The Dukal AAMI Level 4 Open-Back Protective Gowns are intended to protect health care personnel and patients from the transfer of microorganisms, body fluids, and particulate material. These gowns are not intended for use in the operating room. The Dukal AAMI Level 4 Open-Back Protective Gown meets the barrier protection requirements of AAMI Level 4 per ANSI/A AMI PB70, Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities, but has an open back which is non-protective. These gowns are single use, disposable medical devices provided non-sterile.
Device Story
Protective gown designed to shield healthcare personnel and patients from microorganisms, body fluids, and particulates. Constructed from SMS nonwoven laminate with polyethylene film. Features include open-back design (non-protective), neck removal, belt ties, and thumb-hook cuff sleeves. Available in Regular and X-Large sizes. Intended for non-OR clinical environments. Single-use, disposable, non-sterile. Provides AAMI Level 4 barrier protection in critical zones (body/sleeves/seams).
Clinical Evidence
No clinical data. Bench testing only. Conformance demonstrated via ASTM F1671 (viral barrier), AATCC 127 (hydrostatic pressure), ASTM D5034 (tensile strength), ASTM D5587 (tear strength), ASTM D1683 (seam strength), ISO 9073-10 (lint generation), 16 CFR 1610 (flammability), and ISO 10993 (biocompatibility).
Technological Characteristics
Materials: SMS nonwoven with polyethylene film. Barrier: AAMI Level 4 per ANSI/AAMI PB70:2012. Standards: ASTM D3776 (basis weight), ASTM D5034 (tensile), ASTM D5587 (tear), ASTM D1683 (seam), ISO 9073-10 (lint), 16 CFR 1610 (flammability), ISO 10993-5/10 (biocompatibility). Design: Open-back, thumb-hook cuffs, belt ties. Sterilization: Non-sterile.
Indications for Use
Indicated for health care personnel and patients to protect against transfer of microorganisms, body fluids, and particulate material. Not for use in the operating room. Single-use, disposable, non-sterile.
Regulatory Classification
Identification
Surgical apparel are devices that are intended to be worn by operating room personnel during surgical procedures to protect both the surgical patient and the operating room personnel from transfer of microorganisms, body fluids, and particulate material. Examples include surgical caps, hoods, masks, gowns, operating room shoes and shoe covers, and isolation masks and gowns. Surgical suits and dresses, commonly known as scrub suits, are excluded.
Special Controls
*Classification.* (1) Class II (special controls) for surgical gowns and surgical masks. A surgical N95 respirator or N95 filtering facepiece respirator is not exempt if it is intended to prevent specific diseases or infections, or it is labeled or otherwise represented as filtering surgical smoke or plumes, filtering specific amounts of viruses or bacteria, reducing the amount of and/or killing viruses, bacteria, or fungi, or affecting allergenicity, or it contains coating technologies unrelated to filtration (e.g., to reduce and or kill microorganisms). Surgical N95 respirators and N95 filtering facepiece respirators are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9, and the following conditions for exemption:(i) The user contacting components of the device must be demonstrated to be biocompatible.
(ii) Analysis and nonclinical testing must:
(A) Characterize flammability and be demonstrated to be appropriate for the intended environment of use; and
(B) Demonstrate the ability of the device to resist penetration by fluids, such as blood and body fluids, at a velocity consistent with the intended use of the device.
(iii) NIOSH approved under its regulation.
(2) Class I (general controls) for surgical apparel other than surgical gowns and surgical masks. The class I device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.
Predicate Devices
Cardinal Health Poly-Coated Open-Back Protective Gowns (level 4) (K182830)
Submission Summary (Full Text)
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March 30, 2022
Dukal, LLC Megan Quevedo Quality and Regulatory Affairs Supervisor 2 Fleetwood Court Ronkonkoma, New York 11779
Re: K212464
Trade/Device Name: Dukal AAMI Level 4 Open-Back Protective Gown Regulation Number: 21 CFR 878.4040 Regulation Name: Surgical Apparel Regulatory Class: Class II Product Code: OPC Dated: March 2, 2022 Received: March 2, 2022
Dear Megan Quevedo:
We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.
If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal
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statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.
For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
For Clarence W. Murray III, Ph.D. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health
Enclosure
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# Indications for Use
510(k) Number (if known) K212464
Device Name Dukal AAMI Level 4 Open-Back Protective Gown
Indications for Use (Describe)
The Dukal AAMI Level 4 Open-Back Protective Gowns are intended to protect health care personnel and patients from the transfer of microorganisms, body fluids, and particulate material. These gowns are not intended for use in the operating room.
The Dukal AAMI Level 4 Open-Back Protective Gown meets the barrier protection requirements of AAMI Level 4 per ANSI/A AMI PB70, Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended for Use in Health Care Facilities, but has an open back which is non-protective.
These gowns are single use, disposable medical devices provided non-sterile.
| Type of Use (Select one or both, as applicable) | |
|--------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------|
| <label><input type="checkbox"/> Prescription Use (Part 21 CFR 801 Subpart D)</label> | <label><input checked="" type="checkbox"/> Over-The-Counter Use (21 CFR 801 Subpart C)</label> |
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# 510(k) K212464 SUMMARY
### 510(k) Premarket Notification for Dukal AAMI Level 4 Open-Back Protective Gown
| 1. | Submitter: | Dukal, LLC<br>2 Fleetwood Court<br>Ronkonkoma NY 11779<br>Phone: 631-656-3800<br>Fax: 631-656-3810 |
|--------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 2. | FDA Registration Number: | 2435946 |
| 3. | Regulatory Affairs Contact: | Megan Quevedo<br>Quality and Regulatory Affairs Supervisor<br>2 Fleetwood Court<br>Ronkonkoma NY 11779<br>Telephone Number: 631-656-3800 ext. 133<br>Fax Number: 631-656-3810 |
| 4. | Date Summary Prepared: | March 29, 2022 |
| 5. | Name of Device: | Dukal AAMI Level 4 Open-Back Protective Gown |
| 6. | Trade Name: | Dukal AAMI Level 4 Open-Back Protective Gown |
| 7. | Common/Classification Name: | Gown, Non-Sterile, Non-Isolation, Intended to Provide<br>Moderate or High Barrier Protection |
| 8. | Regulation Number: | 21 CFR §878.4040 |
| 9. | Device Class: | Class II |
| 10. | Regulation Name: | Surgical Apparel |
| 11. | Product Code: | QPC |
| | 12. Predicate Device: | Cardinal Health Poly-Coated Open-Back Protective<br>Gowns (level 4)<br>• 510k #K182830, cleared on 4/26/2019 |
| | 13. Device Description: | Dukal AAMI Level 4 Open-Back Protective Gowns are<br>intended to protect health care personnel and patients<br>from the transfer of microorganisms, body fluids, and<br>particulate material These gowns are not intended - for |
| | use in the operating room. The gowns are available on<br>Regular and X-Large sizes. | |
| | Dukal AAMI Level 4 Open-Back Protective Gowns are<br>made with laminate material (SMS nonwoven material<br>with polyethylene film). | |
| | All gowns are blue, with neck removal feature, belt ties,<br>and thumb hook cuff sleeves. | |
| | These gowns are single use, disposable devices, that are<br>provided non-sterile. | |
| 14. Packaging: | 10 gowns/bag, 5 bags/case | |
| 15. Indications for Use: | The Dukal AAMI Level 4 Open-Back Protective Gown are<br>intended to protect health care personnel and patients<br>from the transfer of microorganisms, body fluids, and<br>particulate material. These gowns are not intended for<br>use in the operating room. | |
| | The Dukal AAMI Level 4 Open-Back Protective Gown<br>meets the barrier protection requirements of AAMI<br>Level 4 per ANSI/AAMI PB70, Liquid Barrier<br>Performance and Classification of Protective Apparel<br>and Drapes Intended for Use in Health Care Facilities,<br>but has an open back which is non-protective. | |
| | These gowns are single, use, disposable medical devices | |
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# 16. Comparison of Technological Characteristics with the Predicate Device:
| Element of<br>Comparison | Predicate Device Cardinal<br>Health (K182830) Poly-Coated<br>Open-Back Gown | Subject Device Dukal<br>Open-Back Protective<br>Gown (K212464) | Comparison |
|------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| Indications for<br>Use | The Cardinal Health Poly-<br>Coated Open-Back Protective<br>Gown is intended to protect<br>health care personnel and<br>patients from the transfer of<br>microorganisms, body<br>fluids and particulate material.<br>Not intended for use in the<br>operating room. | The Dukal AAMI Level 4<br>Open-Back Protective<br>Gowns are intended to<br>protect health care<br>personnel and patients<br>from the transfer of<br>microorganisms, body<br>fluids, and particulate<br>material. These gowns are | Same |
| | Cardinal Health Poly-Coated | | |
| | Open-Back Protective | not intended for use in | |
| | Gown meets the barrier | the operating room. | |
| | protection requirements of | | |
| | AAMI Level 4 per ANSI/AAMI | The Dukal AAMI Level 4 | |
| | PB70:2012, Liquid Barrier | Open-Back Protective | |
| | Performance and Classification | Gown meets the barrier | |
| | of Protective Apparel | protection requirements | |
| | and Drapes Intended for Use in | of AAMI Level 4 per | |
| | Health Care Facilities, but has | ANSI/AAMI PB70, Liquid | |
| | an open back which | Barrier Performance and | |
| | is non-protective. The Cardinal | Classification of Protective | |
| | Health™ Poly-Coated Open- | Apparel and Drapes | |
| | Back Protective Gown | Intended for Use in Health | |
| | is a single use, disposable | Care Facilities, but has an | |
| | medical device provided non- | open back which is non- | |
| | sterile | protective. | |
| | | These gowns are single, | |
| | | use, disposable medical | |
| | | devices provided non- | |
| | | sterile. | |
| Barrier<br>Protection<br>Level | AAMI Level 4 per ANSI/AAMI<br>PB70:2012,<br>Liquid Barrier Performance and<br>Classification of Protective<br>Apparel and<br>Drapes Intended for Use in<br>Health Care Facilities, but has<br>an open back which is<br>nonprotective. | AAMI Level 4 per<br>ANSI/AAMI PB70:2012,<br>Liquid Barrier<br>Performance and<br>Classification of Protective<br>Apparel and<br>Drapes Intended for Use in<br>Health Care Facilities, but<br>has an open back which is<br>nonprotective. | Same |
| Regulation,<br>Classification,<br>Product Code | Regulation Number: 21 CFR<br>§878.4040<br>Device Class: Class II<br>Regulation Name: Surgical<br>Apparel<br>Product Code: QPC | Regulation Number: 21<br>CFR §878.4040<br>Device Class: Class II<br>Regulation Name: Surgical<br>Apparel<br>Product Code: QPC | Same |
| Material<br>Composition | Laminate (spunbond<br>polypropylene coated<br>with polyethylene) | Laminate (Spunbond +<br>Meltblown + Spunbond<br>(SMS) with polyethylene<br>film) | Similar |
| Product Color<br>and Sizes | Blue<br>Universal and XX-Large | Blue<br>Regular and X-Large | Similar |
| Design Features | Thumbhook cuff formed into<br>sleeve or knit cuff sewn onto<br>sleeve for keeping the sleeves<br>in place on the wearer | Thumbhook cuff formed<br>into sleeve for keeping the<br>sleeves in place on the<br>wearer | Similar |
| | Belt Ties integrated into body<br>Neck removal feature | Belt Ties integrated into<br>body<br>Neck removal feature | |
| Sterility | Non-Sterile | Non-Sterile | Same |
| Use | Single Use; Disposable | Single Use; Disposable | Same |
| Biocompatibility | Under the conditions of each<br>study, the Cardinal HealthTM<br>Poly-Coated Open- Back<br>Protective Gown is non-<br>cytotoxic (ISO 10993-5), is non-<br>irritating (ISO 10993-10), and is<br>non-sensitizing (ISO 10993-10). | Under the conditions of<br>each study, the Dukal<br>AAMI Level 4 Open-Back<br>Protective Gown is non-<br>cytotoxic (ISO 10993-5), is<br>non-irritating (ISO 10993-<br>10), is non-sensitizing (ISO<br>10993-10). | Same |
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{6}------------------------------------------------
# Comparison Summary of Non-Clinical Testing Results
| Test | Test Results of Subject Device<br>Dukal AAMI Level 4 Open-Back<br>Protective Gown (meets<br>ANSI/AAMI PB70:2012 Level 4<br>requirements)<br><br>Note: Below results are for Sleeve<br>and Body material | Test Results of Predicate Device<br>Cardinal Health (K182830) Poly-<br>Coated Open-Back Gown (meets<br>ANSI/AAMI PB70:2012 Level 4<br>requirements)<br>Finished Good Test Results:<br>Mean (min/max)<br><br>Note: Below results are for<br>Sleeve and Body material | Comparison |
|------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------|
| Basis Weight<br>ASTM<br>D3776/D3776M<br>-20 | 50±6 gsm | 43.3 (39.9 / 46.1) gsm<br>(according to previous revision<br>ASTM D3776/D3776M-17) | Similar |
| Tensile Strength<br>ASTM D5034-21 | Machine Direction (MD)<br>≥ 30 N<br><br>Cross Direction (CD)<br>≥ 30 N | 14.2 (12.6 / 16.1) lb (CD)<br>(according to previous revision<br>ASTM D5034-17) | Similar |
| Tear Strength<br>ASTM D5587-15<br>(2019) | Machine Direction (MD)<br>≥ 10 N<br><br>Cross Direction (CD)<br>≥ 10 N | 6.0 (4.4 / 7.5) lb (MD) | Similar |
| Seam Strength<br>(ASTM D 1683) | ≥30N | ≥30N | Same |
| Flammability<br>CPSC, Part 1610 | Class 1 | Class 1 | Same |
| Lint Generation<br>(ISO 9073-10) | Size of particles counted: 3mcg-<br>25mcg | Size of particles counted: 3mcg-<br>25mcg | Same |
| Hydrostatic<br>Head<br>AATCC 127:2018 | >130 cmH20 | >130 (130 / >130) cmH20<br>>51 (51 / >51) inH20<br>(According to previous revision<br>AATCC 127:2017) | Same |
| Viral barrier<br>(resistance to<br>bacteriophage<br>Phi-X174)<br>ASTM F1671-13 | Pass (For AAMI Level 4<br>Requirements): None Seen for<br>Penetration of Phi-X174<br>Bacteriophage | Pass (For AAMI Level 4<br>Requirements): None Seen for<br>Penetration of Phi-X174<br>Bacteriophage | Same |
| Liquid Barrier<br>Performance<br>Classification<br>Properties | All areas tested meet Level 4<br>performance requirements<br>(ASTM F1671), which is the<br>highest standardized level of<br>barrier performance | All areas tested meet Level 4<br>performance requirements<br>(ASTM<br>F1671), which is the highest<br>standardized level of barrier<br>performance | Same |
| | The Dukal AAMI Level 4 Open-<br>Back Protective Gown meets the<br>barrier protection requirements of<br>AAMI Level 4 per ANSI/AAMI<br>PB70:2012, Liquid Barrier<br>Performance and Classification of<br>Protective Apparel and Drapes<br>Intended for Use in Health Care<br>Facilities, but has an open back<br>which is non-protective. Testing<br>was performed in accordance with<br>ASTM F1671 using 3 lots and 32<br>samples per lot in each critical<br>zone area. The critical zone areas<br>tested were the body or sleeve<br>(same material) and the heat<br>sealed seam(s). | The Cardinal Health™ Poly-<br>Coated<br>Open-Back Protective Gown<br>meets the barrier protection<br>requirements of AAMI Level 4 per<br>ANSI/AAMI PB70:2012, Liquid<br>Barrier Performance and<br>Classification of Protective<br>Apparel and Drapes Intended for<br>Use in Health Care<br>Facilities, but has an open back<br>which is non-protective. Testing<br>was performed in accordance<br>with ASTM F1671 using 3 lots and<br>32 samples per lot in each critical<br>zone area. The critical zone areas<br>tested were the body or sleeve<br>(same material) and the heat<br>sealed seam(s). | |
| Sterilization<br>Modality | None, non-sterile | None, non-sterile | Same |
| Biocompatibilit<br>y-Cytotoxicity<br>(ISO 10993-5),<br>Irritation &<br>Sensitization<br>(ISO 10993-10) | • Under the conditions of the<br>study, the device did not show<br>cytotoxicity potential.<br><br>• Under the conditions of the<br>study, the irritation response | • Under the conditions of the<br>study, the device did not<br>show cytotoxicity potential.<br><br>• Under the conditions of the<br>study, the irritation response | Same |
| category of the device was<br>classified as Negligible. | category of the device was<br>classified as Negligible. | | |
| • Under the conditions of the<br>study, the device showed no<br>significant evidence of causing<br>skin sensitization. | • Under the conditions of the<br>study, the device showed no<br>significant evidence of<br>causing skin sensitization. | | |
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{8}------------------------------------------------
### Non-Clinical Test Results:
The subject protective gowns were tested and found conformance with the following standards:
- 16 CFR Part 1610 Standard for the Flammability of Clothing Textiles
- AATCC 127: 2018 Water Resistance: Hydrostatic Pressure Test
- ASTM F1671/F1671M-13 Standard Test Method for Resistance to Materials Used in Protective Clothing to Penetration by Blood-Borne Pathogens Using Phi-X174 Bacteriophage as a Test System
- . ANSI AAMI PB70: 2012 Liquid Barrier Performance and Classification of Protective Apparel and Drapes Intended For Use in Health Care Facilities
- . ASTM D5587-15 (2019) Standard Test Method for Tearing Strength of Fabrics by Trapezoid Procedure
- ISO 9073-10:2003 Textiles-Test Methods for Nonwovens-Part 10: Lint and Other Particles Generation in the Dry State
- ASTM D1683/D1683M-17:2017/(R)2018 Standard Test Method for Failure in Sewn Seams of Woven Fabrics
- ASTM D3776/D3776M-20 Test Methods for Mass Per Unit Area (Weight) of Woven Fabric
- . ASTM D5034-21 Standard Test Method for Breaking Strength and Elongation of Textile Fabrics (Grab Test)
- ISO 10993-5:2009 Biological Evaluation of Medical Devices-Part 5: Tests for in Vitro Cytotoxicity
- ISO 10993-10:2010 Biological Evaluation of Medical Devices-Part 10: Tests for Irritation and Skin Sensitization
- ISO 10993-1:2018 Biological Evaluation of Medical Devices- Part 1: Evaluation and testing within ● a risk management process
{9}------------------------------------------------
# Summary for Non-Clinical Testing:
| Test Item | Test<br>Standard<br>Methods | Test Requirements | Test Results of Subject<br>Device Dukal AAMI Level 4<br>Surgical Gown<br>Note: Below results are for<br>Sleeve and Body material | Remark |
|-----------------------------------------|-----------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------|
| Blood-Borne<br>Pathogens<br>penetration | ASTM F1671 | Pass (For AAMI Level 4<br>Requirements): None<br>Seen for Penetration<br>of Phi-X174<br>Bacteriophage | Pass | Meets<br>requirement |
| Hydrostatic pressure | AATCC 127 | ≥100cm H2O<br>(Individual)<br>≥140cm H2O<br>(Average) | >130 cm H2O | Meets<br>requirement |
| Basis weight | ASTM D3776 | 50±6 gsm | 50±6 gsm | Meets<br>requirement |
| Tensile strength | ASTM D 5034 | Machine Direction<br>(MD)<br>≥ 30 N<br>Cross Direction (CD)<br>≥ 30 N | Machine Direction (MD)<br>≥ 30 N<br>Cross Direction (CD)<br>≥ 30 N | Meets<br>requirement |
| Tear strength | ASTM D5587 | Machine Direction<br>(MD)<br>≥ 10 N<br>Cross Direction (CD)<br>≥ 10 N | Machine Direction (MD)<br>≥ 10 N<br>Cross Direction (CD)<br>≥ 10 N | Meets<br>requirement |
| Seam Strength | ASTM D 1683 | ≥30N | ≥30N | Meets<br>requirement |
| Lint generation | ISO 9073-10 | Size of particles<br>counted: 3mcg-25mcg | Size of particles counted:<br>3mcg 25mcg | Meets<br>requirement |
| Flammability | 16 CFR Part<br>1610 | Class I | Class I | Meets<br>requirement |
| Biocompatibility | ISO 10993-5<br>ISO 10993-10 | -Under the conditions of the study, the device does not show cytotoxicity potential.<br><br>-Under the conditions of the study, the irritation response category of the device is classified as Negligible.<br><br>-Under the conditions of the study, the device shows no significant evidence of causing skin sensitization. | -Under the conditions of the study, the device did not show cytotoxicity potential.<br><br>-Under the conditions of the study, the irritation response category of the device was classified as Negligible.<br><br>-Under the conditions of the study, the device showed no significant evidence of causing skin sensitization. | Meets requirement |
{10}------------------------------------------------
### Summary for Clinical Testing: Not Applicable
Conclusions: The conclusion drawn from the nonclinical tests demonstrates that the subject devices in this 510(k) submission, Dukal AAMI Level 4 Open-Back Protective Gowns, are as safe, as effective, and perform as well as or better than the legally marketed predicate device cleared under K182830.
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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.