T-Top 10 & T-Top T-Top 11

K232658 · Tuttnauer U.S.A Co, Ltd. · FLE · Nov 27, 2023 · General Hospital

Device Facts

Record IDK232658
Device NameT-Top 10 & T-Top T-Top 11
ApplicantTuttnauer U.S.A Co, Ltd.
Product CodeFLE · General Hospital
Decision DateNov 27, 2023
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 880.6880
Device ClassClass 2
AttributesTherapeutic

Intended Use

The T-Top 10 & T-Top 11 tabletop autoclaves are designed for the sterilization of medical and surgical goods such as wrapped and unwrapped solid, hollow, and porous loads used in health care facilities (e.g., hospitals, nursing homes, extended-care facilities, freestanding surgical centers, clinics, and medical & dental offices). The T-Top 10 and T-Top 11 devices are validated for use in: - Unwrapped instruments, wrapped instruments and dental handpieces (Class S cycles). - Unwrapped instruments, wrapped instruments, sterilizing dental handpieces and textiles/porous loads (Class B cycles).

Device Story

Tabletop steam sterilizer (autoclave) for medical/surgical goods; uses steam generated from demineralized water via pipe heating element; features vacuum system for air removal, steam penetration, and drying. Operated by hospital/medical personnel via touchscreen; monitors sterilization parameters; records up to 500 cycles; supports optional barcode printer and USB data export. Wi-Fi connectivity enables remote diagnostics. Safety features include door micro-switch, locking pin, pressure relief valve, and thermal cut-offs. Benefits include effective sterilization of various load types (Class B/S cycles) and energy/water efficiency.

Clinical Evidence

Bench testing only. Performance validated per ANSI/AAMI ST-55, including Bowie & Dick test, air-leak-rate (vacuum) test, empty/full chamber load tests (250F/273F), and biological performance testing with textile/instrument PCDs and dental handpieces. All tests passed.

Technological Characteristics

Steam sterilizer; 304L stainless steel chamber; polycarbonate outer covers; pipe heating element; vacuum system; touchscreen interface; USB/Wi-Fi connectivity. Software: Linux-based, Java programming. Sterilization parameters: Class B and S cycles. Standards: IEC 61010-1, IEC 61010-2-040, UL 61010-1, EN 61326-1, FCC Part 15, ASME Boiler and Pressure Vessel Code Section VIII.

Indications for Use

Indicated for sterilization of medical and surgical goods (wrapped/unwrapped solid, hollow, porous loads) in healthcare facilities including hospitals, nursing homes, surgical centers, clinics, and dental offices.

Regulatory Classification

Identification

A steam sterilizer (autoclave) is a device that is intended for use by a health care provider to sterilize medical products by means of pressurized steam.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health and Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue. November 27, 2023 Tuttnauer U.S.A Co, Ltd Jonathan Lane Global QA RA Manager 25 Power Drive Hauppauge New York, New York 11788 Re: K232658 Trade/Device Name: T-Top (T-Top 10); T-Top (T-Top 11) Regulation Number: 21 CFR 880.6880 Regulation Name: Steam Sterilizer Regulatory Class: Class II Product Code: FLE Dated: August 4, 2023 Received: August 31, 2023 Dear Jonathan Lane: 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 (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 available 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. {1}------------------------------------------------ Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download). Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181). Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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, # Christopher K. Dugard -S Christopher K. Dugard, M.S. Assistant Director {2}------------------------------------------------ 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 {3}------------------------------------------------ #### Indications for Use 510(k) Number (if known) K232658 Device Name T-Top 10 & T-Top 11 Indications for Use (Describe) The T-Top 10 & T-Top 11 tabletop autoclaves are designed for the sterilization of medical and surgical goods such as wrapped and unwrapped solid, hollow, and porous loads used in health care facilities (e.g., hospitals, nursing homes, extended-care facilities, freestanding surgical centers, clinics, and medical & dental offices). The T-Top 10 and T-Top 11 devices are validated for use in: - · Unwrapped instruments, wrapped instruments and dental handpieces (Class S cycles). - · Unwrapped instruments, wrapped instruments, sterilizing dental handpieces and textiles/porous loads (Class B cycles). Type of Use (Select one or both, as applicable) Prescription Use (Part 21 CFR 801 Subpart D) X Over-The-Counter Use (21 CFR 801 Subpart C) #### CONTINUE ON A SEPARATE PAGE IF NEEDED. This section applies only to requirements of the Paperwork Reduction Act of 1995. #### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: > Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." {4}------------------------------------------------ Image /page/4/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray diamond shape. The logo is simple and modern, and the colors are eye-catching. #### Date Prepared: August 01, 2023 ## 1. SUBMITTER Tuttnauer USA Co. Ltd. 25 Power Drive Hauppauge, NY 11788 Phone: (631) 737 4850 Fax: (631) 737 0720 #### Contact Person: Robert Basile Sr. Vice President Tuttnauer USA Co. Ltd. Tel: 631 737 4850 Ext: 137 Fax: 631 737 1034 E-mail: bob@tuttnauerusa.com #### 2. DEVICE Regulation Name: Trade Name: T-Top 10 & T-Top 11 Common Name: Electronic autoclave Classification Name: Steam Sterilizer Classification: Product Code FLE Regulatory Class: II Regulation Number: 21CFR 880.6880 #### 3. PREDICATE DEVICES Primary predicate: T-Edge 10 & T-Edge 11 autoclave Steam Sterilizer | Predicate name | Product Code | Regulation Number | Regulation Name | Class | 510K no. | |--------------------------|--------------|-------------------|---------------------|----------|----------| | T-Edge 10 &<br>T-Edge 11 | FLE | 21CFR<br>880.6880 | Steam<br>Sterilizer | Class II | K213080 | {5}------------------------------------------------ Image /page/5/Picture/1 description: The image contains the logo for Tuttnauer. The logo features the company name in bold, red lettering. Below the name are the words "Innovation, Legacy, Partnership" in a smaller, dark font. Above the company name is a gray, diamond-shaped graphic. ## 4. DEVICE DESCRIPTION The autoclave is fully automatic (a computerized control unit ensures a fully automatic sterilization cycle, control and monitoring of physical parameters and a clear documentation of the sterilization cycle. Drying is performed with the door closed). This autoclave uses steam as a sterilizing agent. The steam is produced by warming up a controlled amount of water inserted to a pipe heating element, and then to the chamber. This technique saves energy and water consumption. The autoclave is equipped with a Pipe heating element and with chamber heaters to maintain the steam inside the chamber. The autoclave is equipped with a vacuum system, which supports and improves: - . Removal of residual air from packs and porous load and most kinds of tubes (rubber, plastic etc.) by vacuum at the first stage of the cycle. - . Steam penetration into the load; resulting in effective sterilization. - . Temperature uniformity. - . Post sterilization drying phase A touchscreen is used for monitoring and control purposes. The device has 2 built -in USB ports to enable the operation of an external optional barcode printer: - The barcode printer can print labels with a unique cycle ID barcode, operator name, . sterilization and expiry dates - . One barcode printer can be connected to the machine. - The printer connection to the machine, by using a USB socket, with a dedicated cable . - Barcode printer power supply voltage can range between 100-240V (external power . supply - not from the USB socket). - . A barcode printer is an optional addition to the autoclave The device features built-in memory to record up to 500 sterilization cycles. These can be exported to a USB device to be transferred to a PC. The following tables show the cycles that were validated for Class-B and Class-S, including sterilization temperature, sterilization time in minutes and dry time in minutes: {6}------------------------------------------------ Image /page/6/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray, star-like shape. The logo is simple and modern, and the red color is eye-catching. #### Table 1: Class B key cycles | # | Cycle Name | Sterilization temperature [°F/°C] | Sterilization time [min] | Dry Time [min] | | Max load 10" [Kg] | Max load 11" [Kg] | |---|----------------------------|-----------------------------------|--------------------------|----------------|-----|-------------------------------------|----------------------------------------------------------| | | | | | 10" | 11" | | | | 1 | Unwrapped instruments 273F | 273.2°F (134°C) | 4 | 2 | 2 | 6 | 9 | | 2 | Wrapped Pouches 273F | 273.2°F (134°C) | 4 | 22 | 26 | Instruments – 3.6<br>Textile – 1.5 | Instruments – 5.4<br>Textile – 2<br>Handpieces – 5 units | | 3 | Wrapped Pouches 273F / 2kg | 273.2°F (134°C) | 4 | 15 | 15 | Instruments – 1.8<br>Textile – 0.75 | Instruments – 2.7<br>Textile – 1<br>Handpieces – 3 units | | 4 | Unwrapped Delicate 250F | 249.8°F (121°C) | 20 | 2 | 2 | 6 | 9 | | 5 | Wrapped Delicate 250F | 249.8°F (121°C) | 20 | 25 | 30 | Instruments – 3.6<br>Textile – 1.5 | Instruments – 5.4<br>Textile – 2 | | 6 | B&D Test | 273.2°F (134°C) | 3.5 | 2 | | - | - | | 7 | Vacuum Test | NA | NA | NA | | - | - | | 8 | System Clean | NA | NA | NA | | - | - | *Wrapped pouches 273F partial load will not be tested because this is the same program as Wrapped pouches 273F, except for a different drying time. Wrapped pouches 273F was tested at full load and this is the worst case. Therefore, in this cycle, only dryness will be tested. | # | Cycle Name | Sterilization temperature [°F/°C] | Sterilization time [min] | Dry Time [min] | | Max load 10" [Kg] | Max load 11" [Kg] | |---|----------------------------|-----------------------------------|--------------------------|----------------|-----|-------------------|-------------------| | | | | | 10" | 11" | | | | 1 | Unwrapped instruments 270F | 269.6°F (132°C) | 4 | 2 | 2 | 5 | 8 | | 2 | Wrapped Pouches 270F | 269.6°F (132°C) | 4 | 25 | 26 | 3.6 | 4.5 | | 3 | Wrapped Pouches 270F / 2kg | 269.6°F (132°C) | 4 | 15 | 15 | 1.8 | 2.3 | | 4 | Unwrapped Delicate 250F | 249.8°F (121°C) | 20 | 2 | 2 | 5 | 8 | | 5 | Handpieces 270F | 269.6°F (132°C) | 4 | 22 | 26 | 5 units | 5 units | {7}------------------------------------------------ Image /page/7/Picture/1 description: The image contains the logo for Tuttnauer. The logo consists of the word "Tuttnauer" in red, with the words "Innovation . Legacy . Partnership" in a smaller font below it. Above the word "Tuttnauer" is a gray star-like shape. The steam for the sterilization process is produced by warming up a controlled amount of demineralized water that is inserted into a pipe heating element and then flows into the chamber as steam. This technique is used as a way of reducing water consumption and saving energy. The autoclave is equipped with a heating element wrapped around the chamber to maintain the required temperatures and steam for the sterilization process. All of these processes are done via the computerized control system of the device. The door's locking mechanism is designed to allow closing/opening the door, easily, with one hand. The chamber door has the following features protecting personnel from hazards: - One door micro-switch that indicate that the door is closed. Without this indication steam is . not introduced into the chamber. The micro-switch prevents opening the door while the chamber is pressurized and at the end of cycle until chamber pressure equalizes to room pressure. - An electrical door locking pin that blocks door opening during cycle operation. . In addition, the following safety devices are installed in the autoclave to optimize its safe operation: - A safety thermostat to prevent over-heating of the chamber heating elements. . - A safety cut-off switch to prevent over heating of the pipe heating element. . - A pressure safety valve to prevent over-pressurizing of the chamber. . The T-Top 10 autoclave has one configuration only, whereas T-Top 11 has two configurations (available upon request) - a manually filled reservoir of demineralized water or an automatic / direct inlet of demineralized water from the water supply system. The T-Top 10 has a manually filled reservoir of demineralized water only. There is a demineralized water overflow outlet at the rear, and a demineralized water overflow, and wastewater outlet is located on front. Automatic water quality checking will alert the user of poor water quality, protecting the autoclave chamber from corrosive minerals found in poor quality water. {8}------------------------------------------------ Image /page/8/Picture/1 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray, diamond-like shape. The T-Top 10 & T-Top 11 feature a built-in memory to record up to 500 sterilization cycles. The T-Top 10 & T-Top 11 have a built-in USB port to enable exporting this data to a USB device, to be transferred to a PC. The built-in USB port also enables the operation of an external, optional barcode printer, by using a dedicated cable - the barcode printer can print labels with a unique cycle ID barcode, operator's name, sterilization and expiry dates. One barcode printer can be connected to the machine. There is Wi-Fi connection available to customers (optional). If the unit is connected to Wi-Fi, this enables remote diagnostics and issue resolution from Tuttnauer. The software has been validated and cybersecurity has been considered for this option - see software reports in the 510(k) file. The chamber is made of a corrosion-resistant 304L stainless steel, and the door is made of corrosion-resistant 304L stainless steel. The outer covers are made of polycarbonate. The properties of the T-Top 10 & T-Top 11 are as described in the following table: {9}------------------------------------------------ Image /page/9/Picture/0 description: The image contains the logo for Tuttnauer. The logo features the company name in a bold, red font. Below the name, there is a tagline that reads "Innovation · Legacy · Partnership" in a smaller, gray font. Above the company name, there is a gray, star-like shape. ## Table 4: T-Top 10 & T-Top 11 properties | Property | Value | T-Top 10 | T-Top 11 | |----------------------------------------|----------------------|-----------------------------------------------------------------------------------|--------------------------------------------------------| | External size | Width | ~18" (46.2 cm) | ~19.5" (49.7 cm) | | | Height | ~18" (46 cm) | ~17.5" (44.7 cm) | | | Depth | ~23.5" (58.5 cm) (supporting common install base carry a ~23" (60 cm) countertop) | | | Chamber | Diameter | ~9.8" (249 cm) | ~11" (28 cm) | | | Depth | ~17.7" (45 cm) | ~17.7" (45.2 cm) | | | Volume | ~732 Ounces (20.8 Lit) | ~936 Ounces (26.6 Lit) | | | Usable chamber space | 75% (~549 Ounces/~15.6 Lit) | 75% (~685 Ounces/~20 Lit) | | Max. Allowable Working pressure (MAWP) | | ~40.6 PSI (2.8 bar) | | | Safety relief valve | | ~40 PSI (2.8 bar) | | | Net weight | | ~99 lbs (45 kg) | ~115 lbs (52 kg) | | Shipping weight | | ~112 lbs (51 kg) | ~125.6 lbs (57 kg) | | Floor loading requirements | | ~165 lbs (75 kg) | | | Max load | Solid /Unwrapped | ~13 lbs (6 kg) | ~19.8 lbs (9 kg) | | | Solid /Wrapped | ~7.7 lbs (3.5 kg) | ~11.9 lbs (5.4 kg) | | | Textile | ~3.3 lbs (1.5 kg) | ~4.4 lbs (2 kg) | | Maximum load per tray | Unwrapped | ~2.67 lbs (1.2 kg) | ~4 lbs (1.8 kg) | | | Wrapped | ~1.6 lbs (0.72 kg) | ~2.4 lbs (1.08 kg) | | Tray dimensions | | ~14.7" x ~7.3" x ~0.6"<br>(37.5 cm x 18.5cm x 1.5 cm) | ~14.7" x ~8.14" x ~0.6"<br>(37.5 cm x 20.7cm x 1.5 cm) | | No. of trays | | 4 | | | Mineral-free water reservoir | Max. water volume | ~122 Ounces (3.6 Lit)<br>Overflow ~237 Ounces (7 Lit) | | | | Min. water volume | ~45.6 Ounces (1.35 Lit) (up to the float) | | | Used (waste) water reservoir | Max. water volume | ~127 Ounces / (3.75 Lit) – up to float<br>~182.5 Ounces (182.5 Lit.) - overflow | | | Load No. counter | | Counting from 0 to 500 and nullifies | | {10}------------------------------------------------ Image /page/10/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the word "Tuttnauer" in a bold, red font. Below the name are the words "Innovation, Legacy, Partnership" in a smaller font. Above the name is a gray, star-like shape. Only United States Food and Drug Administration cleared accessories such as sterilization wraps, sterilization pouches, chemical indicators, biological indicators, and sterilization cassettes should be used with this autoclave. ## 5. LIST OF DEVICES Table 5: List of devices models in the current submission | Device model | Device catalogue no. | Device description | |-----------------------------|-----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | T-Top 10 230V PED /<br>ASME | T-Top-10-230V-PED /<br>ASME | An autoclave with a 10" diameter chamber and with a volume of 20.8L (~732 Oz), operating in 230V/1Ph (50/60Hz).<br>The demineralized water is supplied by a manually filled reservoir. | | T-Top 10 120V PED /<br>ASME | T-Top-10-120V-PED /<br>ASME | An autoclave with a 10" diameter chamber and with a volume of 20.8L (~732 Oz), operating in 120V/1Ph (50/60Hz).<br>The demineralized water is supplied by a manually filled reservoir. | | T-Top 11 230V PED /<br>ASME | T-Top-11-230V-PED /<br>ASME | An autoclave with a 11" diameter chamber and with a volume of 26.6L (~936 Oz), operating in 230V/1Ph (50/60Hz).<br>The demineralized water is supplied by a manually filled reservoir. There is also an option to have automatic filled via demineralized water inlet. | {11}------------------------------------------------ Image /page/11/Picture/1 description: The image shows the logo for Tuttnauer. The logo features the company name in a bold, red font. Below the name, the words "Innovation, Legacy, Partnership" are written in a smaller, gray font. Above the company name is a gray, diamond-like shape. | Device model | Device catalogue no. | Device description | |-----------------------------|-----------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | T-Top 11 120V PED /<br>ASME | T-Top-11-120V-PED /<br>ASME | An autoclave with a 11" diameter chamber and with a volume of 26.6L (~936 Oz), operating in 120V/1Ph (50/60Hz). The demineralized water is supplied by a manually filled reservoir. There is also an option to have automatic filled via demineralized water inlet. | * All products if provided with a Printer will have a -P at the end of the product catalogue number. #### 6. INDICATION FOR USE The T-Top 10 & T-Top 11 tabletop autoclaves are designed for the sterilization of medical and surgical goods such as wrapped and unwrapped solid, hollow, and porous loads used in health care facilities (e.g., hospitals, nursing homes, extended-care facilities, freestanding surgical centers, clinics, and medical & dental offices). The T-Top 10 and T-Top 11 devices are validated for use in: - Unwrapped instruments, wrapped instruments and dental handpieces (Class S cycles). - . Unwrapped instruments, wrapped instruments, sterilizing dental handpieces and textiles/porous loads (Class B cycles). #### Intended user The T-Top 10 & T-Top 11 Table-Top autoclave are intended for use by hospital personnel and other medical personnel. All autoclave users must receive training in proper usage from an experienced employee. Every new employee must undergo a training period under an experienced employee. {12}------------------------------------------------ Image /page/12/Picture/1 description: The image shows the logo for Tuttnauer. The word "Tuttnauer" is written in a bold, red font. Below the name are the words "Innovation, Legacy, Partnership" in a smaller, black font. Above the name is a gray, star-like shape. # 7. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE The following technological characteristics will be compared between the T-Top family (T-Top 10 & T-Top 11) and the cleared predicate devices, the T-Edge 10 and T-Edge 11: - General design of device: chamber volume, control system; - Indication for use and intended users . - Materials: ● - Energy source; ● - Performance; - Sterilization parameters ● #### Reason for the 510(k): Modification of a legally marketed device that would not otherwise qualify for a Special 510(k). The T-Top 10 & T-Top 11 are class II device, equivalent to the predicate cleared devices, T-Edge 10 and T-Edge 11 (K213080) but changes made exceeds the limitations for a special 510(k) and thus the device requires a traditional 510(k). The Operating system of T-Top devices is based on Linux (using Java as the programing language) which is the same as in the predicate device T-Edge. The T-Top 10 and T-Top 11 offers a half-load cycle with adjusted drying time, whereas the T-Edge 10 and T-Edge 11 does not have this cycle. The chamber volume of the T-Top 10 corresponds to the 10" chamber. It is different as the T-Edge 10 holds for 23L whereas the T-Top 10 holds 20.8L. The chamber volume of the T-Top 11 corresponds to the 11" chamber. It is different as the T-Edge 11 holds for 27.2L whereas the T-Top 11 holds 26.6L. | Parameter | T-Edge<br>K213080 | T-Top | Comparison | |-----------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------| | Chamber volume | This device is a single<br>door table-top<br>autoclave with a<br>chamber volume of: | This device is a single<br>door table-top<br>autoclave with a<br>chamber volume of: | Different. | | Parameter | T-Edge<br>K213080 | T-Top | Comparison | | | 23L (~778 ounces) for<br>the T-Edge 10<br>27.2L (~913 ounces)<br>for the T-Edge11. | 20.8L (~732 ounces)<br>for the T-Top 10<br>26.6L (~936 ounces)<br>for the T-Top 11. | The 10" T-Edge holds<br>23L whereas the 10"<br>T-Top holds 20.8L<br>The 11" T-Edge holds<br>27.2L whereas the 11"<br>T-Top holds 26.6L | | Control system | The device is<br>software controlled<br>with electronic<br>control panel that<br>permits automatic<br>usage. | The device is software<br>controlled with<br>electronic control<br>panel that permits<br>automatic usage. | Same | | | The device is non-<br>programmable. | The device is non-<br>programmable. | Same | | | The Operating system<br>is Linux (programming<br>language is Java). | The Operating system<br>is Linux (programming<br>language is Java). | Same | | Indication for use | The T-Edge 10 & T-<br>Edge 11 are tabletop<br>autoclaves designed<br>for the sterilization of<br>medical and surgical<br>goods such as<br>wrapped and<br>unwrapped solid,<br>hollow, and porous<br>loads used in health<br>care facilities (e.g.,<br>hospitals, nursing<br>homes, extended-care<br>facilities, freestanding<br>surgical centers,<br>clinics, and medical<br>and dental offices). | The T-Top 10 & T-<br>Top 11 are tabletop<br>autoclaves designed<br>for the sterilization of<br>medical and surgical<br>goods such as<br>wrapped and<br>unwrapped solid,<br>hollow, and porous<br>loads used in health<br>care facilities (e.g.,<br>hospitals, nursing<br>homes, extended-care<br>facilities, freestanding<br>surgical centers,<br>clinics, and medical<br>and dental offices). | Same | | Parameter | T-Edge<br>K213080 | T-Top | Comparison | | Materials | The outer cover of the<br>device is made of<br>polycarbonate. | The outer cover of the<br>device is made of<br>polycarbonate. | Same | | | The chamber is made<br>of 316L stainless<br>steel. | The chamber is made<br>of 304L stainless<br>steel. | Different.<br>304L is a different<br>grade of stainless steel<br>however the material<br>holds the required<br>properties for an<br>autoclave chamber. | | | The door is made of<br>304L stainless steel. | The door is made of<br>304L stainless steel. | Same | | Energy source | The device can be<br>operated only while<br>connected to an<br>electrical source (the<br>electrical grid).<br>It has no internal<br>power source | The device can be<br>operated only while<br>connected to an<br>electrical source (the<br>electrical grid).<br>It has no internal<br>power source | Same | | | (batteries). | (batteries). | | | Performance | The operation<br>principle is<br>sterilization by<br>heating a controlled<br>amount of<br>demineralized water<br>to generate steam as<br>the sterilization<br>reagent and<br>maintaining its<br>temperature by using<br>a heating element<br>surrounding the | The operation<br>principle is<br>sterilization by<br>heating a controlled<br>amount of<br>demineralized water<br>to generate steam as<br>the sterilization<br>reagent and<br>maintaining its<br>temperature by using<br>a heating element<br>surrounding the | Same | | | chamber. The water is | chamber. The water is | | | Parameter | T-Edge<br>K213080 | T-Top | Comparison | | | drawn from a built-in<br>water reservoir. | drawn from a built-in<br>water reservoir. | | | | The heating of the<br>water to generate the<br>steam is done by<br>using a water pipe<br>heater and the heating<br>element used is metal<br>jacket. | The heating of the<br>water to generate the<br>steam is done by<br>using a water pipe<br>heater and the heating<br>element used is metal<br>jacket. | Same | | | The T-Edge 10 & T-<br>Edge 11 have a<br>vacuum mechanism to<br>allow better air<br>removal of air pockets<br>in the load for an<br>effective sterilization<br>(i.e., pre-vacuum) and<br>to allow drying of the<br>load at the end of the<br>sterilization process.<br>This possibility exists<br>as the T-Edge 10 &<br>T-Edge 11 can be<br>switched between S-<br>class cycles and B-<br>class cycles. | The T-Top 10 & T-<br>Top 11 have a<br>vacuum mechanism to<br>allow better air<br>removal of air pockets<br>in the load for an<br>effective sterilization<br>(i.e., pre-vacuum) and<br>to allow drying of the<br>load at the end of the<br>sterilization process.<br>This possibility exists<br>as the T-Edge 10 & T-<br>Edge 11 can be<br>switched between S-<br>class cycles and B-<br>class cycles. | Same | | Sterilization<br>parameters | The T-Edge 10 & T-<br>Edge 11 have both<br>Class-B and Class-S<br>cycles and it can be<br>switched between<br>modes.<br>The sterilization<br>parameters for the<br>Class-B cycles (see<br>Table 1 Section 4 in | The T-Top 10 & T-<br>Top 11 have both<br>Class-B and Class-S<br>cycles and it can be<br>switched between<br>modes.<br>The sterilization<br>parameters for the<br>Class-B cycles (see<br>Table 1 Section 4 in | Same | | Parameter | T-Edge<br>K213080 | T-Top | Comparison | | | - Unwrapped<br>instruments: temp.<br>134°C/273.2°F for<br>4 minutes. | - Unwrapped<br>instruments: temp.<br>134°C/273.2°F for<br>4 minutes. | | | | - Wrapped pouches:<br>temp.<br>134°C/273.2°F for<br>4 minutes. | - Wrapped pouches:<br>temp.<br>134°C/273.2°F for<br>4 minutes. | | | | - Unwrapped<br>delicate: temp.<br>121°C/249.8°F for<br>20 minutes. | - Unwrapped<br>delicate: temp.<br>121°C/249.8°F for<br>20 minutes. | | | | - Wrapped delicate:<br>temp.<br>121°C/249.8°F for<br>20 minutes. | - Wrapped delicate:<br>temp.<br>121°C/249.8°F for<br>20 minutes. | | | | The sterilization<br>parameters for the<br>Class-S cycles (see<br>Table 2 Section 4 in<br>this document): | The sterilization<br>parameters for the<br>Class-S cycles (see<br>Table 2 Section 4 in<br>this document): | | | | - Unwrapped<br>instruments: temp.<br>132°C/269.6°F for<br>4 minutes | - Unwrapped<br>instruments: temp.<br>132°C/269.6°F for<br>4 minutes | | | | - Wrapped pouches:<br>temp.<br>132°C/269.6°F for<br>4 minutes | - Wrapped pouches:<br>temp.<br>132°C/269.6°F for<br>4 minutes | | | | - Unwrapped<br>delicate: temp.<br>121°C/249.8°F for<br>20 minutes | - Unwrapped<br>delicate: temp.<br>121°C/249.8°F for<br>20 minutes | | | Parameter | T-Edge<br>K213080 | T-Top | Comparison | | | - Handpieces: temp.<br>132°C/269.6°F for<br>4 minutes | Handpieces: temp.<br>132°C/269.6°F for<br>4 minutes | | Table 6: Comparison of technological characteristics with predicate devices {13}------------------------------------------------ Image /page/13/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray star-like shape. The logo is simple and modern. {14}------------------------------------------------ Image /page/14/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray, four-pointed star-like shape. {15}------------------------------------------------ Image /page/15/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in a bold, red font. Below the name are the words "Innovation, Legacy, Partnership" in a smaller, gray font. Above the company name is a gray, diamond-shaped graphic. {16}------------------------------------------------ Image /page/16/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray star-like shape. The logo is simple and modern, and the colors are eye-catching. {17}------------------------------------------------ Image /page/17/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray, star-like graphic. The logo is simple and modern. {18}------------------------------------------------ Image /page/18/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray, star-like graphic. The logo is simple and modern, and the colors are eye-catching. ## 8. PERFORMANCE TESTING | Test name | Purpose | Acceptance criteria | Standards used | Results<br>(Pass /<br>No Pass) | |-----------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------|--------------------------------| | Electrical Safety | Verifying that<br>device and its<br>components meet<br>electrical safety<br>requirements | Meeting standard<br>specification | • IEC 61010-<br>1:2010<br>• UL 61010-<br>1:2012<br>• IEC 61010-2-<br>040:2015 | Pass | | EMC | Verifying that the<br>device meets EMC<br>requirements | Meeting standard<br>specification | • EN 61326-<br>1:2013 / IEC<br>61326-1:2012<br>• FCC part 15,<br>subpart B | Pass | | Software<br>validation | Verifying that the<br>SW used meets<br>standard<br>requirements | Meeting standard<br>specification | • IEC 62304-<br>2006+A1:2015 | Pass | | Pressure vessel<br>testing | Verifying that the<br>pressure vessel<br>used for the T-<br>Edge meets the<br>requirements for<br>pressure vessel and<br>is safe for use. | Meeting standard<br>specification | • ASME Boiler<br>and pressure<br>vessel code,<br>Section VIII<br>division 1 | Pass | | Device performance tests | | | | | | Bowie & Dick<br>test | Verify air removal<br>performance (for<br>dynamic air<br>removal sterilizers) | The Bowie-Dick test<br>indicator sheet shall<br>show a uniform<br>color change | • ANSI/AAMI<br>ST-55 | Pass | | Air-leak-rate<br>(vacuum) test | Verify air removal<br>performance (for<br>dynamic air<br>removal sterilizers) | average leak rate of<br>1 millimeter of<br>mercury<br>(mmHg) (0.13 kPa)<br>(0.019 psia) per min<br>or less over the<br>measured time<br>interval. | • ANSI/AAMI<br>ST-55 | Pass | | Empty chamber<br>tests (250F/273F) | to ensure that | The temperature<br>shall not exceed | • ANSI/AAMI<br>ST-55 | Pass | | Test name | Purpose | Acceptance criteria | Standards used | Results<br>(Pass /<br>No Pass) | | – on wrapped and<br>unwrapped load | the sterilizer is<br>capable of<br>providing steady-<br>state thermal<br>conditions within<br>the chamber<br>consistent with the<br>desired sterility<br>assurance level<br>(SAL) in the load | more than 3°C above<br>the sterilization<br>temperature.<br>The temperature<br>shall not be below<br>the sterilization<br>temperature<br>Actual exposure<br>time | | | | Full chamber load<br>test (250F/273F)<br>– on wrapped and<br>unwrapped load | to ensure that<br>the sterilizer is<br>capable of<br>providing steady-<br>state thermal<br>conditions within<br>the chamber<br>consistent with the<br>desired sterility<br>assurance level<br>(SAL) in the load | The temperature<br>shall not exceed<br>more than 3°C above<br>the sterilization<br>temperature.<br>The temperature<br>shall not be below<br>the sterilization<br>temperature<br>Actual exposure<br>time | • ANSI/AAMI<br>ST-55 | Pass | | Biological<br>performance with<br>a textile PCD | Verifying<br>biological<br>performance | Tested cycle has a<br>10-6 SAL or an SAL<br>providing a greater<br>assurance of sterility<br>when the textile<br>PCD is used. | • ANSI/AAMI<br>ST-55 | Pass | | Biological<br>performance with<br>wrapped<br>instrument PCD | Verifying<br>biological<br>performance | Tested cycle has a<br>10-6 SAL or an SAL<br>providing a greater<br>assurance of sterility<br>when the wrapped<br>instrument PCD is<br>used. | • ANSI/AAMI<br>ST-55 | Pass | | Biological<br>performance with<br>dental handpieces | Verifying<br>biological<br>performance | There shall be no<br>growth observed in<br>the vials containing<br>turbines or in the<br>extraction of any of<br>the turbines, except | • ANSI/AAMI<br>ST-55 | Pass | | Test name | Purpose | Acceptance criteria | Standards used | Results<br>(Pass /<br>No Pass) | | | | for the positive<br>controls. No growth<br>shall be observed<br>with the BIs except<br>the positive control<br>BI. Growth should<br>be observed for the<br>positive control<br>turbine and BI. | | | {19}------------------------------------------------ Image /page/19/Picture/0 description: The image shows the logo for Tuttnauer. The logo features the company name in red, with the words "Innovation, Legacy, Partnership" in a smaller font below. Above the company name is a gray, four-pointed star-like shape. {20}------------------------------------------------ 510(k) Summary K232658 Device name: T-Top Image /page/20/Picture/1 description: The image shows the logo for Tuttnauer. The logo features the company name in a bold, red font. Above the name is a gray, star-like shape. Below the name is the text "Innovation · Legacy · Partnership" in a smaller font. {21}------------------------------------------------ Image /page/21/Picture/1 description: The image contains the logo for Tuttnauer. The logo features the company name in a bold, red font. Above the company name is a gray, diamond-like shape. Below the company name are the words "Innovation, Legacy, Partnership" in a smaller, gray font. ## 9. CONCLUSION The conclusions drawn from the nonclinical tests demonstrate that the subject device, T-Top 10 & T-Top 11, are as safe, as effective, and performs as well as or better than the legally marketed device
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