CS-Medical TD 100 Disinfector with TD-5 and TD-8 High Level Disinfectants, CS Medical TD-5 High Level Disinfectant, CS Medical TD-8 High Level Disinfectant
CS-Medical TD 100 Disinfector with TD-5 and TD-8 High Level Disinfectants, CS Medical TD-5 High Level Disinfectant, CS Medical TD-8 High Level Disinfectant
Applicant
Cs Medical, LLC
Product Code
PSW · Radiology
Decision Date
Nov 3, 2016
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 892.1570
Device Class
Class 2
Attributes
Real-World Evidence
Real-World Evidence
Submission
Device
Sponsor
RWD Sources
RWE Use Summary
Key Tags
K160921 · Nov 3, 2016
CS-Medical TD 100 Disinfector with TD-5 and TD-8 High Level Disinfectants, CS Medical TD-5 High Level Disinfectant, CS Medical TD-8 High Level Disinfectant
Cs Medical, LLC
Routine clinical use of TEE probes
Clinical in-use testing was performed on soiled TEE probes collected after routine clinical use to demonstrate the disinfection efficacy of the TD-100 system with TD-8 disinfectant.
Clinical In-Use Testing; Disinfection Efficacy; TEE Probes
Clinical Evidence
Study Design
Population
Comparator
Key Endpoints
Clinical In-Use Testing; Retrospective/Observational (In-use testing of routine clinical samples)
Soiled TEE probes from routine clinical use
Not applicable for this study
Complete kill of microorganisms after TEE probe processing
Indications for Use
The TD 100 disinfector is designed to provide high-level disinfection of Transesophageal (TEE) ultrasound probes. The system can use TD-50 or TD-80 disinfectants, which are designed to be used only with the TD 100® disinfector. The disinfectant bottles cannot be reused in the system. TD-50 disinfectant is intended for use as single use high-level disinfectant to be used exclusively in the TD 100@ disinfector for high-level disinfection of TEE ultrasound probes. TD-50 high level disinfectant and TD 1000 disinfector system are intended for use by qualified individuals trained in its use. TD-50 disinfectant should be used with the following contact conditions in TD 1008 disinfector: High-Level Disinfectant TD-5® Time 5 minutes Temperature 38°C - 40°C Minimum Recommended Concentration 1.7% glutaraldehyde TD-80 disinfectant is intended for use as single use high-level disinfectant to be used exclusively in the TD 1000 disinfector for high-level disinfection of TEE ultrasound probes. TD-8@ high level disinfectant and TD 1000 disinfector system are intended for use by qualified individuals trained in its usc. TD-80 disinfectant should be used with the following contact conditions in TD 1008 disinfector: High-Level Disinfectant TD-8® Time 5 minutes Temperature 38°C - 40°C Minimum Recommended Concentration 0.3% ortho-phthalaldehyde
Device Story
The TD-100 Disinfector is an automated system for high-level disinfection of TEE ultrasound probes. The device operates as a closed system using single-use bottles of TD-5 (glutaraldehyde) or TD-8 (ortho-phthalaldehyde) disinfectant. The process involves loading a fresh disinfectant bottle, heating the solution to 38°-40°C, soaking the probe for 5 minutes, and performing a thorough rinse. The device prints a verification report confirming cycle success, time, and temperature. It is operated by trained qualified individuals in clinical environments. By automating the disinfection cycle and using single-use chemistry, the device eliminates the need for potency monitoring or daily solution testing, ensuring consistent disinfection and reducing potential exposure to chemical vapors for the operator. The system benefits patients by providing validated, repeatable high-level disinfection of semi-critical TEE probes.
Clinical Evidence
Bench testing and clinical in-use testing were performed. Bench testing confirmed sporicidal, tuberculocidal, bactericidal, fungicidal, and virucidal efficacy against organisms including Bacillus subtilis, Mycobacterium terrae, Staphylococcus aureus, and Poliovirus. Clinical in-use testing on soiled TEE probes processed in the TD-100 with TD-8 disinfectant demonstrated a complete kill of microorganisms. Biocompatibility testing per ISO 10993-5 confirmed the disinfectant is non-cytotoxic, non-irritant, and non-sensitizing.
Technological Characteristics
Automated disinfector for TEE probes; uses single-use TD-5 (1.7% glutaraldehyde) or TD-8 (0.3% ortho-phthalaldehyde) chemistry. Operates at 38°-40°C for 5 minutes. Includes integrated heating, rinsing, and printing verification. Software-controlled cycle. Materials tested for compatibility with TD-8. No activation or dilution required.
Indications for Use
Indicated for high-level disinfection of transesophageal (TEE) ultrasound probes in qualified clinical settings. Contraindicated for use with probes not approved by manufacturers for this system.
Regulatory Classification
Identification
A diagnostic ultrasonic transducer is a device made of a piezoelectric material that converts electrical signals into acoustic signals and acoustic signals into electrical signals and intended for use in diagnostic ultrasonic medical devices. Accessories of this generic type of device may include transmission media for acoustically coupling the transducer to the body surface, such as acoustic gel, paste, or a flexible fluid container.
Predicate Devices
CS Medical TD 100 Transesophageal Probe Disinfector and TD-5 High-level Disinfectant (K051305)
{0}------------------------------------------------
Image /page/0/Picture/1 description: The image shows the logo for the Department of Health & Human Services - USA. The logo consists of a stylized eagle or bird-like figure with three curved lines representing its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the bird figure.
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002
May 30, 2017
CS Medical LLC Mr. Kendall Ashe Vice President 2179 East Lyon Station Road Creedmoor, North Carolina 27522
Re: K160921
Trade/Device Name: CS Medical TD-100 Disinfector with TD-50 and TD-88 High Level Disinfectants Regulation Number: 21 CFR 892.1570 Regulation Name: Diagnostic Ultrasonic Transducer Regulatory Class: Class II Product Code: PSW Dated: October 3, 2016 Received: October 4, 2016
Dear Mr. Ashe:
This letter corrects our substantially equivalent letter of November 3, 2016.
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.
{1}------------------------------------------------
Page 2 – Mr. Ashe
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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address
http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.
Sincerely,
Tina Kiang
-s
Tina Kiang, Ph.D. Acting Director Division of Anesthesiology, General Hospital, Respiratory, Infection Control, and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
{2}------------------------------------------------
### Indications for Use
510(k) Number (if known) K 16092 I
Device Name
CS Medical TD-100® Disinfector with TD-5® and TD-88 High Level Disinfectant System
### Indications for Use (Describe)
The TD 1000 disinfector is designed to provide high-level disinfection of Transesophageal (TEE) ultrasound probes. The system can use TD-50 or TD-80 disinfectants, which are designed to be used only with the TD 100® disinfector. The disinfectant bottles cannot be reused in the system.
TD-50 disinfectant is intended for use as single use high-level disinfectant to be used exclusively in the TD 100@ disinfector for high-level disinfection of TEE ultrasound probes.
TD-50 high level disinfectant and TD 1000 disinfector system are intended for use by qualified individuals trained in its use.
TD-50 disinfectant should be used with the following contact conditions in TD 1008 disinfector:
| High-Level Disinfectant | Time | Temperature | Minimum Recommended Concentration |
|-------------------------|-----------|-------------|-----------------------------------|
| TD-5® | 5 minutes | 38°C - 40°C | 1.7% glutaraldehyde |
TD-80 disinfectant is intended for use as single use high-level disinfectant to be used exclusively in the TD 1000 disinfector for high-level disinfection of TEE ultrasound probes.
TD-8@ high level disinfectant and TD 1000 disinfector system are intended for use by qualified individuals trained in its usc.
TD-80 disinfectant should be used with the following contact conditions in TD 1008 disinfector:
| High-Level Disinfectant | TD-8® |
|-----------------------------------|---------------------------|
| Time | 5 minutes |
| Temperature | 38°C - 40°C |
| Minimum Recommended Concentration | 0.3% ortho-phthalaldehyde |
Type of Use (*Select one or both, as applicable*)
☐ Prescription Use (Part 21 CFR 801 Subpart D)
☑ Over-The-Counter Use (21 CFR 801 Subpart C)
| Prescription Use (Part 21
[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."
{3}------------------------------------------------
### 510(k) Summary - K160921
#### 510(k) Owner
CS Medical, L.L.C. 2179 East Lyon Station Road Creedmoor, NC 27522 Phone 919-255-9472 Fax 919-528-3400
### Contact Person
Kendall Ashe Vice President and General Manager, CS Medical, L.L.C. 2179 East Lyon Station Road Creedmoor, NC 27522 Email kendallashe@csmedicalllc.com
### Submission Prepared
November 3, 2016
| CS Medical Trade Name | Common Name | Classification Name |
|-------------------------------------------------------------------------|---------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| TD 100® Disinfector with<br>TD-5® and TD-8® High<br>Level Disinfectants | TD 100 automated<br>disinfector with TD-5 and<br>TD-8 disinfectants | Diagnostic ultrasound<br>transducer (21 CFR<br>892.1570, Primary<br>Product Code ITX) |
### Legally Marketed Predicate Devices
- 1. CS Medical TD 100 Transesophageal Probe Disinfector and TD-5 High-level Disinfectant (K051305) - Primary Predicate
- 2. Rapicide OPA-28® (K120306)
- 3. Metricide OPA Plus (K070627 as Opaciden Solution)
- 4. Cidex OPA (K030004)
{4}------------------------------------------------
# Description of the CS Medical TD 100 Disinfector with TD-5 and TD-80 High Level Disinfectants
The TD 100® disinfector provides high level disinfection of transesophageal (TEE) ultrasound probes when used according to the operating instructions, and when used with TD-50 or TD-80 disinfectants. The TD 1000 disinfector is for use only with TD-50 or TD-8® disinfectants. The TD-5º and TD-8º disinfectants are for use only in the TD 100 disinfector. Thus, the TD 100® disinfector with TD-50 and TD-80 disinfectants represents a dedicated system. Each soiled TEE probe is bedside cleaned and manually cleaned according to the TEE probe manufacturer's instructions before insertion into the TD 100 disinfector. A fresh, unopened bottle of TD-50 or TD-80 disinfectant is loaded into the TD 100% disinfector. The TD 100% disinfector heats the TD-5% or TD-8% disinfectant to 38°-40°C, soaks the TEE probe for at least five minutes, and then thoroughly rinses the disinfectant off the TEE probe before the cycle is complete. The TD 100 disinfector prints a verification report indicating a successful disinfection cycle and the time and average temperature during the disinfection. The TEE probe is then removed from the TD 100® disinfector and dried according to the TEE probe manufacturer's instructions. The TD 100® disinfector is ready for a new cycle immediately after the preceding cycle is completed. Because a fresh bottle of TD-5 or TD-8 disinfectant is used with each cycle, no monitoring of the disinfectant's potency is required, nor is there any requirement for daily testing of the disinfectant solution.
# Indications for Use
The TD 100 disinfector is designed to provide high-level disinfection of Transesophageal (TEE) probes. The system can use TD-5% or TD-80 disinfectants. which are designed to be used only with the TD 100% disinfector. The disinfectant bottles cannot be reused in the system.
TD-58 disinfectant is intended for use as single use high-level disinfectant to be used exclusively in the TD 100® disinfector for high-level disinfection of TEE ultrasound probes.
TD-5% high level disinfectant and TD 100® disinfector system are intended for use by qualified individuals trained in its use.
TD-5® disinfectant should be used with the following contact conditions in TD 100% disinfector:
| High-level<br>disinfectant | Time | Temperature | Minimum Recommended<br>Concentration |
|----------------------------|-----------|-------------|--------------------------------------|
| TD-5® | 5 minutes | 38°-40°C | 1.7% glutaraldehyde |
{5}------------------------------------------------
TD-8® disinfectant is intended for use as single use high-level disinfectant to be used exclusively in the TD 100® disinfector for high-level disinfection of TEE ultrasound probes.
TD-8® high level disinfectant and TD 100® disinfector system are intended for use by qualified individuals trained in its use.
TD-8® disinfectant should be used with the following contact conditions in TD 100® disinfector:
| High-level<br>disinfectant | Time | Temperature | Minimum Recommended<br>Concentration |
|----------------------------|-----------|-------------|--------------------------------------|
| TD-8® | 5 minutes | 38°- 40°C | 0.3% ortho-phthalaldehyde |
| Element | Proposed Device<br>TD 100® Disinfector<br>with TD-5® and TD-8®<br>High Level<br>Disinfectants | Predicate Device<br>TD 100®<br>Transesophageal<br>Probe Disinfector<br>and TD-5 High-<br>level Disinfectant<br>(K051305) | Predicate Device<br>Rapicide OPA-28®<br>(K120306) | Predicate Deice<br>Metricide OPA<br>Plus (K070627 As<br>Opaciden) | Predicate Deice<br>Cidex OPA<br>(K030004) |
|----------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Classifi-<br>cation<br>Name<br>(CFR;<br>Product<br>code) | Diagnostic ultrasound<br>transducer (21 CFR §<br>892.1570, Primary<br>Product Code - ITX) | Diagnostic<br>ultrasound<br>transducer (21<br>CFR § 892.1570,<br>Primary Product<br>Code - ITX) | Liquid chemical<br>germicide/high<br>level disinfectant<br>(21 CFR §<br>880.6885, Product<br>Code MED) | Liquid chemical<br>germicide/high<br>level disinfectant<br>(21 CFR §<br>880.6885, Product<br>Code MED) | Liquid chemical<br>germicide/high<br>level disinfectant<br>(21 CFR §<br>880.6885, Product<br>Code MED) |
| Indications<br>For Use | The TD 100®<br>disinfector is designed<br>to provide high-level<br>disinfection of<br>Transesophageal<br>(TEE) probes. The<br>system can use TD-5®<br>or TD-8® disinfectants,<br>which are designed to<br>be used only with the<br>TD 100® disinfector.<br>The disinfectant<br>bottles cannot be<br>reused in the system.<br>TD-5® disinfectant is<br>intended for use as<br>single use high-level | The TD 100®<br>disinfector is<br>designed to<br>provide high-level<br>disinfection of<br>Transesophageal<br>(TEE) ultrasound<br>probes. The<br>system uses the<br>TD-5®<br>disinfectant, which<br>is designed to be<br>used only with the<br>TD 100. The<br>disinfectant bottles<br>cannot be reused<br>in the system. TD-<br>5® is intended for | Rapicide OPA-28 is<br>a high level<br>disinfectant solution<br>for reprocessing of<br>heat sensitive semi<br>critical medical<br>devices for which<br>sterilization is not<br>suitable. Rapicide<br>OPA-28 may be<br>used at or above its<br>minimum<br>recommended<br>concentration<br>(MRC) of 0.35%<br>OPA as determined<br>by Rapicide OPA-<br>28 test strips in | Metricide OPA Plus<br>(K070627 as<br>Opaciden) Solution<br>is a high level<br>disinfectant for<br>reprocessing heat-<br>sensitive medical<br>devices for which<br>sterilization is not<br>suitable, and when<br>used according to<br>the Directions for<br>Use. Metricide OPA<br>Plus (K070627 as<br>Opaciden) may be<br>used or reused at<br>or above its<br>Minimum<br>Recommended<br>Concentration<br>(MRC) of 0.3%, as | CIDEX OPA<br>Solution is intended<br>for use as a high<br>level disinfectant<br>for reprocessing<br>heat sensitive<br>medical devices.<br>CIDEX OPA<br>Solution can be<br>used in manual<br>systems (trays and<br>buckets) and<br>automated<br>endoscope<br>reprocessors. |
| Element | Proposed Device<br>TD 100® Disinfector<br>with TD-5® and TD-8®<br>High Level<br>Disinfectants | Predicate Device<br>TD 100®<br>Transesophageal<br>Probe Disinfector<br>and TD-5 High-<br>level Disinfectant<br>(K051305) | Predicate Device<br>Rapicide OPA-28®<br>(K120306) | Predicate Deice<br>Metricide OPA<br>Plus (K070627 As<br>Opaciden) | Predicate Deice<br>Cidex OPA<br>(K030004) |
| | disinfectant to be used<br>exclusively in the TD<br>100® disinfector for<br>high-level disinfection<br>of TEE ultrasound<br>probes.<br>TD-5® high level<br>disinfectant and TD<br>100® disinfector<br>system are intended<br>for use by qualified<br>individuals trained in<br>its use.<br>TD-5® disinfectant<br>should be used with<br>the following contact<br>conditions in TD 100®<br>disinfector:<br>High-level disinfectant<br>TD-5®<br>Time<br>5 minutes<br>Temperature<br>38° – 40°C<br>Minimum<br>Recommended<br>Concentration<br>1.7% glutaraldehyde<br>TD-8® disinfectant is<br>intended for use as<br>single use high-level<br>disinfectant to be used<br>exclusively in the TD<br>100® disinfector for<br>high-level disinfection<br>of TEE ultrasound<br>probes.<br>TD-8® high level<br>disinfectant and TD<br>100® disinfector<br>system are intended<br>for use by qualified<br>individuals trained in<br>its use. | use as a single<br>use high-level<br>disinfectant to be<br>used exclusively in<br>the TD 100® for<br>the high-level<br>disinfection of TEE<br>ultrasound probes.<br>The TD-5® High<br>Level Disinfectant<br>and TD 100®<br>disinfector system<br>is intended for use<br>by qualified<br>individuals trained<br>in its use. | manual device<br>reprocessing with<br>an immersion time<br>of at least 10<br>minutes at a<br>minimum<br>temperature of<br>20°C for a reuse<br>period not to<br>exceed 28 days.<br>Rapicide OPA-28®<br>may also be used<br>in compatible<br>legally marketed<br>automatic<br>endoscope<br>reprocessors at or<br>above its MRC as<br>determined by<br>Rapicide OPA-28®<br>test strips with an<br>immersion time of<br>at least 5 minutes<br>at a minimum<br>temperature of<br>25°C for a reuse<br>period not to<br>exceed 28 days. | Metricide OPA Plus<br>(K070627 as<br>Opaciden) OPA<br>Reagent Strips, in<br>manual<br>reprocessing with<br>an immersion time<br>of at least 12<br>minutes at a<br>minimum of 20° C<br>(68° F), for a reuse<br>period not to<br>exceed 14 days.<br>Metricide OPA Plus<br>(K070627 as<br>Opaciden) may<br>also be used or<br>reused in a legally<br>marketed automatic<br>endoscope<br>reprocessor (that<br>can be set to a<br>minimum of 25° C),<br>at or above its<br>Minimum<br>Recommended<br>Concentration<br>(MRC), as<br>determined by<br>Metricide OPA<br>Plus (K070627 as<br>Opaciden) OPA<br>Reagent Strips,<br>with an immersion<br>time of at least 5<br>minutes at a<br>minimum of 25° C<br>(77° F), for a reuse<br>period not to<br>exceed 14 days. | |
| Element | Proposed Device<br>TD 100® Disinfector<br>with TD-5® and TD-8®<br>High Level<br>Disinfectants | Predicate Device<br>TD 100®<br>Transesophageal<br>Probe Disinfector<br>and TD-5 High-<br>level Disinfectant<br>(K051305) | Predicate Device<br>Rapicide OPA-28®<br>(K120306) | Predicate Deice<br>Metricide OPA<br>Plus (K070627 As<br>Opaciden) | Predicate Deice<br>Cidex OPA<br>(K030004) |
| | TD-8® disinfectant<br>should be used with<br>the following contact<br>conditions in TD<br>100®<br>disinfector:<br>High-level disinfectant<br>TD-8®<br>Time<br>5 minutes<br>Temperature<br>38° – 40°C<br>Minimum<br>Recommended<br>Concentration<br>0.3% ortho-<br>phthalaldehyde | | | | |
| Instrument<br>ation For<br>Automation | TD 100® with TD-5®<br>and TD-8® disinfector<br>is automated for single<br>use with only TD-5® or<br>TD-8® disinfectants.<br>The user initiates<br>automated cycle and<br>receives disinfection<br>verification ticket via<br>touchpad. Software<br>and user interface has<br>been modified as<br>compared to the<br>predicate TD 100®<br>(K051305) to facilitate<br>choice of TD-5® or<br>TD-8® disinfectants<br>and minor updates.<br>Other aspects of the<br>instrumentation are<br>identical to current TD<br>100® and TD-5®<br>device. | TD 100®<br>disinfector is<br>automated for<br>single use with<br>only TD-5®<br>disinfectant. The<br>user initiates<br>automated cycle<br>and receives<br>disinfection<br>verification ticket<br>via touchpad. | Rapicide OPA-28 is<br>indicated for<br>manual use and<br>use with<br>undesignated<br>(legally marketed)<br>automatic<br>reprocessors that<br>provide designated<br>contact conditions. | Metricide OPA Plus<br>(K070627 as<br>Opaciden)is<br>indicated for<br>manual use and<br>use with<br>undesignated<br>(legally marketed)<br>automatic<br>reprocessors that<br>provide designated<br>contact conditions. | Cidex OPA is<br>indicated for<br>manual use and<br>use with<br>undesignated<br>(legally marketed)<br>automatic<br>reprocessors that<br>provide designated<br>contact conditions. |
| Physical Properties | TD-8® | TD-5® | Rapicide OPA-<br>28 | Metricide OPA<br>Plus (As<br>Opaciden) | Cidex OPA |
| 510(k) Number | K160921 | K051305 | K120306 | K070627 (As<br>Opaciden) | K030004 |
| Clearance Date | TBD | 8/18/05 | 9/27/12 | 8/2/2007 | 2/27/2003 |
| Active Ingredients | Ortho-<br>phthalaldehyde<br>0.59% | Glutaraldehyde<br>2.65% | Ortho-<br>phthalaldehyde<br>0.575% | Ortho-<br>phthalaldehyde<br>0.6% | Ortho-<br>phthalaldehyde<br>0.55% |
| Inert Ingredients | 99.41% | 97.35% | 99.425% | 99.4% | 99.45% |
| Water-Based Liquid | Yes | Yes | Yes | Yes | Yes |
| pH Value | 7.45 - 7.55 | 5.9 - 6.8 | 7.5-8.0 | 7.0-7.8 | 7.2-7.8 |
| Buffer System | Phosphates | Phosphates | Not Published | Phosphates | Phosphates |
| Minimum Recommended<br>Concentration (MRC) | 0.3% | 1.7% | 0.35% | 0.3% | 0.3% (MEC) |
| Dilution Required | No | No | No | No | No |
| Activation Required | No | No | No | No | No |
| High-Level Disinfection<br>Claim | Yes | Yes | Yes | Yes | Yes |
| Sterilization Claim | No | No | No | No | No |
| Maximum Re-Use Period | Single Use | Single Use | 28 Days | 14 Days | 14 Days |
| OPA Test Strip Available | No | No | Yes | Yes | Yes…
Predicate graph will load when search results are available.
Embedding visualization will load when search results are available.
PDF viewer will load when search results are available.
Loading panels...
Select an item from Submissions
Click any panel, subpart, regulation, product code, or device to see details here.
Section Matches
Results will appear here.
Product Code Matches
Results will appear here.
Special Control Matches
Results will appear here.
Loading collections...
Loading
My Alerts
You will receive email notifications based on the filters and frequency you set for each alert.
Sort by:
Create Alert
Search Filters
Agent Token
Create a read-only bearer token for Claude, ChatGPT, or other agents that can call HTTP APIs.
Copy this now. It will not be shown again.
Connected apps
Apps you authorized through browser sign-in. Disconnecting revokes their access immediately.
Learn the FDA Browser
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.