Use the 3M™ Attest™ 1491 Super Rapid Readout Biological Indicator in conjunction with the 3M™ Attest™ 490 Auto-reader to monitor the cycles below. Sterilization Type Temperature Time Gravity Displacement 270°F (132°C) 3 minutes Immediate Use Steam Sterilization Cycle (Flash) 270°F (132°C) 10 minutes 275°F (135°C) 3 minutes 275°F (135°C) 10 minutes The 3M™ Attest™ 1491 Super Rapid Readout Biological Indicator provides a final fluorescent result in 30 minutes. An optional visual pH color change result is observed in 24 hours.
Device Story
Device consists of self-contained biological indicator (BI) and auto-reader. BI contains Geobacillus stearothermophilus spores and media ampoule. During steam sterilization, spores are exposed to cycle conditions. Post-sterilization, BI is placed in 490 Auto-reader, which incubates at 56°C. Reader detects fluorescence generated by enzymatic hydrolysis of non-fluorescent substrate by a-glucosidase enzyme (produced by viable spores). Fluorescent signal indicates sterilization failure. Output provided within 30 minutes; optional 24-hour visual pH color change readout available. Used by healthcare personnel to verify sterilization process efficacy; ensures patient safety by confirming equipment sterility.
Clinical Evidence
No clinical data. Bench testing only. Performance validated per ANSI/AAMI/ISO 11138-1:2006 and 11138-3:2006. Testing confirmed >90% genetic similarity to G. stearothermophilus ATCC 7953, D-value compliance (≥10s at 132°C, ≥8s at 135°C), and population ≥10^6 spores. Reduced incubation time study demonstrated >97% alignment with 7-day conventional incubation for both 30-minute fluorescent and 24-hour visual readouts.
Technological Characteristics
Polycarbonate sleeve, spore carrier, media ampoule. Sensing principle: enzymatic fluorescence detection (a-glucosidase). Energy source: electrical (56°C incubation). Dimensions: self-contained vial. Connectivity: standalone. Sterilization: steam. Software: embedded firmware for fluorescence detection and temperature control.
Indications for Use
Indicated for monitoring gravity-displacement and immediate-use steam sterilization cycles at 132°C or 135°C with exposure times > 3 minutes. Used in clinical or healthcare settings to verify sterilization efficacy.
Regulatory Classification
Identification
Biological sterilization process indicator: A device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor adequacy of sterilization. The device consists of a known number of microorganisms, of known resistance to the mode of sterilization, in or on a carrier and enclosed in a protective package. Subsequent growth or failure of the microorganisms to grow under suitable conditions indicates the adequacy of sterilization. Physical/chemical sterilization process indicator: A device intended for use by a health care provider to accompany products being sterilized through a sterilization procedure and to monitor one or more parameters of the sterilization process. The adequacy of the sterilization conditions as measured by these parameters is indicated by a visible change in the device.
Predicate Devices
3M™ Attest™ 1291 Rapid Readout Biological Indicator for Steam (K900771)
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K103277
# Premarket Notification (510(k)) Summary
Image /page/0/Picture/2 description: The image shows the logo for 3M. The logo is in black and white. The number 3 is next to the letter M.
APR 1 9 2011
# Sponsor Information:
3M Health Care 3M Center, Bldg. 275-5W-06 St. Paul, MN 55144-1000
| Contact Person: | Suzanne Leung |
|-----------------|--------------------|
| | Regulatory Affairs |
| Phone Number: | (651) 575-8052 |
| FAX Number: | (651) 737-5320 |
Date of Summary: April 18, 2011
## Device Name and Classification:
| Common or Usual Name: | Sterilization Biological Indicator |
|-----------------------|-----------------------------------------------------------------------------------------------|
| Proprietary Name: | 3MTM Attest™ 1491 Super Rapid Readout<br>Biological Indicator<br>3MTM Attest™ 490 Auto-reader |
| Classification Name: | Indicator, Biological Sterilization Process |
#### Predicate Devices:
- 3M™ Attest™ 1291 Rapid Readout Biological Indicator for Steam .
(21 CFR § 880.2800(a))
- 3MTM Attest™ 290 Auto-reader .
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#### Description of Device:
The 3M™ Attest™ 1491 Super Rapid Readout Biological Indicator (hereafter referred to as the 1491 Bl) is a self-contained biological indicator designed to be used with the 3M™ Attest™ 490 Auto-reader (hereafter referred to as the 490 Auto-reader) to routinely challenge 270°F (132°C) and 275°F (135°C) gravity-displacement steam sterilization cycles having exposure times > 3 minutes in length.
The 1491 BI is composed of a polycarbonate sleeve containing a spore carrier and media ampoule, enclosed with a blue cap. On each 1491 BI is a chemical process indicator that changes color from rose to brown when exposed to steam.
The 1491 Bl is a further improvement over the current 3M Attest Rapid Readout technology. Both the Attest Rapid Readout BIs and the Attest Super Rapid Readout Bls utlize the a-glucosidase enzyme system, which is generated naturally within growing G. stearothermophilus spores. The a -glucosidase enzyme in its active state is detected by measuring the fluorescence produced by the enzymatic hydrolysis of a non-fluorescent substrate. The resultant fluorescent by-product is detected in the 490 Auto-reader. The detection of fluorescence upon incubation of the 1491 BI in the 490 Auto-reader indicates steam sterilization failure.
The 490 Auto-reader is designed to incubate at 56°C and automatically read the 1491 BI for a fluorescent result within 30 minutes. The 490 Auto-reader is also designed to allow further incubation of the 1491 BI for an optional visual pH color change of the growth media at 24 hours. Both the fluorescent readout at 30 minutes and the optional visual color readout at 24 hours met the FDA's requirement of > 97% alignment with the result after the conventional incubation time of 7 days.
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# Indications for Use:
Use the 3MTM Attest™ 1491 Super Rapid Readout Biological Indicator in conjunction with the 3M™ Attest™ 490 Auto-reader to monitor the cycles below.
| Sterilization Type | Temperature | Time |
|-------------------------------------------------------------------------------|---------------|------------|
| Gravity Displacement<br>Immediate Use Steam<br>Sterilization Cycle<br>(Flash) | 270°F (132°C) | 3 minutes |
| | 270°F (132°C) | 10 minutes |
| | 275°F (135°C) | 3 minutes |
| | 275°F (135°C) | 10 minutes |
The 3M™ Attest™ 1491 Super Rapid Readout Biological Indicator provides a final fluorescent result in 30 minutes. An optional visual pH color change result is observed in 24 hours.
{3}------------------------------------------------
# Comparative Data for Determining Substantial Equivalence of New Device to Predicate Device:
Testing was conducted following the FDA guidance and standards below:
- . FDA's Guidance for Industry and FDA Staff, Biological Indicator (BI) Premarket Notification [510(k)] Submissions; October 4, 2007
- ANSI/AAMI/ISO 11138-1:2006/(R)2010 Sterilization of health care products . Biological indicators - Part 1: General Requirements
- . ANSI/AAMI/ISO 11138-3: 2006/(R)2010 Sterilization of health care products -Biological indicators – Part 3: Biological indicators for moist heat sterilization processes
- . ANSI/AAMI/ISO 18472:2006 Sterilization of Health Care Product-Biological and Chemical Indicators: Test Equipment
- United States Pharmacopeia, Chapter <1035> Biological Indicators for Sterilization and . Chapter <55> Biological Indicators - Resistance Performance Tests.
Multiple lots of 3MTM Attest™ 1491 Super Rapid Readout Biological Indicators were evaluated for performance when used with the 3MTM Attest™ 490 Auto-reader. A Summary of the nonclinical testing is shown below.
| Test | Acceptance Criteria | Result |
|------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------|
| Characterization of spores | > 90% Genetic similarity to Geobacillus<br>stearothermophilus to ATCCTM 7953 | Pass |
| D-Value | Greater than or equal to 10 seconds at 132°C<br>Greater than or equal to 8 seconds at 135°C | Pass |
| Population (Total Viable<br>Spore Count) | Greater than or equal to 10^6 spores | Pass |
| Survival/Kill Times | Survival Time = 1 min at 132°C or calculated survive<br>time*, whichever is greater<br>Survival Time = 40 seconds at 135°C or calculated<br>survive time*, whichever is greater<br>Kill time is calculated kill time* at 132°C and at 135°C<br>*ANSI/AAMI/ISO 11138-1:2006, Annex E | Pass |
| Reduced Incubation Time | Meets FDA's requirements for Reduced Incubation Time<br>with > 97% alignment with the conventional incubation<br>time of 7 days for the following readout times:<br>Fluorescent result in 30 minutes<br>Optional visual color change result in 24 hours | Pass |
| Hold Time Assessment | D-value does not change when activated 7 days post-<br>sterilization | Pass |
| Recovery Media Study | Ability to recover 10-100 organisms | Pass |
| Component Inhibition<br>Studies | No impact of components on recovery of 10-100<br>organisms | Pass |
| Chemical Process<br>Indicator | Chemical Process Indicator on the BI changes from rose<br>to brown upon exposure to steam | Pass |
| Auto-reader Maintenance<br>of Incubation Temperature | Must maintain 56+/- 2°C over a period of 24 hrs | Pass |
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The results of these evaluations showed that the new 3M™ Attest™ 1491 Rapid Readout Biological Indicator, when used with the 3M™ Attest™ 490 Auto-reader, complies with ANSI/AAMI/ISO 11138-1:2006/(R)2010 and ANSI/AAMI/ISO 11138-3:2006/(R)2010. the USP requirements for biological indicators, as well as the FDA's Guidance for Biological Indicators.
The 490 Auto-reader was tested for safety by Underwriters Laboratory to verify compliance to:
- IEC 61010-1(2001) Second Edition; Safety requirements for electrical equipment . for measurement, control, and laboratory use – Part 1: General requirements,
- IEC 61010-2-010 (2003) Second Edition: Safety requirements for electrical . equipment for measurement, control, and laboratory use - Part 2-010: Particular requirements for laboratory equipment for the heating of materials, and
- IEC 60825-1 (1993) First Edition with Am. 111997) and Am. 2 (2001): Standard for safety of laser products - Part 1: Equipment classification and requirements.
In addition, the 490 Auto-reader has been tested by a certified Testing Laboratory to verify electromagnetic compatibility per:
- · USA Title 47, Code of Federal Regulations (2009) for:
- O Radiated Emissions (FCC Part 15, Subpart B. Class A)
- Conducted Emissions (FCC Part 15, Subpart B. Class A), and
- IEC 61326: Electrical Equipment for Measurement. Control and Laboratorv Use-EMC Requirements.
#### Conclusion
The 3M™ Attest™ 1491 Super Rapid Readout Biological Indicator and the 3MTM Attest™ 490 Auto-reader are substantially equivalent to the predicate devices, the 3MTM Attest™ 1291 Rapid Readout Biological Indicator for Steam, cleared under K900771, and 3MTM Attest™ 290 Auto-reader, cleared under K004009, in terms of their intended use, physical properties and technological characteristics. There are no new questions of safety or effectiveness.
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Image /page/5/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes extending from its wing, representing the department's mission to protect the health of all Americans and provide essential human services. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" is arranged in a circular pattern around the eagle.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002
Suzanne Leung Ph.D. Manager, Regulatory Affairs 3M Company-3M Healthcare 3M Center, Building 275-5W-06 St. Paul, Minnesota 55133-1006
# APR 1 9 2011
Re: K103277
Trade/Device Name: 3M™ Attest™ 1491 Super Rapied Readout, Biological Indicator for Steam, 3MTM Attest 490 Auto-reader Regulation Number: 21 CFR 880.2800 Regulation Name: Sterilization Process Indicator Regulatory Class: II Product Code: FRC Dated: March 14, 2011 Received: March 25, 2011 ·
Dear Dr. Leung:
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. 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 111 (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.
{6}------------------------------------------------
Page 2- Dr. Leung
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 (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820): and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices /ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.
You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours,
for Z
Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
#### Enclosure
{7}------------------------------------------------
Indications for Use
| 510(k) Number (if known): | K103277 |
|---------------------------|-------------------------------------------------------------------------------------------------------|
| Device Name: | 3M™ Attest™ 1491 Super Rapid Readout<br>Biological Indicator for Steam<br>3M™ Attest™ 490 Auto-reader |
## Indications For Use:
Use the 3M™ Attest™ 1491 Super Rapid Readout Biological Indicator in conjunction with the 3M™ Attest™ 490 Auto-reader to monitor the cycles below.
| Sterilization Type | Temperature | Time |
|-------------------------------------------------------|---------------|------------|
| Gravity Displacement | 270°F (132°C) | 3 minutes |
| Immediate Use Steam<br>Sterilization Cycle<br>(Flash) | 270°F (132°C) | 10 minutes |
| | 275°F (135°C) | 3 minutes |
| | 275°F (135°C) | 10 minutes |
The 3M™ Attest™ 1491 Super Rapid Readout Biological Indicator provides a final fluorescent result in 30 minutes. An optional visual pH color change result is observed in 24 hours.
Prescription Use AND/OR (Part 21 CFR 801 Subpart D)
Over-The-Counter Use x (21 CFR 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Eldgett \$. Clamie-Will
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
510(k) Number:________________________________________________________________________________________________________________________________________________________________
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.