510(k) Report

510(k) · Cleared

Cleared

InstruSafe Instrument Protection System

K210836510(k) TraditionalCleared Nov 30, 2021253-day reviewClass II21 CFR 880.6850

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Summitt Medical, LLC · KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories

Cleared on Nov 30, 2021 as substantially equivalent to K150540 (Summit Medical, Inc., 2015) after a 253-day review. Its family tree reaches back 2 generations to 2014.

Decided
Nov 30, 2021
Review
253 days
Class
Class II
Product code
KCT
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K133015 (2014). No later device cites it as a predicate yet.

  1. Root · 2 generations backK133015 Instru-Safe Instrument Protection SystemSummit Medical, Inc. · 2014
  2. 1 generation backK150540 Instru-Safe Instrument Protection SystemSummit Medical, Inc. · 2015
  3. This deviceK210836 InstruSafe Instrument Protection SystemSummitt Medical, LLC · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K133015Instru-Safe Instrument Protection SystemSummit Medical, Inc.2014—
−1K150540Instru-Safe Instrument Protection SystemSummit Medical, Inc.2015—
0 (this device)K210836InstruSafe Instrument Protection SystemSummitt Medical, LLC2021—
FIG. 1 — Lineage of K210836, 2014–2021Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in KCT? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new KCT device

  1. #1 K214041 Aesculap AICON Containerscore 18.1 · 6 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K150540Instru-Safe Instrument Protection System
Summary page 5
…assettes and other accessories Name: Regulatory Class II Class: Product Code: KCT Predicate Device Details Predicate Device: K150540 – Instru-Safe Instrument Protection System – SUMMIT MEDICAL, INC. 21 CFR 880.6850 - KCT Device Descript…
Summit Medical, Inc.2015—
†K190260STERIZONE (R) VP4 SterilizerTso3, Inc.2019—
†K133015Instru-Safe Instrument Protection SystemSummit Medical, Inc.2014—
†K141163Sterizone SterilizerTso3, Inc.2014—

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 7 years and passes through 2 companies; a new generation was cleared every 6.4 years on median.
  • None of the 2 ancestors has a recall.

How does its category compare?

All KCT devices

KCT Sterilization Wrap Containers, Trays, Cassettes & Other Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · KCT

11in 2025

2007: 32008: 62009: 62010: 122011: 62012: 102013: 82014: 112015: 152016: 122017: 102018: 152019: 182020: 142021: 182022: 112023: 102024: 82025: 112026 (partial year): 9
2007high 18 (2019) · low 3 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · KCT

205in 2025

2007: 199 days median2008: 182 days median2009: 89 days median2010: 202 days median2011: 117 days median2012: 236 days median2013: 131 days median2014: 169 days median2015: 151 days median2016: 182 days median2017: 211 days median2018: 192 days median2019: 187 days median2020: 134 days median2021: 185 days median2022: 137 days median2023: 94 days median2024: 106 days median2025: 205 days median2026 (partial year): 122 days median
2007high 236 (2012) · low 89 (2009)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · KCT

17in 2022

2010: 12011: 22013: 12014: 12016: 32017: 12021: 12022: 17
2007high 17 (2022) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · KCT

50in 2025

2007: 22008: 82009: 52010: 32011: 32012: 22013: 62014: 52015: 62016: 162017: 32018: 222019: 152020: 662021: 262022: 82023: 302024: 182025: 50
2007high 66 (2020) · low 2 (2007)2025

MAUDE reports naming product code KCT, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007319902
2008618208
200968905
20101220213
2011611723
20121023602
2013813116
20141116915
20151515106
201612182316
20171021113
201815192022
201918187015
202014134066
202118185126
202211137178
20231094030
20248106018
202511205050
202691220—

What is it indicated for?

InstruSafe® Instrument Protection System cassettes(trays) are used to organize and protect other medical devices that are sterilized by a healthcare provider. InstruSafe Instrument Protection System cassettes are intended to allow sterilization of the enclosed medical devices during STERIZONE VP4 sterilization Cycle 1. The InstruSafe Instrument Protection System cassettes are intended to be used in conjunction with a legally marketed wrap or Aesculap…

Read the full statement (228 words)

InstruSafe® Instrument Protection System cassettes(trays) are used to organize and protect other medical devices that are sterilized by a healthcare provider. InstruSafe Instrument Protection System cassettes are intended to allow sterilization of the enclosed medical devices during STERIZONE VP4 sterilization Cycle 1. The InstruSafe Instrument Protection System cassettes are intended to be used in conjunction with a legally marketed wrap or Aesculap rigid container. The InstruSafe Instrument Protection System cassettes are not intended on their own to maintain sterility.

Summit Medical has validated the use of the InstruSafe Instrument Protection System cassettes in Cycle 1 of the STERIZONE VP4 sterilizer through demonstrations of sterilization efficacy using representative samples of medical devices including general instruments, rigid and semi-rigid instruments with lumens, and flexible endoscopes. The validation provided information that has been used to establish design limits that are applied across the range of InstruSafe Instrument Protection System cassettes to ensure that all models fall within the validated limits for cassette ventilation, internal shelving, and weight:

• Minimum ventilation-to-volume ratio, general instruments: 0.073

• Minimum ventilation-to-volume ratio, flexible endoscopes: 0.263

• Maximum number of internal shelves: Two (2)

• Maximum cassette weight (including contents): 25 lbs/cassette

Refer to Table for the validated loads using InstruSafe Instrument Protection System cassettes. Refer to the sterilizer manufacturer’s instructions for use to ensure that loads do not exceed the claimed limits for the sterilizer.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K210836: InstruSafe Instrument Protection System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K210836

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026