Sterilization Trays contain medical devices during low-temperature sterilization; used in V-PRO and STERRAD systems. Trays consist of mineral-filled polypropylene base and lid with clamping mechanisms; numerous holes allow sterilant penetration. Optional silicone instrument organizers and diamond-grid mats stabilize instruments. Trays require external FDA-cleared sterilization wrap or pouch to maintain sterility post-process. Device used in clinical settings; operated by healthcare staff. Output is a sterilized tray load; facilitates safe instrument handling and sterilization. Benefits include protection of delicate instruments and validated sterilization compatibility for specific lumen/non-lumen configurations.

Clinical Evidence

Bench testing only. Validation studies confirmed effective sterilant penetration under half-cycle conditions for the V-PRO maX 2 Specialty Cycle using validation loads of 3D-printed materials (5 lbs) and instrument trays (11 lbs).

Technological Characteristics

Materials: Mineral-filled polypropylene (tray), medical-grade silicone USP Class VI (organizers/mats). Design: Cassette-style with base/lid clamping and vent holes. Vent-to-volume ratio: 0.135 in-1. No software or electronic components.

Indications for Use

Indicated for containing medical devices, including rigid/semi-rigid/flexible endoscopes, surgical guides, and anatomical models, during sterilization in specified V-PRO and STERRAD low-temperature sterilization cycles. Patient population includes those undergoing procedures requiring sterilized instruments; no specific age/gender contraindications listed.

Regulatory Classification

Identification

A sterilization wrap (pack, sterilization wrapper, bag, or accessories, is a device intended to be used to enclose another medical device that is to be sterilized by a health care provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.

Predicate Devices

• PRO-LITE Sterilization Tray (K222440)

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 in blue, with the words "U.S. FOOD & DRUG" stacked on top of the word "ADMINISTRATION".

August 7, 2023

STERIS Corporation Jennifer Nalepka Manager, Regulatory Affairs 5960 Heisley Road Mentor, Ohio 44060

Re: K231501

Trade/Device Name: PRO-LITE Sterilization Tray Regulation Number: 21 CFR 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: Class II Product Code: KCT Dated: May 22, 2023 Received: May 24, 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 requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

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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 (QS) 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 medical devices and radiation-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).

Sincerelv.

## Christopher K. Dugard -S

for 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) K231501

Device Name PRO-LITE Sterilization Trays

Indications for Use (Describe)

- The PRO-LITE Sterilization Trays are used to contain medical devices for sterilization in the following Cycles:
- · Lumen, Non Lumen, Flexible, Fast Non Lumen, Fast, and Specialty Cycles of the V-PRO Low Temperature Sterilization Systems
- · Default Cycle of the STERRAD®* 100S Sterilizer
- · Standard and Advanced Cycles of the STERRAD NX and NX with ALLClear Technology Sterilizers
- · Standard, Flex Scope, Express and DUO Cycles of the STERRAD 100NX with ALLClear Technology Sterilizers

*STERRAD and ALLClear are trademarks of Advanced Sterilization Products

Prior to placing in the Sterilizer, the trays must either be:

- · wrapped with a legally marketed sterilization wrap for use in the Sterilizers listed above or
- · placed inside a legally marketed pouch for enclosing trays in the Sterilizers listed above

The PRO-LITE Sterilization Trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated, FDA-cleared sterilization wrap or pouch in order to maintain sterility of the enclosed medical instruments.

Intended Sterilization Cycles and Intended Tray Loads for Tray Models: VP0045, VP0047, VP0048, VP0049, VP0050, VP0051, VP0052

#### V-PRO 60 and s2 Lumen Cycle:

- · Non-lumened devices with diffusion-restricted spaces such as the hinged portion of forceps and scissors
- · Non-lumened devices including non-lumened rigid and semi-rigid endoscopes
- · Medical devices, including single, dual and triple channeled rigid endoscopes with the following configurations:
- · Single or dual channeled devices with stainless steel lumens that are:
- · ≥ 0.77 mm ID and < 410 mm in length
- · ≥ 1.8 mm ID x ≤ 542 mm in length
- · Triple channeled devices with stainless steel lumens that are either:
- · ≥ 1.2 mm ID and ≤ 275 mm in length
- · ≥ 1.8 mm ID and ≤ 310 mm in length

- · ≥ 2.8 mm ID and ≤ 317 mm in length
V-PRO 60 and s2 Non Lumen Cycle:

Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with diffusion-restricted spaces such as the hinged portion of forceps and scissors.

V-PRO 60 and s2 Flexible Cycle:

Load 1: One flexible surgical endoscope with a light cord (if not integral to endoscope) and mat without any additional load. The flexible endoscope may be a:

· Single or dual lumen device with lumens that are ≥ 1 mm ID and ≤ 990 mm in length

or

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Load 2: Non-lumened devices including non-lumened rigid, and flexible endoscopes and non-lumened devices with diffusion-restricted areas such as the hinged portion of forceps or scissors. Medical devices, including rigid and semi-rigid endoscopes with the following configurations:

- ≥ 0.76 mm ID and ≤ 233 mm in length
- > 1.0 mm ID and ≤ 254 mm in length
- · ≥ 1.8 mm ID and ≤ 542 mm in length

Intended Sterilization Cycles and Intended Tray Loads for Tray Models: VP0045, VP0047, VP0049, VP0049

#### V-PRO s2 Fast Cycle:

• Nor-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes, and non-lumened devices with diffusion-restricted areas such as the hinged portion of forceps and scissors.

• Medical devices, including single, dual and triple channeled rigid endoscopes, with the following configurations:

- · Single or dual channeled devices with stainless steel lumens
- · > 0.77 mm ID and ≤ 410 mm in length
- ≥ 1.8 mm ID and ≤ 542 mm in length
- · Triple channeled devices with stainless steel lumens
- · > 1.2 mm ID and ≤ 275 mm in length
- ≥ 1.8 mm ID and ≤ 310 mm in length

or

- · ≥ 2.8 mm ID and ≤ 317 mm in length
Intended Sterilization Cycles and Intended Tray Loads for Tray Models: VP0045, VP0047, VP0048, VP0049, VP0050, VP0051, VP0052, VP0053

V-PRO 1, 1 Plus, maX, and maX 2 Lumen Cycle:

- Non-lumened instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors
· Medical devices, including single, dual or triple channeled stainless steel lumens that are:

- · > 0.77 mm ID and < 527 mm in length
- · ≥ 0.8 mm ID and ≤ 542 mm in length
- · ≥ 0.48 mm ID and ≤ 100 mm in length
- Medical devices with dead end stainless steel lumens that are ≥ 1.3 mm ID and ≤ 73 mm in length
- · Instruments with rigid non-metallic lumens (such as those used in endoscope sheaths, take-apart forceps and trocars) that are:
- · ≥ 3 mm ID and ≤ 298 mm in length
- · > 4 mm ID and < 424 mm in length

V-PRO 1 Plus, maX, and maX 2 Non Lumen Cycle:

Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with diffusion-restricted spaces such as the hinged portion of forceps and scissors

#### V-PRO maX, and maX 2 Flexible Cycle:

Load 1: Single or dual lumen surgical flexible endoscopes (such as those used in ENT, Urology and Surgical Care) and bronchoscopes with a light cord (if not integral to endoscope) and mat with no additional load. The flexible endoscopes may contain either a single or dual lumen that is ≥ 1 mm ID and ≤ 1050 mm in length

Load 2:

• Nor-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with diffusion-restricted spaces such as the hinged portion of forceps and scissors

· Single, dual or triple channel stainless steel lumens that are ≥ 0.48 mm ID and ≤ 100 mm in length

Intended Sterilization Cycles and Intended Tray Loads for Tray Models: VP0045, VP0047, VP0048, VP0049, VP0050

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V-PRO maX 2 Fast Non Lumen Cycle:

Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with diffusion-restricted spaces such as the hinged portion of forceps and scissors.

V-PRO maX 2 Specialty Cycle:

Patient-specific surgical guides (eg. osteotomy, shoulder, hip, knee, spine) or anatomical models fabricated via additive manufacturing (3D printing) processes and intended for single-use during operative procedures .* or

Non-lumened instruments including non-luments, non-luments, non-lumened rigid, semi-rigid and flexible endoscopes. **

*The validation studies were conducted using a validation load consisting of pouched guide(s) (with or without tray) for a total weight of 5 lbs (2.3 kg) 3D printed material.

** The validation studies were conducted using a validation load consisting of one pouched intrument try or one pouch with guide(s)/model(s) (with or without tray) for a total weight of 11 lbs (5kg).

| Material | Manufacturer | Specialty Cycle | Lumens |
|--------------------------------|--------------|-----------------|-------------------------|
| Surgical Guide Resin | Formlabs | F | ≥ 3 mm ID and ≤ 30 mm L |
| Biomed Amber Resin | Formlabs | F | ≥ 3 mm ID and ≤ 30 mm L |
| Dental LT Clear V2 Resin | Formlabs | D | ≥ 3 mm ID and ≤ 30 mm L |
| Biomed Clear Resin | Formlabs | D | ≥ 3 mm ID and ≤ 30 mm L |
| Biocompatible Clear MED610 | Stratasys | E | ≥ 3 mm ID and ≤ 20 mm L |
| Biocompatible Opaque Med615RGD | Stratasys | E | ≥ 3 mm ID and ≤ 20 mm L |
| Veroglaze MED620 | Stratasys | E | ≥ 3 mm ID and ≤ 20 mm L |

Intended Sterilization Cycles and Intended Tray Loads for Tray Models: VP0045, VP0047, VP0048, VP0048, VP0048, VP0050, VP0051, VP0052

#### STERRAD 100S Default Cycle:

Metal and nonmetal medical devices including instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors.

Metal and nonmetal lumened instruments with

· > 6 mm ID and ≤ 310 mm in length

Medical devices with a single stainless steel lumen with:

- ≥ 1 mm ID and ≤ 125 mm in length
- · ≥ 2 mm ID and ≤ 250 mm in length

· ≥ 3 mm ID and ≤ 400 mm in length

Intended Sterilization Cycles and Intended Tray Loads for Tray Models: VP0045, VP0048, VP0049

#### STERRAD NX and NX with ALLClear Technology Standard Cycle:

Metal and nonmetal medical devices including instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors.

Medical devices with a single stainless steel lumen with:

· ≥ 1 mm ID and ≤ 150 mm in length

· > 2 mm ID and < 400 mm in length

#### STERRAD NX and NX with ALLClear Technology Advanced Cycle:

Metal and non-metal medical devices including instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors

Medical devices with:

· a single stainless steel lumen with:

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· ≥ 1 mm ID and ≤ 500 mm in length

· single channel polyethylene and Teflon (polytetrafluoroethylene)

- · ≥ 1mm ID and ≤ 850 mm in length
Intended Sterilization Cycles and Intended Tray Loads for Tray Models: VP0045, VP0047, VP0048, VP0048, VP0048, VP0049, VP0051, VP0052, VP0053

STERRAD 100NX and 100NX with ALLClear Technology Standard Cycle:

Metal and nonmetal medical devices including instruments with have diffusion-restricted spaces, such as the hinged portion of forceps and scissors.

Medical devices with a single stainless steel lumen with:

· > 0.7 mm ID and ≤ 500 mm in length

STERRAD 100NX and 100NX with ALLClear Technology Flex Scope Cycle:

Metal and nonmetal medical devices including instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors.

Medical devices, including most flexible endoscopes, with:

· Single channel polyethylene and Teflon (polytetrafluoroethylene)

- · > 1mm ID and ≤ 850 mm in length
STERRAD 100NX and 100NX with ALLClear Technology Express Cycle:

D I LIGHTS and roometal devices and instruments which have diffusion-restricted spaces, such as the hinged portion of forceps and scissors.

STERRAD 100NX and 100NX with ALLClear Technology Duo Cycle:

Medical devices including:

- · most flexible endoscopes with a single channel of polyethylene and Teflon (polytetrafluoroethylene) with ≥ 1 mm ID and < 875 mm in length
- · accessory devices that are normally connected to a flexible endoscope during use
- · flexible endoscopes without lumens

Instrument organizers are optional accessories intended to stabilize cylindrical instruments within the Sterilization Trays.

| Model | Description |
|--------|----------------------|
| VP0054 | Blank, Tall |
| VP0055 | Blank, Short |
| VP0063 | 3 mm - 7 mm, Tall |
| VP0064 | 7 mm - 11 mm, Tall |
| VP0065 | 11 mm - 15 mm, Tall |
| VP0066 | 15 mm - 19 mm, Tall |
| VP0067 | 3 mm - 7 mm, Short |
| VP0068 | 7 mm - 11 mm, Short |
| VP0069 | 11 mm - 15 mm, Short |
| VP0070 | 15 mm - 19 mm, Short |

Sterilization mats are optional accessories intended to cushion and stabilize instruments within the Sterilization Trays.

| Model | Description (to fit Length" x Width" Tray) |
|--------|--------------------------------------------|
| VP0071 | 13 x 4.5 |
| VP0072 | 19 x 4.5 |
| VP0073 | 25 x 4.5 |
| VP0074 | 13 x 7.75 |
| VP0075 | 19 x 7.75 |
| VP0076 | 27 x 7.75 |

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| VP0077 | 12 x 11.75 |
|--------|------------|
| VP0078 | 25 x 11.75 |
| VP0079 | 25 x 14 |

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)

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# STERIS®

## 510(k) Summary For K231501 PRO-LITE™ Sterilization Tray

#### Sponsor Facility

STERIS Corporation 5960 Heisley Road Mentor, OH 44060 Phone: [phone] Fax No: [phone]

Jennifer Nalepka Contact: Manager, Regulatory Affairs

Telephone: [phone] e-mail: jennifer nalepka(@steris.com

August 3, 2023 Submission Date:

STERIS Corporation ■ 5960 Heisley Road ■ Mentor, OH 44060-1834 USA ■ 440-354-2600

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#### 1. Device Name

| Trade Name: | PRO-LITE Sterilization Tray |
|----------------------|------------------------------------------------------|
| Common/usual Name: | Sterilization Trays, cassettes and other accessories |
| Classification Name: | Sterilization Wrap |
| Classification: | 21 CFR 880.6850 |
| Class: | II |
| Product Code: | KCT |

#### 2. Predicate Device

PRO-LITE Sterilization Tray, K222440

#### 3. Description of Device

The PRO-LITE Sterilization Trays contain medical devices for sterilization in the V-PRO Low Temperature Sterilization Systems:

- V-PRO 1 Low Temperature Sterilization System,
- V-PRO 1 Plus Low Temperature Sterilization System, ●
- V-PRO maX Low Temperature Sterilization System, ●
- V-PRO maX 2 Low Temperature Sterilization System ●
- V-PRO 60 Low Temperature Sterilization System and ●
- V-PRO s2 Low Temperature Sterilization System ●

and the following STERRAD Sterilizers and cycles:

- STERRAD 100S Sterilizer Default Cycle ●
- STERRAD NX with and without ALLClear Technology Sterilizer Standard ● and Advanced Cycles
- STERRAD 100NX with and without ALLClear Technology Sterilizer ● Standard, Flex Scope, Express and Duo Cycles

The trays are available in various sizes, outlined in Table 5-1, to accommodate the loads to be processed. The proposed trays are identical in design to the predicate Sterilization Tray (K222440) and are composed of a base and a lid. The lid includes clamping mechanisms designed to secure the lid onto the base. There are numerous holes in the base and lid for sterilant penetration. The tray is categorized as a cassette and requires complete enclosure in a legally-marketed sterilization wrap or pouch to maintain sterility of the enclosed devices. Both the base and the lid for the proposed tray are made of a mineral-filled polypropylene material.

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| Model | Description (in) | Model | Description (in) |
|--------|------------------|--------|------------------|
| VP0045 | 13 x 4.5 x 2.25 | VP0050 | 27 x 7.75 x 4 |
| VP0046 | 19 x 4.5 x 2.25 | VP0051 | 12 x 11.75 x 4 |
| VP0047 | 25 x 4.5 x 2.25 | VP0052 | 25 x 11.75 x 4 |
| VP0048 | 13 x 7.75 x 2.25 | VP0053 | 25 x 14 x 5 |
| VP0049 | 19 x 7.75 x 2.25 | | |

| Table 5-1. External Dimensions of Tray Line |
|---------------------------------------------|
|---------------------------------------------|

Optional instrument organizers are provided as accessories to the trays and allow stabilization of various cylindrical medical devices during processing. Table 5-2 lists the organizer sizes. The organizers are either "blank" and are used to partition the tray or have a device holding portion into which the devices are inserted. At the organizer base is a flapped groove that is used to position the organizer within a PRO-LITE Sterilization Tray.

Table 5.2. Instrument Organizer Model Numbers

| Model | Description | Model | Description |
|--------|---------------------|--------|----------------------|
| VP0054 | Blank, Tall | VP0055 | Blank, Short |
| VP0063 | 3 mm - 7mm, Tall | VP0067 | 3 mm - 7 mm, Short |
| VP0064 | 7 mm - 11mm, Tall | VP0068 | 7 mm - 11 mm, Short |
| VP0065 | 11 mm - 15 mm, Tall | VP0069 | 11 mm - 15 mm, Short |
| VP0066 | 15 mm - 19mm, Tall | VP0070 | 15 mm - 19 mm, Short |

Optional sterilization mats are provided as accessories to the trays. The mats, which are used to cushion and stabilize devices placed into the trays, are available in sizes as shown in Table 5-3 to fit the nine PRO-LITE Sterilization Trays. The mats are a diamond grid design with "fingers" that extend from each corner of the diamond and at the midpoint of each diamond side. The fingers cushion and stabilize instruments, helping to prevent the instruments from freely moving in the tray during packaging, sterilization and storage. The cushioning and stabilization qualities help protect delicate instruments placed into the trays.

| Model | Description (in) | Model | Description (in) |
|--------|------------------|--------|------------------|
| VP0071 | 13 x 4.5 | VP0076 | 27 x 7.75 |
| VP0072 | 19 x 4.5 | VP0077 | 12 x 11.75 |
| VP0073 | 25 x 4.5 | VP0078 | 25 x 11.75 |
| VP0074 | 13 x 7.75 | VP0079 | 25 x 14 |
| VP0075 | 19 x 7.75 | | |

Table 5-3. Silicone Mat Model Numbers

The purpose of this submission is to add or expand claims for the use of these tray models in the following sterilizer cycles V-PRO maX 2 Specialty Cycle. No changes have been made to the device for this claim other than labeling.

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#### 4. Intended Use/ Indications for Use

The PRO-LITE™ Sterilization Trays are used to contain medical devices for sterilization in the following Cycles:

- Lumen, Non Lumen, Flexible, Fast Non Lumen, Fast and Specialty Cycles ● of the V-PRO® Low Temperature Sterilization Systems
- Default Cycle of the STERRAD®* 100S Sterilizer ●
- Standard and Advanced Cycles of the STERRAD NX and NX with ALLClear Technology Sterilizers
- . Express, Standard, Flex Scope, and DUO Cycles of the STERRAD 100NX and 100 NX with ALLClear Technology Sterilizers

*STERRAD and ALLClear are trademarks of Advanced Sterilization Products

Prior to placing in the Sterilizer, the trays must either be:

- wrapped with a legally marketed sterilization wrap for use in the Sterilizers listed above. or
- . placed inside a legally marketed pouch for enclosing trays in the Sterilizers listed above.

The PRO-LITE Sterilization Trays are not intended to maintain sterility; they are intended to be used in conjunction with a validated, FDA-cleared sterilization wrap or pouch in order to maintain sterility of the enclosed medical instruments.

| Tray<br>Models | Intended<br>Sterilization<br>Cycles | Intended Tray Load | |
|----------------------------------------------------------------------------------------|----------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------|
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049<br>VP0050<br>VP0051<br>VP0052 | V-PRO 60 and<br>s2 Lumen Cycle | Non-lumened devices with diffusion-restricted spaces such as the hinged portion of forceps and scissors Non-lumened devices including non-lumened rigid and semi-rigid endoscopes Medical devices, including single, dual and triple channeled rigid and semi-rigid endoscopes with the following configurations: Single or dual lumen devices with stainless steel lumens that are: $\geq$ 0.77 mm ID and $\leq$ 410 mm in length $\geq$ 1.8 mm ID and $\leq$ 542 mm in length Triple lumen devices with stainless steel lumens $\geq$ 1.2 mm ID and $\leq$ 275 mm in length $\geq$ 1.8 mm ID and $\leq$ 310 mm in length or $\geq$ 2.8 mm ID and $\leq$ 317 mm in length | |
| | V-PRO 60 and<br>s2 Non Lumen<br>Cycle | Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with | |
| Tray<br>Models | Intended<br>Sterilization<br>Cycles | Intended Tray Load | |
| | V-PRO 60 and<br>s2 Flexible<br>Cycle | diffusion-restricted spaces such as the hinged portion of forceps<br>and scissors.<br><b>Load 1:</b> One flexible surgical endoscope or bronchoscope with<br>a light cord (if not integral to endoscope) and mat without any<br>additional load. The flexible endoscope may be a:<br>Single or dual lumen device with lumens that are ≥ 1 mm ID and ≤ 990 mm in length <b>Load 2:</b> Non-lumened devices including non-lumened rigid,<br>semi-rigid, and flexible endoscopes and non-lumened devices<br>with diffusion-restricted areas such as the hinged portion of<br>forceps or scissors. Medical devices, including rigid and semi-<br>rigid endoscopes with the following configurations:<br>≥ 0.76 mm ID and ≤ 233 mm in length ≥ 1.0 mm ID and ≤ 254 mm in length ≥ 1.8 mm ID and ≤ 542 mm in length | |
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049 | V-PRO s2 Fast<br>Cycle | Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes, and non-lumened devices with diffusion restricted areas such as the hinged portion of forceps or scissors. Medical devices, including single, dual and triple channeled rigid and semi-rigid endoscopes, with the following configurations: Single or dual lumen channeled devices with stainless steel lumens ≥ 0.77 mm ID and ≤ 410 mm in length ≥ 1.8 mm ID and ≤ 542 mm in length Triple lumen devices ≥ 1.2 mm ID and ≤ 275 mm in length ≥ 1.8 mm ID and ≤ 310 mm in length or ≥ 2.8 mm ID and ≤ 317 mm in length | |
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049<br>VP0050<br>VP0051<br>VP0052<br>VP0053 | V-PRO 1, 1<br>Plus, maX, and<br>maX 2 Lumen<br>Cycle | Non-lumened instruments with diffusion-restricted spaces such as the hinged portion of forceps and scissors Medical devices, including single, dual or triple channeled stainless steel lumens that are: ≥ 0.77 mm ID and ≤ 527 mm in length ≥ 0.8 mm ID and ≤ 542 mm in length ≥ 0.48 mm ID and ≤ 100 mm in length Medical devices with dead end stainless steel lumens that are ≥ 1.3 mm ID and ≤ 73 mm in length Instruments with rigid non-metallic lumens (such as those used in endoscope sheaths, take-apart forceps and trocars) that are: ≥ 3 mm ID and ≤ 298 mm in length ≥ 4 mm ID and ≤ 424 mm in length | |
| | V-PRO 1 Plus,<br>maX, and maX | Non-lumened devices including non-lumened rigid, semi-rigid and flexible endoscopes and non-lumened devices with | |
| Tray<br>Models | Intended<br>Sterilization<br>Cycles | Intended Tray Load | |
| | 2 Non Lumen<br>Cycle | diffusion-restricted spaces such as the hinged portion of forceps<br>and scissors. | |
| | V-PRO maX,<br>and maX 2<br>Flexible Cycle | Load 1: Single or dual lumen surgical flexible endoscopes<br>(such as those used in ENT, Urology and Surgical care) and<br>bronchoscopes with a light cord (if not integral to endoscope)<br>and mat with no additional load. The flexible endoscopes may<br>contain either a single or dual lumen that is $\ge$ 1 mm ID and $\le$<br>1050 mm in length<br>Load 2:<br>Non-lumened devices including non-lumened rigid, semi-<br>rigid and flexible endoscopes and non-lumened devices<br>with diffusion-restricted spaces such as the hinged portion<br>of forceps and scissors Single, dual or triple stainless steel lumens that are $\ge$ 0.48<br>mm ID and $\le$ 100 mm in length | |
| | V-PRO maX 2<br>Fast Non Lumen<br>Cycle | Non-lumened devices including non-lumened rigid, semi-rigid<br>and flexible endoscopes and non-lumened devices with<br>diffusion-restricted spaces such as the hinged portion of forceps<br>and scissors. | |
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049<br>VP0050 | V-PRO maX 2<br>Specialty Cycle | Patient-specific surgical guides (e.g. osteotomy, shoulder, hip,<br>knee, spine) or anatomical models fabricated via additive<br>manufacturing (3D printing) processes and intended for single-<br>use during operative procedures.*<br>or<br>Non-lumened instruments including non-lumened general<br>medical instruments, non-lumened rigid, semi-rigid and flexible<br>endoscopes.**<br>* The validation studies were conducted using a validation load<br>consisting of pouched guide(s)/model(s) (with or without tray)<br>for a total weight of 5 lbs (2.3kg) 3D printed material.<br>**The validation studies were conducted using a validation<br>load consisting of one pouched instrument tray or one pouch<br>with guide(s)/model(s) (with or without tray) for a total weight<br>of 11 lbs (5kg). | |
| | | | |
| | | | |
| | | | |
| | | | |
| Material | Manufacturer | Specialty<br>Cycle | Lumens |
| Surgical Guide<br>Resin | Formlabs | F | $\ge$ 3 mm ID x $\le$ 30<br>mm L |
| BioMed<br>Amber Resin | Formlabs | F | $\ge$ 3 mm ID x $\le$ 30<br>mm L |
| Dental LT<br>Clear V2<br>Resin | Formlabs | D | $\ge$ 3 mm ID x $\le$ 30<br>mm L |
| BioMed Clear<br>Resin | Formlabs | D | $\ge$ 3 mm ID x $\le$ 30<br>mm L |
| Tray<br>Models | Intended<br>Sterilization<br>Cycles | Intended Tray Load | |
| | | Biocompatible<br>Clear<br>MED610<br>Stratasys E ≥3 mm ID x ≤20 mm L | |
| | | Biocompatible<br>Opaque<br>MED615RGD<br>Stratasys E ≥3 mm ID x ≤20 mm L | |
| | | VeroGlaze™<br>MED620<br>Stratasys E ≥3 mm ID x ≤20 mm L | |
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049<br>VP0050<br>VP0051<br>VP0052 | STERRAD<br>100S Default<br>Cycle | Metal and nonmetal medical devices including instruments<br>which have diffusion-restricted spaces, such as the hinged<br>portion of forceps and scissors.<br>Metal and nonmetal lumened instruments with<br>• ≥ 6 mm ID and ≤ 310 mm in length<br>Medical devices with a single stainless steel lumen with:<br>• > 1 mm ID and ≤ 125 mm in length<br>• ≥ 2 mm ID and ≤ 250 mm in length<br>• ≥ 3 mm ID and ≤ 400 mm in length | |
| VP0045<br>VP0046<br>VP0048<br>VP0049 | STERRAD NX<br>and NX with<br>ALLClear<br>Technology<br>Standard Cycle | Metal and non-metal medical devices including instruments<br>which have diffusion-restricted spaces, such as the hinged<br>portion of forceps and scissors.<br>Medical devices with a single stainless steel lumen with:<br>• ≥ 1 mm ID and ≤ 150 mm in length<br>• > 2 mm ID and ≤ 400 mm in length | |
| VP0045<br>VP0046<br>VP0048<br>VP0049 | STERRAND<br>NX and NX<br>with ALLClear<br>Technology<br>Advanced Cycle | Metal and non-metal medical devices including instruments<br>which have diffusion-restricted spaces, such as the hinged<br>portion of forceps and scissors<br>Medical devices, including most flexible endoscopes, with:<br>o a single stainless steel lumen with:<br>o ≥ 1 mm ID and ≤ 500 mm in length<br>o single channel polyethylene and Teflon<br>(polytetrafluoroethylene)<br>o > 1mm ID and ≤ 850 mm in length | |
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049<br>VP0051<br>VP0052<br>VP0053 | STERRAD<br>100NX and<br>100NX with<br>ALLClear<br>Technology<br>Standard Cycle | Metal and nonmetal medical devices including instruments with<br>have diffusion-restricted spaces, such as the hinged portion of<br>forceps and scissors<br>Medical devices with a single stainless steel lumen with:<br>≥ 0.7 mm ID and ≤ 500 mm in length | |
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049<br>VP0051<br>VP0052<br>VP0053 | STERRAD<br>100NX and<br>100NX with<br>ALLClear<br>Technology Flex<br>Scope Cycle | Metal and nonmetal medical devices including instruments<br>which have diffusion-restricted spaces, such as the hinged<br>portion of forceps and scissors.<br>Medical devices, including most flexible endoscopes, with:<br>• Single channel polyethylene and Teflon<br>(polytetrafluoroethylene)<br>o ≥ 1mm ID and ≤ 850 mm in length | |
| VP0045<br>VP0046<br>VP0047<br>VP0048<br>VP0049<br>VP0051<br>VP0052<br>VP0053 | STERRAD<br>100NX and<br>100NX with | Metal and nonmetal devices surfaces and instruments which<br>have diffusion-restricted spaces, such as the hinged portion of<br>forceps and scissors | |
| Tray<br>Models | Intended<br>Sterilization<br>Cycles | Intended Tray Load | |
| | ALLClear<br>Technology<br>Express Cycle | | |
| | STERRAD<br>100NX and<br>100NX with<br>ALLClear<br>Technology Duo<br>Cycle | Medical devices including:<br>most flexible endoscopes with a single channel of<br>polyethylene and Teflon (polytetrafluoroethylene) with<br>≥ 1 mm ID and ≤ 875 mm in length accessory devices that are normally connected to a<br>flexible endoscope during use flexible endoscopes without lumens | |

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Instrument organizers are optional accessories intended to stabilize cylindrical medical instruments within the PRO-LITE Sterilization Trays.

| Model | Description | Model | Description |
|--------|---------------------|--------|----------------------|
| VP0054 | Blank, Tall | VP0055 | Blank, Short |
| VP0063 | 3 mm - 7 mm, Tall | VP0067 | 3 mm - 7 mm, Short |
| VP0064 | 7 mm - 11 mm, Tall | VP0068 | 7 mm - 11 mm, Short |
| VP0065 | 11 mm - 15 mm, Tall | VP0069 | 11 mm - 15 mm, Short |
| VP0066 | 15 mm - 19 mm, Tall | VP0070 | 15 mm - 19 mm, Short |

Sterilization mats are optional accessories intended to cushion and stabilize instruments within the PRO-LITE Sterilization Trays.

| Model | Description (in) | Model | Description (in) | Model | Description (in) |
|--------|------------------|--------|------------------|--------|------------------|
| VP0071 | 13 x 4.5 | VP0074 | 13 x 7.75 | VP0077 | 12 x 11.75 |
| VP0072 | 19 x 4.5 | VP0075 | 19 x 7.75 | VP0078 | 25 x 11.75 |
| VP0073 | 25 x 4.5 | VP0076 | 27 x 7.75 | VP0079 | 25 x 14 |

#### 5. Summary of Technical Characteristics

The proposed PRO-LITE sterilization trays, sterilization mats and instrument organizers are identical in composition to the claimed predicate devices. The technical characteristics are summarized below in Table 5-5.

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| Feature | PRO-LITE Sterilization Tray<br>(proposed / K231501) | PRO-LITE Sterilization Tray<br>(predicate / K222440) | Comparison |
|---------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------|
| | The PRO-LITE Sterilization Trays are used<br>to contain medical devices for sterilization in<br>the following Cycles:<br>• Lumen, Non Lumen, Flexible, Fast Non<br>Lumen, Fast and Specialty Cycles of the V-<br>PRO Low Temperature Sterilization<br>Systems<br>• Default Cycle of the STERRAD®* 100S<br>Sterilizer<br>• Standard and Advanced Cycles of the<br>STERRAD NX and NX with ALLClear<br>Technology Sterilizers<br>• Standard, Flex Scope, Express and DUO<br>Cycles of the STERRAD 100NX and<br>100NX with ALLClear Technology<br>Sterilizers | The PRO-LITE Sterilization Trays are used<br>to contain medical devices for sterilization in<br>the following Cycles:<br>• Lumen, Non Lumen, Flexible, Fast Non<br>Lumen and Fast Cycles of the V-PRO Low<br>Temperature Sterilization Systems<br>• Default Cycle of the STERRAD®* 100S<br>Sterilizer<br>• Standard and Advanced Cycles of the<br>STERRAD NX and NX with ALLClear<br>Technology Sterilizers<br>• Standard, Flex Scope, Express and DUO<br>Cycles of the STERRAD 100NX and<br>100NX with ALLClear Technology<br>Sterilizers | Additional<br>claims have<br>been added<br>for the V-<br>PRO maX 2<br>Specialty<br>Cycle - all<br>other<br>indications for<br>use are the<br>same |
| Intended<br>Use /<br>Indications<br>for Use | *STERRAD and ALLClear are trademarks<br>of Advanced Sterilization Products<br><br>Prior to placing in the Sterilizer, the trays<br>must either be:<br>• wrapped with a legally marketed<br>sterilization wrap for use in the Sterilizers<br>listed above<br>or<br>• placed inside a legally marketed pouch for<br>enclosing trays in the Sterilizers listed<br>above.<br><br>The PRO-LITE Sterilization Trays are not<br>intended to maintain sterility; they are<br>intended to be used in conjunction with a<br>validated, FDA-cleared sterilization wrap or<br>pouch in order to maintain sterility of the<br>enclosed medical instruments.<br><br>Intended Sterilization Cycles and Intended<br>Tray Loads for Tray Models: VP0045,<br>VP0046, VP0047, VP0048, VP0049,<br>VP0050, VP0051, VP0052 | *STERRAD and ALLClear are trademarks<br>of Advanced Sterilization Products<br><br>Prior to placing in the Sterilizer, the trays<br>must either be:<br>• wrapped with a legally marketed<br>sterilization wrap for use in the Sterilizers<br>listed above<br>or<br>• placed inside a legally marketed pouch for<br>enclosing trays in the Sterilizers listed<br>above.<br><br>The PRO-LITE Sterilization Trays are not<br>intended to maintain sterility; they are<br>intended to be used in conjunction with a<br>validated, FDA-cleared sterilization wrap or<br>pouch in order to maintain sterility of the<br>enclosed medical instruments.<br><br>Intended Sterilization Cycles and Intended<br>Tray Load for Tray Models: VP0045,<br>VP0046, VP0047, VP0048, VP0049,<br>VP0050, VP0051, VP0052 | |
| | V-PRO 60 and s2 Lumen Cycle:<br>• Non-lumened devices with diffusion-<br>restricted spaces such as the hinged portion<br>of forceps and scissors | V-PRO 60 and s2 Lumen Cycle:<br>• Non-lumened devices with diffusion-<br>restricted spaces such as the hinged portion<br>of forceps and scissors | |
| Feature | PRO-LITE Sterilization Tray<br>(proposed / K231501) | PRO-LITE Sterilization Tray<br>(predicate / K222440) | Comparison |
| | • Non-lumened devices including non-<br>lumened rigid and semi-rigid endoscopes<br>• Medical devices, including single, dual and<br>triple channeled rigid and semi-rigid<br>endoscopes with the following<br>configurations:<br>o Single or dual channeled devices with<br>stainless steel lumens that are:<br>■ $\geq$ 0.77 mm ID and $\leq$ 410 mm in length<br>■ $\geq$ 1.8 mm ID x $\leq$ 542 mm in length<br>o Triple channeled devices with stainless<br>steel lumens that are either:<br>■ $\geq$ 1.2 mm ID and $\leq$ 275 mm in length<br>■ $\geq$ 1.8 mm ID and $\leq$ 310 mm in length<br>or<br>■ $\geq$ 2.8 mm ID and $\leq$ 317 mm in length | • Non-lumened devices including non-<br>lumened rigid and semi-rigid endoscopes<br>• Medical devices, including single, dual and<br>triple channeled rigid and semi-rigid<br>endoscopes with the following<br>configurations:<br>o Single or dual channeled devices with<br>stainless steel lumens that are:<br>■ $\geq$ 0.77 mm ID and $\leq$ 410 mm in length<br>■ $\geq$ 1.8 mm ID x $\leq$ 542 mm in length<br>o Triple channeled devices with stainless<br>steel lumens that are:<br>■ $\geq$ 1.2 mm ID and $\leq$ 275 mm in length<br>■ $\geq$ 1.8 mm ID and $\leq$ 310 mm in length<br>or<br>■ $\geq$ 2.8 mm ID and $\leq$ 317 mm in length | |
| | V-PRO 60 and s2 Non Lumen Cycle:<br>Non-lumened devices including non-<br>lumened rigid, semi-rigid and flexible<br>endoscopes and non-lumened devices with<br>diffusion-restricted spaces such as the hinged<br>portion of forceps and scissors. | V-PRO 60 and s2 Non Lumen Cycle:<br>Non-lumened devices including non-<br>lumened rigid, semi-rigid and flexible<br>endoscopes and non-lumened devices with<br>diffusion-restricted spaces such as the hinged<br>portion of forceps and scissors. | |
| | V-PRO 60 and s2 Flexible Cycle:<br>Load 1: One flexible surgical endoscope or<br>bronchoscope with a light cord (if not<br>integral to endoscope) and mat without any<br>additional load. The flexible endoscope may<br>be a:<br>• Single or dual lumen device with lumens<br>that are $\geq$ 1 mm ID and $\leq$ 990 mm in length<br>Load 2: Non-lumened devices including<br>non-lumened rigid, semi-rigid, and flexible<br>endoscopes and non-lumened devices with<br>diffusion-restricted areas such as the hinged<br>portion of forceps or scissors. Medical<br>devices, including rigid and semi-rigid<br>endoscopes with the following<br>configurations:<br>• $\geq$ 0.76 mm ID and $\leq$ 233 mm in length<br>• $\geq$ 1.0 mm ID and $\leq$ 254 mm in length<br>• $\geq$ 1.8 mm ID and $\leq$ 542 mm in length | V-PRO 60 and s2 Flexible Cycle:<br>Load 1: One flexible surgical endoscope or<br>bronchoscope with a light cord (if not<br>integral to endoscope) and mat without any<br>additional load. The flexible endoscope may<br>be a:<br>• Single or dual lumen device with lumens<br>that are $\geq$ 1 mm ID and $\leq$ 990 mm in length<br>Load 2: Non-lumened devices including<br>non-lumened rigid, semi-rigid, and flexible<br>endoscopes and non-lumened devices with<br>diffusion-restricted areas such as the hinged<br>portion of forceps or scissors. Medical<br>devices, including rigid and semi-rigid<br>endoscopes with the following<br>configurations:<br>• $\geq$ 0.76 mm ID and $\leq$ 233 mm in length<br>• $\geq$ 1.0 mm ID and $\leq$ 254 mm in length<br>• $\geq$ 1.8 mm ID and $\leq$ 542 mm in length | |
| | Intended Sterilization Cycles and Intended<br>Tray Loads for Tray Models: VP0045,<br>VP0046, VP0047, VP0048, VP0049 | Intended Sterilization Cycle and Intended<br>Tray Load for Tray Models: VP0045,<br>VP0046, VP0047, VP0048, VP0049 | |
| Feature | PRO-LITE Sterilization Tray<br>(proposed / K231501)…