K122071 · Getinge Sourcing, LLC · FLE · Mar 12, 2013 · General Hospital
Device Facts
Record ID
K122071
Device Name
GETINGE 400HC-E / SERIES STEAM STERILIZER
Applicant
Getinge Sourcing, LLC
Product Code
FLE · General Hospital
Decision Date
Mar 12, 2013
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 880.6880
Device Class
Class 2
Indications for Use
The Getinge 400HC-E/500HC-E Series Steam Sterilizer is intended for use by health care facilities and to be used to sterilize wrapped and unwrapped porous and nonporous heat and moisture stable items such as surgical instruments and linens by means of pressurized steam.
Device Story
Steam sterilizer for healthcare facilities; uses pressurized saturated steam to sterilize heat/moisture stable items (surgical instruments, linens). Employs gravity/downward displacement with positive pulse conditioning and pressure/vacuum pulsing for air removal. Features touch screen interface; up to 24 user-accessible cycles. System sequences/monitors cycle phases; provides audible/visual alerts for parameter deviations. Healthcare personnel operate device to ensure sterility of instruments; output is sterilized load. Benefits patient by reducing risk of infection via effective sterilization of surgical equipment.
Clinical Evidence
No clinical data required. Bench testing only. Validation performed per ANSI/AAMI ST8:2008. Testing included empty chamber, fabric process challenge packs, wrapped instrument process challenge devices, immediate use (flash) cycles, and liquid load cycles. All cycles demonstrated sterility assurance level (SAL) of at least 10^-6 (10^-8 for liquids) and complete biological indicator kill.
Indicated for use by health care facilities to sterilize wrapped and unwrapped, porous and nonporous heat and moisture stable items such as surgical instruments and linens by means of pressurized steam. Liquid cycles are not intended for sterilization of liquids used for direct patient contact.
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
Getinge Model 700HC-E Series Steam Sterilizer (K120441)
Getinge Model 400HC/500HC Series Steam Sterilizer (K103504)
Submission Summary (Full Text)
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K122071
# 510(k) SUMMARY
MAR 1 2 2013
# Getinge 400HC-E/500HC-E Series Steam Sterilizer
Submitted by:
Getinge Sourcing LLC 1777 E Henrietta Road Rochester, NY 14623-3133
Contact Person:
Barb Smith, RAC Sr. Manager, Regulatory Affairs Phone: (585) 214-6049 Fax: (585) 272-5299
| Date prepared: | July 10, 2012 |
|------------------------|-------------------------------------------------------------|
| Proprietary Name: | Model 400HC-E/500HC-E Series Steam Sterilizer |
| Common Name: | Steam Sterilizer |
| Device Classification: | Steam Sterilizer (80 FLE) |
| | Class II, as listed per 21 CFR 880.6880 |
| Predicate Device: | Getinge Model 700HC-E Series Steam Sterilizer [K120441] |
| | Getinge Model 400HC/500HC Series Steam Sterilizer [K103504] |
## Description of Device:
The Getinge 400HC-E/500HC-E Series Steam Sterilizer is designed for sterilization of heat and moisture stable materials used in healthcare facilities. The model designations provided in the 400HC-E/500HC-E Series Steam Sterilizer are 422HC-E. 433HC-E. 522HC-E and 533HC-E.
400HC-E/500HC-E Steam Sterilizer employs both gravity/downward The displacement with positive pulse conditioning and pressure/vacuum pulsing for dynamic air removal. Up to 24 cycles can be easily accessed and custom cvcle names can be designated by the user (duplicate cycles are provided to allow for user designated names). All cycle phases are sequenced and monitored by the control system, providing both audible and visual notification of deviation from certain operating parameters.
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# List of available cycles: Model 433HC-E and 533HC-E Steam Sterilizer Cycles and Load Chart
| Cycle Type | No. of<br>Available<br>Cycles | Factory Settings | | | Load Configuration<br>(Note 1) | Maximum Items<br>per Chamber Size | |
|------------------------------------------|-------------------------------|------------------|------------------|-----------------------------------------------|--------------------------------------------------------------------------------|-----------------------------------|----------------|
| | | Exp.<br>Temp. | Exp.<br>Time | Dry Time | | 433HC-E | 533HC-E |
| PREVAC 1<br>(vac) | 3 | 275°F<br>(135°C) | 3 min | 16 min | Double-wrapped instrument<br>trays, up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| PREVAC 2<br>(vac) | 2 | 275°F<br>(135°C) | 3 min | 3 min<br>(Note 4) | Single wrapped, single<br>instrument | 1 | 1 |
| | | | | | Single wrapped instrument<br>trays, up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| PREVAC 3<br>(vac) | 1 | 275°F<br>(135°C) | 3 min | 0 min<br>(Note 4) | Unwrapped porous or non-<br>porous single instrument | 1 | 1 |
| | | | | | Unwrapped porous & non-<br>porous instrument trays, up to<br>25 lbs. per tray. | 2 | 2 |
| PREVAC 4<br>(vac) | 1 | 270°F<br>(132°C) | 4 min | 16 min | Double-wrapped instrument trays,<br>up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric Packs | 4 | 12 |
| PREVAC 5<br>(vac) | 1 | 270°F<br>(132°C) | 4 min | 3 min<br>(Note 4) | Fabric Packs | 4 | 12 |
| B & D Test<br>(vac) | 1 | 273°F<br>(134°C) | 3 min,<br>30 sec | 0 min | S.M.A.R.T. Pack or equivalent (1)<br>in an EMPTY chamber | 1 Test<br>Pack | 1 Test<br>Pack |
| GRAVITY 1<br>(grv) | 3 | 250°F<br>(121°C) | 30 min | 45 min | Double-wrapped instrument<br>trays, up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| GRAVITY 2<br>(grv) | 3 | 275°F<br>(135°C) | 10 min | 45 min | Double-wrapped instrument<br>trays, up to 25lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| IMMED USE<br>3+<br>(ius)<br>(Notes 1,7) | 4 | 275°F<br>(135°C) | 3 min | 30 sec<br>(Note 4) | Unwrapped non-porous single<br>instrument | 1 | 1 |
| | | | | | Unwrapped non-porous<br>instrument trays, up to 25 lb per<br>tray | 2 | 2 |
| IMMED USE<br>10+<br>(ius)<br>(Notes 1,7) | 2 | 275°F<br>(135°C) | 10 min | 30 sec<br>(Note 4) | Unwrapped porous or non-porous single instrument | 1 | 1 |
| | | | | | Unwrapped porous & non-porous instrument trays, up to 25 lb per tray | 2 | 2 |
| LIQUIDS 1<br>(liq) | 1 | 250°F<br>(121°C) | 30 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller | 15 | 32 |
| LIQUIDS 2<br>(liq) | 1 | 250°F<br>(121°C) | 45 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller | 15 | 32 |
| LEAK TEST<br>(lk)<br>(Note 2) | 1 | 268°F<br>(131°C) | 3 min | 15 min dry,<br>5 min equalize,<br>15 min test | Empty chamber | -- | -- |
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# Getinge Sourcing LLC FDA 510(k) Summary Device: 400HC-E/500HC-E Series Steam Sterilizer
NOTE: Liquid Cycles are not intended for the sterilization of liquids used for direct patient contact.
# Model 422HC-E and 522HC-E Steam Sterilizer Cycles an Load Chart
| Cycle Type | No. of<br>Available<br>Cycles | Factory Settings | | | Load Configuration<br>(Note 1) | Maximum Items<br>per Chamber Size | |
|-------------------------------------------|-------------------------------|------------------|--------------|--------------------------|-----------------------------------------------------------------------------|-----------------------------------|---------|
| | | Exp.<br>Temp. | Exp.<br>Time | Dry Time | | 422HC-E | 522HC-E |
| GRAVITY 1<br>(grv) | 3 | 250°F<br>(121°C) | 30 min | 45 min | Double-wrapped instrument<br>trays, up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| GRAVITY 2<br>(grv) | 3 | 275°F<br>(135°C) | 10 min | 45 min | Double-wrapped instrument<br>trays, up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| IMMED USE<br>3+<br>(ius)<br>(Notes 1, 7) | 4 | 275°F<br>(135°C) | 3 min | 30 sec<br>(Note 4) | Unwrapped non-porous single<br>instrument | 1 | 1 |
| | | | | | Unwrapped non-porous<br>instrument trays, up to 25 lb per<br>tray | 2 | 2 |
| IMMED USE<br>10+<br>(ius)<br>(Notes 1, 7) | 2 | 275°F<br>(135°C) | 10 min | 30 sec<br>(Note 4) | Unwrapped porous or non-<br>porous single instrument | 1 | 1 |
| | | | | | Unwrapped porous & non-<br>porous instrument trays, up to<br>25 lb per tray | 2 | 2 |
| LIQUIDS 1<br>(liq) | 1 | 250°F<br>(121°C) | 30 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller<br>(Notes 5,6,8) | 15 | 32 |
| LIQUIDS 2<br>(liq) | 1 | 250°F<br>(121°C) | 45 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller<br>(Notes 5, 6, 8) | 15 | 32 |
NOTE: Liquid Cycles are not intended for the sterilization of liquids used for direct patient contact.
#### TABLE NOTES
- l . The load configurations listed in these tables are those used during testing validations of the sterilizer. These configurations follow AAMI Standard ST8: Hospital steam sterilizers where
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applicable (fabric packs are process challenge devices as described in ANSI/AAMI ST8 and were made to be consistent with the packs described in ANSI/AAMI ST8).
- For guidance on processing loads in the sterilizer, refer to AAMI Standard ST79: Comprehensive guide to steam sterilization and sterility assurance in health care facilities.
- 2. Vacuum leak test parameters are not adjustable.
- Cooldown rate 3.
- 4. . At the end of an immediate use cycle, PREVAC 2 cycle, PREVAC 3 cycle, or a PREVAC 5 cycle items may NOT be dry. Drying time may be added if required.
- 5. User facility must validate the cycle if the load includes containers larger than 1000 mL.
- 6. Use vented or open containers only.
- 7. The recommended minimum exposure time and temperature for unwrapped, nonporous, flash cycle loads (e.g. metal instruments) is 3 minutes at 275°F (135°C) or 4 minutes at 270°C (132°C).
- 8. A small load of one-liter containers requires an exposure time of 45 min.
## Intended Use:
The Getinge 400HC-E/500HC-E Series Steam Sterilizer is intended for use by health care facilities and to be used to sterilize wrapped and unwrapped porous and nonporous heat and moisture stable items such as surgical instruments and linens by means of pressurized steam.
#### Comparisons to Predicate Device:
Similarities between the Getinge 400HC-E/500HC-E Series Steam Sterilizer and the identified predicates are:
- . Intended use is the same: Intended for use by health care facilities to sterilize wrapped and unwrapped, porous and nonporous heat and moisture stable items such as surgical instruments and linens by means of pressurized steam.
- Operating Principle is the same: Saturated steam is the sterilizing agent. ●
- Materials of construction are the same: Vessel material is Stainless Steel SA240-316Ti. There is no direct patient contact associated with this device.
- . Cycle Types: The cycle types offered are the same; Prevac (135°C, 132°C), Gravity (121°C, 135°C), Immediate Use (135°C) and Liquids 121°C (not for sterilization of liquids used directly for patient contact).
- Performance Testing: Factory recommended cycles were tested per industry ● standards and guidelines and effectiveness of sterilizer function was demonstrated by complete kill of biological indicators. Getinge Sterilizers have been validated to meet the requirements of ANSI/AAMI ST8:2008 Hospital Steam Sterilizers.
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The differences between the Getinge 400HC-E/500HC-E Series Steam Sterilizer and the predicate devices are:
- The Getinge 400HC-E/500HC-E Series Steam Sterilizer provides the addition . of 132°C Prevac cycles and a touch screen user interface as cleared on the 700HC-E Series Steam Sterilizer as K120441.
# Summary of Performance Testing:
Factory recommended cycles were tested per industry standards and quidelines and effectiveness of sterilizer function was demonstrated by complete kill of biological indicators. Getinge Sterilizers have been validated to meet the requirements of ANSI/AAMI ST8:2008 Hospital Steam Sterilizers.
The results of Getinge 400HC-E/500HC-E Series Steam Sterilizer validation testing demonstrate that the sterilizer performs as intended. Summary of testing:
- . Empty chamber testing performed for all cycles as described in ANSI/AAMI ST8:2008 Hospital Steam Sterilizers section 5.4.2.5. The results demonstrated that the sterilizer is capable of providing steady-state thermal conditions within the chamber that are consistent with the predicated sterility assurance level (SAL) in the load.
- All PREVAC and GRAVITY cycles were validated using fabric process . challenge packs as described in ANSI/AAMI ST8:2008 section 5.5.2. The results from this testing demonstrated a sterility assurance level of at least 10° through achievement of time at temperature sufficient to produce an Fo value of at least 12, complete Bl kill and moisture retention of less than 3% increase in pre-sterilization test pack weight including no visible wet spots.
- All PREVAC (excluding PREVAC 2 and PREVAC 5 that have shortened drying . times) and GRAVITY cycles were validated using wrapped instrument process challenge devices as described in ANSI/AAMI ST8.2008 section 5.5.4. The results from this testing demonstrated a sterility assurance level of at least 10° through achievement of time at temperature sufficient to produce an Fo value of at least 12, complete BI kill and moisture retention of less than 20% increase in pre-sterilization weight of the towel including no visible wet spots on the outer wrapper.
- All Immediate Use (Flash) cycles were validated using a unwrapped non-. porous process challenge device as described in ANSI/AAMI ST8:2008 section 5.5.5. The results from this testing demonstrated a sterility assurance level of at least 106 through achievement of time at temperature sufficient to produce an Fo value of at least 12 and complete BI kill.
- Liquid loads cycles were validated using 3 one liter flasks as described in . ANSI/AAMI ST8:2008 section 5.5.3. The results from this testing demonstrated a sterility assurance level of at least 108 through achievement of time at temperature sufficient to produce an Fo value of at least 12, complete Bl kill and water loss not exceeding 50ml.
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Getinge Sourcing LLC FDA 510(k) Summary Device: 400HC-E/500HC-E Series Steam Sterilizer
- Bowie Dick cycle was validated using the Bowie-Dick test pack as described in . ANSI/AAMI ST8:2008 section 5.6.1.1.
- The software validation for the cycle operation was performed according to . FDA guidance document "Guidance for the Content of Premarket Submissions for Software Contained in Medical Devices (5/11/2005)".
# Clinical Data:
No clinical data is required for this device classification submission.
## Conclusion:
The 400HC-E/500HC-E Series Steam Sterilizer has the same intended use and technological characteristics as the predicate devices. The 400HC-E/500HC-E Series Steam Sterilizer meets the applicable requirements of AAMI ST8:2008 performance standards. Based on the information provided in this premarket notification, it can be concluded that the subject device is substantially equivalent to the predicate device and is safe and effective when used as intended.
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## DEPARTMENT OF HEALTH & HUMAN SERVICES
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
March 12, 2013
Ms. Barb Smith, RAC Senior, Manager Regulatory Getinge Sourcing, LLC 1777 East Henrietta Road ROCHESTER NY 14623-3133
Re: K122071
Trade/Device Name: 400HC-E/500HC-E Series Steam Sterilizer Regulation Number: 21 CFR 880.6880 Regulation Name: Steam Sterilizer Regulatory Class: II Product Code: FLE Dated: February 6, 2013 Received: February 7, 2013
#### Dear Ms. Smith:
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 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.
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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 (QS) 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.
Image /page/7/Picture/7 description: The image shows a signature with the name "Rohith" written in cursive. The signature is stylized with loops and flourishes, and it appears to be written in black ink. The signature is placed on a document or surface with some other markings or text around it.
Anthony D. Watson, B.S., M.S., M.B.A. Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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# Indications for Use
KIZOTI 510(k) Number (if known):
Device Name: 400HC-E/500HC-E Series Steam Sterilizer
Indications for Use: The Getinge 400HC-E/500HC-E Series Steam Sterilizer is intended for use by health care facilities to sterilize wrapped and unwrapped, porous and nonporous heat and moisture stable items such as surgical instruments and linens by means of pressurized steam.
AND/OR Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (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)
Page 1 of ব
Elizabethī 2013.03.07 -05'00'
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
510(k) Number:_ 1/22071
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# List of available cycles
Model 433HC-E and 533HC-E Steam Sterilizer Cycles and Load Chart
| No. of<br>Cycle Type<br>Available | | | Factory Settings | | Load Configuration<br>(Note 1) | Maximum Items<br>per Chamber Size | | |
|------------------------------------------|--------|------------------|------------------|--------------------------------------------------|-------------------------------------------------------------------------------|----------------------------------------------------------|-----------------|---|
| | Cycles | Exp.<br>Temp. | Exp.<br>Time | Dry Time | | | 433HC-E 533HC-E | |
| PREVAC 1<br>(vac) | 3 | 275°F<br>(135°C) | 3 min | 16 min | Double-wrapped instrument trays,<br>up to 25 Ib per tray | 2 | 3 | |
| | | | | | Fabric packs | 4 | 12 | |
| PREVAC 2<br>(vac) | 2 | 275°F<br>(135℃) | 3 min | 3 min<br>(Note 4) | Single wrapped, single instrument | l | l | |
| | | | | | Single wrapped instrument trays, up<br>to 25 Ib per tray | 2 | 3 | |
| | | | | | Fabric packs | 4 | 12 | |
| PREVAC 3<br>(vac) | 1 | 275°F<br>(135°C) | 3 min | () min<br>(Note 4) | Unwrapped porous or non-porous<br>single instrument | l | l | |
| | | | | | Unwrapped porous & non-porous<br>instrument trays, up to 25 lbs. per<br>tray. | 2 | 2 | |
| PREVAC 4<br>(vac) | I | 270ºF<br>(132°C) | 4 mm | 16 min | Double-wrapped instrument trays,<br>up to 25 ib per tray | 2 | 3 | |
| | | | | | Fabric Packs | 4 | 12 | |
| PREVAC 5<br>(vec) | l | 270°F<br>(132°C) | 4 min | 3 min<br>(Note 4) | Fabric Packs | 4 | 12 | |
| B & D Test<br>(vac) | l | 273°F<br>(134°C) | 3 min,<br>30 sec | 0 min | S.M.A.R.T. Pack or equivalent (1)<br>in an EMPTY chamber | 1 Test<br>Pack | l Test<br>Pack | |
| GRAVITY 1<br>(grv) | 3 | 250°F<br>(121°C) | | 30 min | 45 min | Double-wrapped instrument trays,<br>up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 | |
| GRAVITY 2<br>(grv) | 3 | 275°F<br>(135°C) | 10 min | 45 min | Double-wrapped instrument trays.<br>up to 25lb per tray | 2 | 3 | |
| | | | | | Fabric packs | 4 | 12 | |
| IMMED USE<br>ડેન<br>(ius) | 4 | 275°F<br>(135°C) | 3 min | 30 sec<br>(Note 4) | Unwrapped non-porous single<br>instrument | l | l | |
| (Notes 1,7) | | | | | Unwrapped non-porous instrument<br>trays, up to 25 ib per tray | 2 | 2 | |
| IMMED USE<br>10+<br>(ius)<br>(Notes 1,7) | 2 | 275°F<br>(135°C) | 10 min | 30 sec<br>(Note 4) | Unwrapped porous or non-porous<br>single instrument | 1 | 1 | |
| | | | | | Unwrapped porous & non-porous<br>instrument trays, up to 25 lb per<br>tray | 2 | 2 | |
| LIQUIDS 1<br>(liq) | 1 | 250°F<br>(121°C) | 30 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller | 15 | 32 | |
| LIQUIDS 2<br>(liq) | 1 | 250°F<br>(121°C) | 45 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller | 15 | 32 | |
| LEAK TEST<br>(lk)<br>(Note 2) | 1 | 268°F<br>(131°C) | 3 min | 15 min dry,<br>5 min<br>equalize,<br>15 min test | Empty chamber | -- | -- | |
{10}------------------------------------------------
NOTE: Liquid Cycles are not intended for the sterilization of liquids used for direct patient contact.
# Model 422HC-E and 522HC-E Steam Sterilizer Cycles an Load Chart
| Cycle Type | No. of<br>Available<br>Cycles | Factory Settings | | | Load Configuration<br>(Note 1) | Maximum Items<br>per Chamber Size | |
|-------------------------------------------|-------------------------------|------------------|--------------|--------------------------|----------------------------------------------------------------------------|-----------------------------------|---------|
| | | Exp.<br>Temp. | Exp.<br>Time | Dry Time | | 422HC-E | 522HC-E |
| GRAVITY 1<br>(grv) | 3 | 250°F<br>(121°C) | 30 min | 45 min | Double-wrapped instrument trays,<br>up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| GRAVITY 2<br>(grv) | 3 | 275°F<br>(135°C) | 10 min | 45 min | Double-wrapped instrument trays,<br>up to 25 lb per tray | 2 | 3 |
| | | | | | Fabric packs | 4 | 12 |
| IMMED USE<br>3+<br>(ius)<br>(Notes 1, 7) | 4 | 275°F<br>(135°C) | 3 min | 30 sec<br>(Note 4) | Unwrapped non-porous single<br>instrument | 1 | 1 |
| | | | | | Unwrapped non-porous instrument<br>trays, up to 25 lb per tray | 2 | 2 |
| IMMED USE<br>10+<br>(ius)<br>(Notes 1, 7) | 2 | 275°F<br>(135°C) | 10 min | 30 sec<br>(Note 4) | Unwrapped porous or non-porous<br>single instrument | 1 | 1 |
| | | | | | Unwrapped porous & non-porous<br>instrument trays, up to 25 lb per<br>tray | 2 | 2 |
| LIQUIDS 1<br>(liq) | 1 | 250°F<br>(121°C) | 30 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller<br>(Notes 5,6,8) | 15 | 32 |
| LIQUIDS 2<br>(liq) | 1 | 250°F<br>(121°C) | 45 min | 0.75 psi/min<br>(Note 3) | Each container 1000 mL or smaller<br>(Notes 5, 6, 8) | 15 | 32 |
NOTE: Liquid Cycles are not intended for the sterilization of liquids used for direct patient contact.
## TABLE NOTES
- The load configurations listed in these tables are those used during testing validations of the 1. sterilizer. These configurations follow AAMI Standard ST8: Hospital steam sterilizers where applicable (fabric packs are process challenge devices as described in ANSVAAMI ST8 and were made to be consistent with the packs described in ANSI/AAMI ST8).
For guidance on processing loads in the sterilizer, refer to AAMI Standard ST79: Comprehensive guide to steam sterilization and sterility assurance in health care facilities.
{11}------------------------------------------------
- 2. Vacuum leak test parameters are not adjustable.
- Cooldown rate 3.
- 4. At the end of an immediate use cycle, PREVAC 2 cycle, PREVAC 3 cycle, or a PREVAC 5 cycle items may NOT be dry. Drying time may be added if required.
- User facility must validate the cycle if the load includes containers larger than 1000 mL. ર.
- ર્ણ Use vented or open containers only.
- 7. The recommended minimum exposure time and temperature for unwrapped, nonporous, flash cycle loads (e.g. metal instruments) is 3 minutes at 275°F (135°C).
- 8. A small load of one-liter containers requires an exposure time of 45 min.
(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices
\$10(k) Number; 1122071
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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.