← Product Code [FYA](/submissions/SU/subpart-e%E2%80%94surgical-devices/FYA) · K212718
# Surgical gowns (K212718)
_Xiantao Dingcheng Non-Woven Product Co., Ltd. · FYA · Jan 12, 2022 · General, Plastic Surgery · SESE_
**Canonical URL:** https://fda.innolitics.com/submissions/HO/subpart-e%E2%80%94surgical-devices/FYA/K212718
## Device Facts
- **Applicant:** Xiantao Dingcheng Non-Woven Product Co., Ltd.
- **Product Code:** [FYA](/submissions/SU/subpart-e%E2%80%94surgical-devices/FYA.md)
- **Decision Date:** Jan 12, 2022
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 878.4040
- **Device Class:** Class 2
- **Review Panel:** General, Plastic Surgery
## Intended Use
The Surgical gowns are intended to be worn by operating room personnel during surgical procedures to protect the surgical patient and operating room personnel from the transfer of microorganisms, body fluids and particulate material. In addition, this surgical gown meets the requirements of AAMI Level 3 barrier protection for a surgical gown per ANSU AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Surgical gowns are single use, disposable medical devices, provided sterile.
## Device Story
Surgical gown designed for operating room personnel; provides AAMI Level 3 barrier protection against microorganisms, body fluids, and particulates. Constructed from SMS nonwoven polyolefin (polypropylene) and cotton; features collar, body, sleeves, and ties. Manufactured via heat sealing and sewing; provided sterile via ethylene oxide (EO) sterilization. Single-use, disposable device. Used by surgeons and OR staff during procedures to maintain sterile field and prevent cross-contamination. Performance verified through bench testing for impact penetration, hydrostatic resistance, tensile/tear strength, and flame spread. Biocompatibility confirmed per ISO 10993 standards.
## Clinical Evidence
No clinical data. Bench testing only. Performance verified against AAMI PB70:2012, AATCC 42 (impact penetration <0.1g), AATCC 127 (hydrostatic resistance >50cmH2O), ASTM D5034 (tensile strength), ASTM D5733 (tear resistance), and 16 CFR Part 1610 (flame spread). Biocompatibility testing (ISO 10993-5, -10) confirmed non-cytotoxic, non-irritating, and non-sensitizing properties.
## Technological Characteristics
Materials: Polyolefin (polypropylene) SMS nonwoven, cotton. Barrier: AAMI Level 3 per ANSI/AAMI PB70:2012. Sterilization: Ethylene Oxide (EO). Standards: ASTM D5034 (tensile), ASTM D5733 (tear), AATCC 42 (impact), AATCC 127 (hydrostatic), 16 CFR Part 1610 (flammability), ISO 10993-5/10 (biocompatibility). Form factor: Disposable gown with neck/waist ties and knit cuffs.
## Regulatory 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
- Cardinal Health™ Non-Reinforced Surgical Gown ([K170762](/device/K170762.md))
## Submission Summary (Full Text)
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January 12, 2022
Xiantao Dingcheng Non-Woven Product Co., Ltd % Boyle Wang General Manager Shanghai Truthful Information Technology Co., Ltd. Room 608, No.738, Shangcheng Rd., Pudong Shanghai, Shanghai 200120 China
Re: K212718
Trade/Device Name: Surgical gowns Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical apparel Regulatory Class: Class II Product Code: FYA Dated: August 20, 2021 Received: August 27, 2021
Dear Boyle Wang:
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
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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 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 (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
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 Ouality Center for Devices and Radiological Health
Enclosure
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## Indications for Use
510(k) Number (if known) K212718
Device Name Surgical Gowns
#### Indications for Use (Describe)
The Surgical gowns are intended to be worn by operating room personnel during surgical procedures to protect the surgical patient and operating room personnel from the transfer of microorganisms, body fluids and particulate material. In addition, this surgical gown meets the requirements of AAMI Level 3 barrier protection for a surgical gown per ANSU AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Surgical gowns are single use, disposable medical devices, provided sterile.
| 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)
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# K212718 510(k) Summary
This summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of SMDA 1990 and 21 CFR 807.92.
#### 1.0 Submitter's information
Name: XIANTAO DINGCHENG NONWOVEN PRODUCTS CO.,LTD Address: LIUKOU INDUSTRIAL PARK,XIANTAO CITY,HUBEI PROVINCE,CHINA 433000 Contact: Mr. Cheng Qin Phone Number: 86-18007229722 Date of Preparation: 02/08/2021
#### Designated Submission Correspondent
Mr. Boyle Wang Shanghai Truthful Information Technology Co., Ltd. Room 608, No. 738 Shangcheng Rd., Pudong Shanghai, 200120 China Tel: +86-21-50313932 Email: Info@truthful.com.cn
#### 2.0 Device information
Trade name: Surgical gowns Common name: Surgical gown Classification name: Gown, Surgical Model(s): M, L, XL, XXL.
### 3.0 Classification
Production code: FYA Regulation number: 21CFR 878.4040 Classification: Class II Panel: Surgical apparel
#### 4.0 Predicate device information
Manufacturer: Cardinal Health 200, LLC Device: Cardinal Health™ Non-Reinforced Surgical Gown 510(k) number: K170762
#### 5.0 Indication for Use Statement
The Surgical gowns are intended to be worn by operating room personnel during
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surgical procedures to protect the surgical patient and operating room personnel from the transfer of microorganisms, body fluids and particulate material. In addition, this surgical gown meets the requirements of AAMI Level 3 barrier protection for a surgical gown per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Surgical gowns are single use, disposable medical devices, provided sterile.
## 6.0 Device description
The Surgical gowns is composed of collar, body, sleeve and tie. The back is full opening, the neck and waist are laced, the sleeve are made of cotton closure by sewing, and the rest are made of heat sealing. It has been tested according to AAMI PB70:2012 and meet AAMI Level 3 barrier level protection for a surgical gown.
| Table 3 - General Comparison | | | |
|-----------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------|
| Item | Proposed device | Predicated device | Remark |
| Product Code | FYA | FYA | Same |
| Regulation No. | 21 CFR 878.4040 | 21 CFR 878.4040 | Same |
| Class | II | II | Same |
| Product name | Surgical gowns | Cardinal HealthTM
Non-Reinforced Surgical
Gown | - |
| 510(k) No. | Pending | K170762 | - |
| Models | M, L, XL, XXL. | M-S, M, L, XL, XXL | Similar |
| Intended Use | The Surgical gowns is intended to be worn by operating room personnel during surgical procedures to protect the surgical patient and operating room personnel from the transfer of microorganisms, body fluids and particulate material. In addition, this surgical gown meets the requirements of AAMI Level 3 barrier protection for a surgical gown per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI PB70). The Surgical gowns are single use. | Cardinal HealthTM Non-Reinforced Surgical Gown is intended to be worn by operating room personnel during surgical procedures to protect the surgical patient and operating room personnel from the transfer of microorganisms, body fluids and particulate material. In addition, this surgical gown meets the requirements of AAMI Level 3 barrier protection for a surgical gown per ANSI/AAMI PB70:2012 Liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities (AAMI | Same |
| | | | |
| | disposable medical devices,
provided sterile. | PB70). The Cardinal Health ™
Non-Reinforced Surgical
Gowns are single use,
disposable medical devices;
provided sterile and non-sterile. | |
| Composite | Neck Closure: Loop
Belt Ties
Knit Cuffs
Transfer Tab | Neck Closure: Hook and Loop
Belt Ties
Knit Cuffs
Transfer Tab | Same |
| Material | Polyolefin (Polypropylene)
SMS nonwoven
Cotton | Polyolefin (Polypropylene)
SMS nonwoven | Similar |
| Color | Blue | Blue | Same |
| Sterility | Sterile | Non-Sterile and sterile | * Gap 1 |
| Sterilization method | EO | EO | Same |
| Shelf life | 2 years | No identified | * Gap 2 |
| Single Use | Yes | Yes | Same |
| Impact Penetration | <0.1g | 0.0-0.10 g | Same |
| Hydrostatic
Resistance | >50cmH2O for critical zone | 65-92 cm | * Gap 3 |
| Tensile strength | Machine direction mean:
252N;
Cross direction mean: 121N | MD mean: 21.57 lbf;
CD mean: 13.6 lbs | * Gap 4 |
| Tear resistance | Fabric direction A mean: 91N;
Fabric direction B mean:
34.5N; | MD mean: 3.47 lbf;
CD mean: 5.63 lbs | * Gap 5 |
| Flame spread | Class 1, Non Flammable | Class 1, Non Flammable | Same |
| Resistance to blood
and liquid penetration | Level 3 per PB70 | Level 3 per PB70 | Same |
| Cytotoxicity | Comply with ISO 10993-5 | Comply with ISO 10993-5 | Same |
| Irritation | Comply with ISO 10993-10 | Comply with ISO 10993-10 | Same |
| Sensitization | | | |
## 7.0 Technological Characteristic Comparison Table
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* Gap analysis:
Gap 1: the proposed device is provided sterile, the predicate device has two types sterile and non sterile, this difference does not create additional risks to the device. Gap 2-4, the two devices have some small deviations in product performance, but the differences in the performance test results do not raise additional questions for safety and effectiveness.
### 8.0 _Non-Clinical Test Conclusion
The proposed device was tested and conformed to the related recognized standards and the requirements stated in the "Guidance on Premarket Notification [510(k)]
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Submissions for Surgical Gowns and Surgical Drapes" dated on August, 1993.
| Items | Performance | Test methods |
|--------------------------------------------|------------------------------------------------------------------|-----------------|
| Impact Penetration | <0.1g | AATCC 42 |
| Hydrostatic Resistance | >50cmH2O for critical zone | AATCC 127 |
| Resistance to blood and liquid penetration | Level 3 | AAMI PB70 |
| Tensile strength | Machine direction mean: 252N;
Cross direction mean: 121N | ASTM D5034 |
| Tear resistance | Farbic direction A mean: 91N;
Farbic direction B mean: 34.5N; | ASTM D5733 |
| Flame spread | Class 1, Non Flammable | 16 CFR Pat 1610 |
| SAL | 10-6 | |
| Shelf life | 2 years | |
Table 1 - Performance Testing
| Table 2 - Biocompatibility Testing | | |
|------------------------------------|--|--|
| | | |
| Item | Proposed Device | Result |
|---------------|--------------------------------------------------------------------|--------|
| Cytotoxicity | Under the conditions of the study, the device is
noncytotoxic. | Pass |
| Irritation | Under the conditions of the study, the device is
nonirritating. | Pass |
| Sensitization | Under the conditions of the study, the device is
nonsensitizing | Pass |
### 9.0 _Clinical Test Conclusion
No clinical study implemented for the Surgical gowns.
#### 10.0 Conclusion
The conclusions drawn from the comparison and analysis above demonstrate that the proposed device is as safe, as effective, and performs as well as the legally marketed predicated device and raises no new questions of safety or effectiveness. The differences between both devices are insignificant in terms of safety and effectiveness.
---
**Source:** [https://fda.innolitics.com/submissions/HO/subpart-e%E2%80%94surgical-devices/FYA/K212718](https://fda.innolitics.com/submissions/HO/subpart-e%E2%80%94surgical-devices/FYA/K212718)
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