← Product Code [FYA](/productcode/FYA) · K203539

# Unico Global level 3 Surgical Gown (Film-reinforced SMS), Unico Global Level 3 Surgical Gown (PP+PE) (K203539)

_Unicoglobal, Inc. · FYA · Dec 10, 2021 · General, Plastic Surgery · SESE_

**Canonical URL:** https://fda-staging.innolitics.com/device/K203539

## Device Facts

- **Applicant:** Unicoglobal, Inc.
- **Product Code:** [FYA](/productcode/FYA.md)
- **Decision Date:** Dec 10, 2021
- **Decision:** SESE
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 878.4040
- **Device Class:** Class 2
- **Review Panel:** General, Plastic Surgery

## Indications for Use

The Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE) are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids and particulate matter. The Unico Global Level 3 Surgical Gowns meets the respective level requirements of ANSI/AAMI PB70:2012 level 3 liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities. The Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE) are single use, disposable medical devices; provided sterile or non-sterile. Non-sterile gowns are to be sold to re-packager/re-labeler establishments for ethylene oxide (EtO) sterilization according to ISO 11135-1 prior to marketing to the end users and sterile surgical gowns are to be sold directly to users after EtO sterilization to ISO 11135-1.

## Device Story

Sterile, single-use surgical gowns; intended for healthcare professionals in clinical settings. Input: N/A (physical barrier). Operation: Provides liquid barrier protection via film-reinforced SMS or PP+PE material layers. Output: Physical protection against microorganisms, body fluids, and particulates. Used by healthcare staff during surgical procedures to reduce cross-contamination risk. Benefits: Enhanced barrier protection for both patient and clinician.

## Clinical Evidence

Bench testing only. No clinical data. Performance testing included AATCC 42 (impact penetration), AATCC 127/ISO 811 (hydrostatic pressure), ASTM D5587 (tear resistance), ASTM D3776 (basis weight), 16 CFR 1610 (flammability), and ASTM D1683 (seam strength). Biocompatibility testing per ISO 10993-10 and 10993-11 confirmed non-sensitizing and non-systemic toxic properties. Sterilization validated per ISO 11135-1.

## Technological Characteristics

Materials: Film-reinforced SMS (Polypropylene/Polyethylene) or PP+PE. Design: Set-in sleeves, knit cuffs, belt straps, neck straps/Velcro. Barrier: ANSI/AAMI PB70:2012 Level 3. Sterilization: Ethylene Oxide (EtO) per ISO 11135-1. Biocompatibility: ISO 10993-10/11. Flammability: CPSC 1610 Class 1.

## 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

- Medline Level 2 Surgical Gown (Eclipse Non-Reinforced) ([K190950](/device/K190950.md))
- Medline Level 3 Surgical Gown (Eclipse Fabric Reinforced) ([K190950](/device/K190950.md))
- Medline Level 3 Surgical Gown (Sirus Non-Reinforced) ([K190950](/device/K190950.md))
- Medline Level 3 Surgical Gown (Sirus Fabric Reinforced) ([K190950](/device/K190950.md))
- Medline Level 3 Surgical Gown (Aurora Non-Reinforced & Aurora Fabric Reinforced) ([K190950](/device/K190950.md))

## Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left, there is a symbol representing the Department of Health & Human Services - USA. To the right of this symbol, there is the FDA logo in blue, with the words "U.S. FOOD & DRUG" above the word "ADMINISTRATION".

December 10, 2021

Unicoglobal, Inc. % Priscilla Chung Regulatory Affairs Consultant LK Consulting Group USA, Inc. 1150 Roosevelt, STE 200 Irvine, California 92620

Re: K203539

Trade/Device Name: Unico Global level 3 Surgical Gown (Film-reinforced SMS), Unico Global Level 3 Surgical Gown (PP+PE) Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical apparel Regulatory Class: Class II Product Code: FYA Dated: October 26, 2021 Received: December 1, 2021

Dear Priscilla Chung:

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.

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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 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, PhD Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K203539

#### Device Name

Unico Global level 3 Surgical Gown (Film-reinforced SMS), Unico Global Level 3 Surgical Gown (PP+PE)

Indications for Use (Describe)

The Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE) are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the healthcare worker from the transfer of microorganisms, body fluids and particulate matter.

The Unico Global Level 3 Surgical Gowns meets the requirements of ANSV/AAMI PB70:2012 level 3 liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities.

The Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE) are single use, disposable medical devices; provided sterile. Non-sterile gowns are to be sold to re-packager/relabeler establishments for ethylene oxide (EtO) sterilization according to ISO 11135-1 prior to marketing to the end users and sterile surgical gowns are to be sold directly to users after EtO sterilization validation to ISO 11135-1.

| 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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# 510(k) Summary

(K203539)

This summary of 510(k) is being submitted in accordance with requirements of 21 CFR Part 807.92.

Date: Dec 7, 2021

# 1. 510K Applicant / Submitter:

Unicoglobal, Inc. #904. Woolim Pangyo W-City 9-22, Pangyo-Ro 255bion-Gil Bundang-gu, Seongnam City Gyeonggido, 13486 Republic of Korea

### 2. Submission Contact Person

LK Consulting Group USA, Inc. 1150 Roosevelt, STE 200, Irvine CA 92620 Priscilla Juhee Chung Phone: 714.202.5789 Fax: 714-409-3357 Email: juhee.c(@lkconsultinggroup.com

## 3. Device

- . Proprietary Name: Unico Global level 3 Surgical Gown (Film-reinforced SMS) Unico Global Level 3 Surgical Gown (PP+PE)
- Common Name: Surgical Gown .
- Classification: Class II (21 CFR 878.4040) ●
- Product Code: FYA .

# 4. Predicate Device

Medline Level 2 Surgical Gown (Eclipse Non-Reinforced) Medline Level 3 Surgical Gown (Eclipse Fabric Reinforced) Medline Level 3 Surgical Gown (Sirus Non-Reinforced) Medline Level 3 Surgical Gown (Sirus Fabric Reinforced) Medline Level 3 Surgical Gown (Aurora Non -Reinforced & Aurora Fabric Rein

(K190950) by Medline Industries, Inc.

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# 5. Description:

The subject device offers the two material models which are Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE). The two models use different base materials but use the same PE film layer in addition to the fabric. They have slightly different design elements in neck, body, and belt straps.

The Unico Global Level 3 Surgical Gowns (Film-reinforced SMS and PP+PE) have been tested according to AATCC Test Method 127:2017, ANSI/AAMI PB70:2012, and ISO 811, and meet the AAMI Level 3 barrier level protection for a surgical gown.

The Unico Global Level 3 Surgical Gowns are single use that will be provided in both sterile and non-sterile packaging configurations and offer a variety of sizes ranging from medium to XX-large.

## 6. Indications for Use

The Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE) are sterile, single use surgical apparel intended to be worn by healthcare professionals to help protect both the patient and the healthcare worker from the transfer of microorganisms, body fluids and particulate matter.

The Unico Global Level 3 Surgical Gowns meets the respective level requirements of ANSI/AAMI PB70:2012 level 3 liquid barrier performance and classification of protective apparel and drapes intended for use in health care facilities.

The Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE) are single use, disposable medical devices; provided sterile or nonsterile. Non-sterile gowns are to be sold to re-packager/re-labeler establishments for ethylene oxide (EtO) sterilization according to ISO 11135-1 prior to marketing to the end users and sterile surgical gowns are to be sold directly to users after EtO sterilization to ISO 11135-1.

# 7. Comparison of Technological characteristics:

The predicate device is as follows:

K 190950 by Medline Industries, Inc.

Medline Level 2 Surgical Gown (Eclipse Non-Reinforced) Medline Level 3 Surgical Gown (Eclipse Fabric Reinforced) Medline Level 3 Surgical Gown (Sirus Non-Reinforced) Medline Level 3 Surgical Gown (Sirus Fabric Reinforced) Medline Level 3 Surgical Gown (Aurora Non -Reinforced & Aurora Fabric Rein)

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# 8. Comparison Chart

| Device<br>Characteristic      | Subject Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   | Predicate Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            | Remark                                                                                                                                                                                       |           |
|-------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------|
| Device Name                   | Unico Global level 3 Surgical<br>Gown (Film-reinforced SMS)<br>Unico Global Level 3 Surgical<br>Gown (PP+PE)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | Medline Level 2 Surgical Gown<br>(Eclipse Non-Reinforced)<br>Medline Level 3 Surgical Gown<br>(Eclipse Fabric Reinforced)<br>Medline Level 3 Surgical Gown (Sirus<br>Non-Reinforced)<br>Medline Level 3 Surgical Gown (Sirus<br>Fabric Reinforced)<br>Medline Level 3 Surgical Gown (Aurora<br>Non - Reinforced & Aurora Fabric<br>Reinforced                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               | -                                                                                                                                                                                            |           |
| 510K #                        | K203539                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          | K190950                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | -                                                                                                                                                                                            |           |
| Manufacturer                  | Unico Global VN Co., Ltd.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | Medline Industries, Inc.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | -                                                                                                                                                                                            |           |
| Product Code                  | FYA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | FYA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         | Same                                                                                                                                                                                         |           |
| Indications for<br>Use        | The Unico Global Level 3<br>Surgical Gown (Film-reinforced<br>SMS) and Unico Global Level 3<br>Surgical Gown (PP+PE) are<br>sterile, single use surgical apparel<br>intended to be worn by healthcare<br>professionals to help protect both<br>the patient and the healthcare<br>worker from the transfer of<br>microorganisms, body fluids and<br>particulate matter.<br>The Unico Global Level 3<br>Surgical Gowns meets the<br>respective level requirements of<br>ANSI/AAMI PB70:2012 level 3<br>liquid barrier performance and<br>classification of protective<br>apparel and drapes intended for<br>use in health care facilities.<br><br>The Unico Global Level 3<br>Surgical Gown (Film-reinforced<br>SMS) and Unico Global Level 3<br>Surgical Gown (PP+PE) are<br>single use, disposable medical<br>devices; provided sterile or non-<br>sterile. Non-sterile gowns are to<br>be sold to re-packager/re-labeler<br>establishments for ethylene oxide<br>(EtO) sterilization according to<br>ISO 11135-1 prior to marketing to<br>the end users and sterile surgical<br>gowns are to be sold directly to<br>users after EtO sterilization<br>validation to ISO 11135-1. | The Medline Level 2 Surgical Gown<br>(Eclipse Non Reinforced) and Medline<br>Level 3 Surgical Gown (Eclipse Fabric<br>Reinforced),<br>Medline Level 3 Surgical Gown (Sirus<br>Non-Reinforced & Sirus Fabric<br>Reinforced), Medline Level 3 Surgical<br>Gown (Aurora Non- Reinforced &<br>Aurora Fabric Reinforced) are sterile,<br>single use surgical apparel intended to<br>be worn by healthcare professionals to<br>help protect both the patient and the<br>healthcare worker from the transfer of<br>microorganisms, body fluids, and<br>particulate matter.<br>The Medline Level 2 Surgical Gown<br>and the Medline Level 3 Surgical<br>Gowns meet the respective level<br>requirements of ANSI/AAMI<br>PB70:2012 Liquid barrier performance<br>and classification of protective apparel<br>and drapes intended for use in<br>healthcare facilities.<br>The Medline Level 2 Surgical Gown<br>and the Medline Level 3 Surgical<br>Gowns have been validated using an<br>ethylene oxide (EtO) sterilization<br>process. The Medline Level 2 Surgical<br>Gown and the Medline Level 3 Surgical<br>Gowns are also sold as<br>bulk single-use, non-sterile, to<br>repackager/relabeler establishments for<br>further packaging and sterilization using<br>the validated EtO sterilization method<br>according to ISO 11135-1 prior to being<br>provided to the end user. | Same                                                                                                                                                                                         |           |
| Color                         | Blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Blue                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | Same                                                                                                                                                                                         |           |
| Design Feature                | Film-<br>reinforced<br>SMS<br>Velcro hook<br>and loop with<br>neck straps at<br>neck<br>Single use<br>Belt Straps<br>Knit Cuffs<br>Transfer Tab<br>Set-in Sleeves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                | PP+PE<br>Neck straps<br>Single use<br>Belt straps<br>Knit cuffs<br>Set-in Sleeves                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           | Available in Fabric Reinforced and Non<br>Reinforced<br>Velco hook and loop for neck closure<br>Single Use<br>Belt Straps<br>Knit Cuffs<br>Transfer Tab<br>Raglan or Set-in/Standard Sleeves | Similar   |
| Size                          | Medium to XX-Large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Small to XXXX-Large                                                                                                                                                                          | Similar   |
| Materials                     | Film (PE) Reinforced Nonwoven SMS<br>Polypropylene/Polyethylene                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Nonwoven SMS<br>Polypropylene/Polyolefin                                                                                                                                                     | Different |
| Performance<br>Specifications | Level 3 PB70 Barrier Protection                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Level 2 PB70 Barrier Protection<br>Level 3 PB70 Barrier Protection                                                                                                                           | Same      |
| Prescription<br>vs. OTC       | OTC                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | OTC                                                                                                                                                                                          | Same      |
| Contact<br>Durations          | Surface, Intact, < 24 hours                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Surface, Intact, < 24 hours                                                                                                                                                                  | Same      |
| Sterile vs<br>Non-Sterile     | Non-sterile<br>Sterile                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Sterile                                                                                                                                                                                      | Similar   |
| Single Use vs.<br>Reusable    | Single Use                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Single Use                                                                                                                                                                                   | Same      |
| Biocompatibility              | Under the test conditions, the<br>subject device was shown to be<br>non-systemic toxic, non-irritating<br>and non-sensitizing per ISO<br>10993-11 & ISO 10993-10                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Under the test conditions, the subject<br>device was shown to be non-cytotoxic,<br>non-irritating and non-sensitizing per<br>ISO 10993-5 & ISO 10993-10.                                     | Similar   |
| Flammability                  | Meets requirements of Flame<br>Resistant CPSC 1610 Class 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Meets requirements of Flame Resistant<br>CPSC 1610 Class 1                                                                                                                                   | Same      |
| Sterilization<br>Method       | Ethylene Oxide (EtO)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             | Ethylene Oxide (EtO)                                                                                                                                                                         | Same      |

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The subject device and the predicate device have the same indications for Use and has similar technological characteristics.

The major differences are materials and design. The predicate device uses a traditional nonwoven SMS (3-layer) fabric, whereas the subject device uses a traditional non-woven SMS (3-layers) plus an extra film layer. The subject device has an additional material model which was made with PP+PE which is spunbond (PP) fabric with a PE Film-reinforced layer. For the design of the gowns, both the subject device and the predicate device have a Velcro hook and loop at neck (only for the subject SMS model), belt straps, knitted cuff, transfer tab, and setin sleeve features.

The major design difference is that the subject SMS gowns has an additional neck strap at the neck in addition to the Velcro hook and loop. The subject PP+PE gowns have a neck strap only. 

{7}------------------------------------------------

Other than this, both the devices share the same design features.

We have performed the biocompatibility and performance tests on the subject device and based on the test results we determine that these differences do not affect the safety and effectiveness of the device.

# 9. Summary of Non-Clinic Performance Tests

The following tests were performed on the subject device and the test results support that the subject device met the requirement for each test. Especially the performance test results support that the subject device satisfied the requirement of level 3 surgical gown.

| Test Item                                 | Test Standard                                                           | Acceptance Criteria                                                                                                                                                                                                                                                                                                                                                                                 | Results |
|-------------------------------------------|-------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------|
| Sterilization Validation                  | ISO 11135-1:2014                                                        | Sterility Assurance Level: 10-6                                                                                                                                                                                                                                                                                                                                                                     | Pass    |
| Shelf-Life Validation                     | ASTM F1980, ASTM F88, ASTM<br>F1929, ISO 10993-7, ISO 11737-2           | Bioburden test: ISO 11737-<br>1'Sterilization of medical devices<br>– Microbiological methods – Part<br>1: Determination of a population<br>of microorganisms on products' Sterility test: No microbial<br>growth Seal Strength Test (Blister):<br>Maximum seal strength<br>(N/15mm) ->>1.2 Dye Penetration test: No leakage                                                                        | Pass    |
| Acute systemic<br>toxicity                | ISO 10993-11                                                            | Adverse no effects occurring at any<br>time within 72h after single, multiple<br>or continuous exposures of a test<br>sample for 24h.                                                                                                                                                                                                                                                               | Pass    |
| Sensitization &<br>Irritation Tests       | ISO 10993-10                                                            | Sensitization test: The<br>observations are scored between 0<br>(no visible change) to 3 (intense<br>erythema and swelling). More<br>than grade 0 indicates<br>sensitization. Irritation tests: The test result<br>obtained is a score between 0 and<br>8 calculated from the various<br>observations, considered as<br>negligible (0-0.4), slight (0.5-1.9),<br>moderate (2-4.9), or severe (5-8). | Pass    |
| Water Resistance:<br>Impact Penetration   | AATCC Test Method 42 and is in<br>accordance with ANSI/AAMI PB70        | Visual Penetration: None seen<br>Amount of Penetration (g) : ≤ 1.0 g                                                                                                                                                                                                                                                                                                                                | Pass    |
| Water Resistance:<br>Hydrostatic Pressure | AATCC Test Method 127:2017,<br>ANSI/AAMI PB70:2012, and ISO<br>811:2018 | Pressure: ≥ 50 cm                                                                                                                                                                                                                                                                                                                                                                                   | Pass    |
| Tear Resistance                           | ASTM D5587                                                              | No acceptance criteria currently exist<br>for this test.                                                                                                                                                                                                                                                                                                                                            | Pass    |
| Basis Weight                              | ASTM D3776                                                              | Test articles should be weighed, and<br>the basis weight should be calculated<br>as the mass divided by the area. all<br>should weigh the same.                                                                                                                                                                                                                                                     | Pass    |
| Sterilant Gas Residue Analysis            | ANSI/AAMI/ISO 10993-7                                                   | Maximum levels of sterilant residuals:<br>ETO < 25ppm/device, ECH < 25ppm/device (ISO 10993-7)                                                                                                                                                                                                                                                                                                      | Pass    |
| Tensile Testing                           | SFDA (21 CFR Parts 58, 210, 211, and 820) Regulations                   | No acceptance criteria currently exist for this test.                                                                                                                                                                                                                                                                                                                                               | Pass    |
| Flammability                              | 16 CFR part 1610                                                        | Class Plain Surface Textile Fabric:<br>Burn time ≥3.5 seconds                                                                                                                                                                                                                                                                                                                                       | Pass    |
| Seam Strength test                        | ASTM D1683/D1683M                                                       | No acceptance criteria currently exist for this test.                                                                                                                                                                                                                                                                                                                                               | Pass    |

{8}------------------------------------------------

### 10. Conclusions:

The conclusion drawn from the non-clinical tests demonstrates that the subject device in 510(K) submission K203539, the Unico Global Level 3 Surgical Gown (Film-reinforced SMS) and Unico Global Level 3 Surgical Gown (PP+PE) are as safe, as effective, and performs as well as or better than the legally marketed predicate device cleared under K190950.

---

**Source:** [https://fda-staging.innolitics.com/device/K203539](https://fda-staging.innolitics.com/device/K203539)

**Published by [Innolitics](https://innolitics.com)** — a medical-device software consultancy. We help companies design, build, and clear FDA-regulated software and AI/ML devices. If you're preparing [a 510(k)](https://innolitics.com/services/510ks/), [a De Novo](https://innolitics.com/services/regulatory/), [a SaMD](https://innolitics.com/services/end-to-end-samd/), [an AI/ML medical device](https://innolitics.com/services/medical-imaging-ai-development/), or [an FDA regulatory strategy](https://innolitics.com/services/regulatory/), [get in touch](https://innolitics.com/contact).

**Cite:** Innolitics at https://innolitics.com
