MEDLINE ADMISSION KITS

K965107 · Medline Industries, Inc. · FXX · Mar 11, 1997 · General, Plastic Surgery

Device Facts

Record IDK965107
Device NameMEDLINE ADMISSION KITS
ApplicantMedline Industries, Inc.
Product CodeFXX · General, Plastic Surgery
Decision DateMar 11, 1997
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 878.4040
Device ClassClass 2

Intended Use

Medline Personal Protection Kits are intended for use by, but not limited to, hospitals and medical centers. The original intended use of the medical products assembled in these kits will not be changed.

Device Story

Medline Employee Protection Kit is an assemblage of medical and non-medical items designed to protect employees from body fluids or hazardous materials. Kits are custom-configured by customers, who specify contents, quantities, and brands of individual components. The device is non-sterile and shrink-wrapped to maintain integrity. It is used in clinical settings (hospitals, medical centers) by employees. The kit does not alter the intended use of the individual medical devices contained within. Benefit is derived from the convenience of having pre-assembled protective equipment available for immediate use in hazardous situations.

Clinical Evidence

No clinical data. Bench testing only.

Technological Characteristics

Non-sterile, shrink-wrapped kit containing various medical and non-medical protective items (e.g., masks, gloves, gowns, shoe covers). No specific materials or standards cited beyond component regulatory status. No electronic, software, or algorithmic components.

Indications for Use

Indicated for use by employees in hospitals and medical centers requiring protection from body fluids or other potentially hazardous situations.

Regulatory Classification

Identification

Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.

Special Controls

*Classification.* (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible. (ii) Analysis and nonclinical testing must: (A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and (B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device. (iii) NIOSH approved under its regulation. (2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

Predicate Devices

Reference Devices

Related Devices

Submission Summary (Full Text)

{0} MEDLINE Medline Industries, Inc. One Medline Place Mundelein, Illinois 60060.4486 1.847.949.3109 1.800.950.0128 Fax 1.847.949.2643 Corporate Quality Assurance/Regulatory Affairs 510(K) SUMMARY K965107 p 1/3 February 19, 1997 1. Submitters Information: Medline Industries, Inc. MAR 11 1997 Dynacor Division One Medline Place Mundelein, IL 60060 Phone:847-949-5500 Fax: 847-949-2643 Contact: Christine Galea Corporate Regulatory Affairs 2. Device Information: A. Trade Name: Medline Employee Protection Kit B. Common Name: Employee Protection Kit 3. Substantial Equivalence Claim: Medline claims substantial equivalence to K952962, EZ Personal Protection Kit, made by Safetec of America, Inc. 4. Device Description: Medline Employee Protection Kits are an assemblage of medical and non-medical materials to be used by employees who may need protection from body fluids or other potentially hazardous situations where employee protection may be needed. The kits will be assembled using Medline and other manufacturer's medical devices and materials. The devices are custom to our customers who specify the contents, quantity and placement of the individual items kit. Attached is a list of individual components that are likely to be in any of these kits. These items are standard and we expect that only quantities will change from one kit to another. The customer may also specify a specific brand of similar items or minor variations of items. These kits are non-sterile and are shrink-wrapped to maintain kit integrity and cleanliness. Page 8.0 {1} MEDLINE Medline Industries, Inc. One Medline Place Mundelein, Illinois 60060.4486 1.847.949.3109 1.800.950.0128 Fax 1.847.949.2643 Corporate Quality Assurance/Regulatory Affairs 510(K) SUMMARY (CONT) K965107 P2/3 5. Intended Use: Medline Personal Protection Kits are intended for use by, but not limited to, hospitals and medical centers. The original intended use of the medical products assembled in these kits will not be changed. 6. Technological Characteristics: There are no technological differences between the new device and the predicate device. From the above data, we have determined that the Medline Medline Employee Protection Kits are substantially equivalent in design and performance to K952962, EZ Personal Protection Kit marketed by Safetec of America, Inc. The safety and effectiveness of Medline Employee Protection Kit is dependent upon proper usage of the products and medical devices that are present in each type of kit. Page 8.1 {2} # EXHIBIT 1 Medline Component List of items most likely to be used in our Employee Protection Kit. $$ k965107 $$ $$ p\ 3/3. $$ COMPONENT LIST | COMPONENT | REGULATORY STATUS | | --- | --- | | Glass Free Mask | K875172 | | Glove, Exam Latex | K962094 | | Goggles, Vents Standard | Not A Medical Device | | Isolation Gown | Pre-Amendment Exempt | | Latex Glove Powder Free | K962095 | | Liner 7 X 17 W/Polymer | Not A Medical Device | | Sheer Fit Cap, Blue 24" (bouffant cap) | Pre-Amendment Exempt | | Shieldmate Mask W/Ties | Pre-Amendment Exempt | | Shoe Cover Impervious, White Bulk | Pre-Amendment Exempt | | Shoe Cover Spunbond Non-Conductive | Pre-Amendment Exempt | Page 9.0
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