FDA-Cleared Sterilants and High Level Disinfectants with General Claims for Processing Reusable Medical and Dental Devices

Section VI. of FDA’s Final Guidance for Industry and FDA Staff: Reprocessing Medical Devices in Health Care Settings: Validation Methods and Labeling outlines six criterion that should be addressed in reprocessing instructions. Criterion 4 recommends that reprocessing instructions should include devices and accessories that are legally marketed. On this page is a table of FDA-cleared liquid chemical sterilants and high level disinfectants, last updated December 2023.

Product / Approval Number	Manufacturer	Active Ingredient(s)	Sterilant Contact Conditions	High Level Disinfectant Contact Conditions
Tristel Duo ULT High Level Disinfectant Foam for Ultrasound Probes (DEN220041)	Tristel Solutions Limited	320 ppm Chlorine dioxide	No indication for device sterilization. Passes AOAC Sporicidal Activity Test in 12 hrs. at 20°C.	For Manual application using DUO Wipes: 2 min at 20°C Single use – foam generated on site For processing of endocavity transvaginal, transrectal and skin surface transducers only. Contact conditions established by simulated use testing with transducer.
Acecide-C High Level Disinfectant and Sterilant (K091210)	Best Sanitizers, Inc.	3100-3400 ppm peracetic acid	Indication for device sterilization 2 hrs at 20ºC 5 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test and by simulated use testing with endoscopes.	7 min at 20ºC 5 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Extended Use Aldahol High Level Disinfectant (K09189)	Healthpoint, Ltd.	3.4% glutaraldehyde 20.1% isopropanol	Indication for device sterilization For processing in a legally marketed Automated Endoscope Reprocessor capable of maintaining solution temperature at 25ºC: 6 hrs at 25ºC 14 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test and by simulated use testing with endoscopes.	For processing in a legally marketed Automated Endoscope Reprocessor capable of maintaining solution temperature at 25ºC: 5 min at 25ºC 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Resert XL HLD High Level Disinfectant (K091022)	Steris Corporation	2.0% hydrogen peroxide	No indication for device sterilization. Passes the Modified AOAC Sporicidal Activity Test in 6 hrs at 20ºC.	8 min at 20ºC 21 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Steris S40 Sterilant Concentrate (K090036 and K173256) Note: Cleared for use with the Steris System 1E Liquid Chemical Sterilant Processing System	Steris Corporation	≥1820 mg/L peracetic acid	Indication for device sterilization 6 min at 46-55°C Single use – diluted by system For use in the Steris System 1E and endo Liquid Chemical Sterilant Processing Systems only Contact conditions based on AOAC Sporicidal Activity Test and simulated use testing with endoscopes.	No indication for high level disinfection
Aldahol V High Level Disinfectant (K113015)	Microchem Laboratories, Inc.	3.4% glutaraldehyde 20.1% isopropanol	Indication for device sterilization. 8 hrs at 20ºC 14 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test and by simulated use testing with endoscopes.	10 min at 20ºC 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Rapicide OPA-28 High Level Disinfectant (K120306)	Minntech Corporation	0.575% ortho-phthalaldehyde	No indication for device sterilization. Passes the Modified AOAC Sporicidal Activity Test in 32 hrs at 20ºC and 25°C.	For Manual Processing: 10 min at 20ºC 28 days Maximum Reuse For processing in a legally marketed Automated Endoscope Reprocessor capable of maintaining solution temperature at 25ºC: 5 min at 25ºC 28 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
OPA 30 Solution (K140703)	Ciden Technologies, LLC	0.6% ortho-phthalaldehyde	No indication for device sterilization. Passes the Modified AOAC Sporicidal Activity Test in 32 hrs at 20°C and 25°C.	For Manual Processing: 12 min at 20ºC 30 days Maximum Reuse For processing in a legally marketed Automated Endoscope Reprocessor capable of maintaining solution temperature at 25ºC: 5 min at 25ºC 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Acecide High Level Disnfectant and Sterilant (K041984)	Best Sanitizers, Inc.	3300-3800 ppm peracetic acid	No indication for device sterilization. 5 hrs at 25°C 5 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test and by simulated use testing with endoscopes.	5 min at 25ºC 5 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
TD-5 High-level Disinfectant (K051305)	CS Medical, L.L.C.	2.65% glutaraldehyde	No indication for device sterilization. Passes the AOAC Sporicidal Activity Test in 10 hrs at 22 °C.	5 min at 37.8ºC Single use to be used exclusively with the TD-100 Transesophageal Probe Disinfector. Contact conditions established by simulated use testing with endoscopes.
Aldahol III High Level Disinfectant (K041360)	Healthpoint LTD	3.4% glutaraldehyde 26% isopropanol	Indication for device sterilization. 10 hrs at 20° C Contact conditions based on AOAC Sporicidal Activity Test only.	10 min at 20ºC 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Banicide Advanced for Sterilization and High Level Disinfection (K012889)	Pascal Company, Inc.	3.5% glutaraldehyde	Indication for device sterilization. 10 hrs at 25°C 30 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	45 min at 25°C 30 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Cidex® OPA Concentrate (K032959)	Advanced Sterilization Products	5.75% ortho-phthaldehyde (OPA)	No indication for device sterilization. In-Use solution (0.05% OPA) passes the AOAC Sporicidal Activity Test in 32 hrs at 50°C.	5 min at 50ºC Single use – diluted by system For use in the EvoTech Integrated Endoscope Disinfection System only. Contact conditions established by simulated use testing with endoscopes.
Cidex OPA Solution (K030004)	Advanced Sterilization Products	0.55% ortho-phthaldehyde	No indication for device sterilization. Passes the AOAC Sporicidal Activity Test in 32 hrs at 20°C and 25°C.	Manual Processing 12 min at 20°C 14 days Maximum Reuse Automated Endoscope Reprocessor (AER) 5 min at 25°C 14 days Maximum Reuse (For processing in an AER only with FDA-cleared capability to maintain solution temperature at 25°C.) Contact conditions established by simulated use testing with endoscopes.
Sterilox Liquid High Level Disinfectant System (K013280)	Sterilox, Technologies, Inc.	Hypochlorite and Hypochlorous acid 650-675 ppm Active free chlorine	No indication for device sterilization. Passes the Modified AOAC Sporicidal Activity Test in 24 hrs at 25°C.	10 min at 25°C Single use - generated on site Contact conditions established by simulated use testing with endoscopes.
Sporicidin Sterilizing and Disinfecting Solution (K003087)	Sporicidin International	1.12% glutaraldehyde 1.93% phenol/phenate	Indication for device sterilization. 12 hrs at 25°C 14 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	20 min at 25°C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Rapicide High Level Disinfectant and Sterilant (K993042)	MediVators, Inc.	2.5% glutaraldehyde	Indication for device sterilization. 7 hrs 40 min at 35°C 28 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes and additional supporting information.	Automated Endoscope Reprocessor 5.0 min at 35°C 28 days Maximum Reuse (For processing in an AER only with FDA-cleared capability to maintain the solution temperature at 35°C.) Contact conditions established by simulated use testing with endoscopes.
°Cidex®OPA Solution High Level Disinfectant (K991487)	Advanced Sterilization Products	0.55% ortho-phthaldehyde	No indication for device sterilization. Passes the AOAC Sporicidal Activity Test in 32 hrs at 20°C.	12 min at 20°C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
°Cetylcide-G Concentrate and Diluent Concentrate (K974188)	Cetylite Industries, Inc.	3.2% glutaraldehyde	Indication for device sterilization. 10 hrs at 20°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	40 min at 20°C 28 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
MedSci 3% Glutaraldehyde (K974062)	MedSci, Inc.	3% glutaraldehyde	Indication for device sterilization. 10 hrs at 25°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	25 min at 25°C 28 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
EndoSpor Plus Sterilizing and Disinfecting Solution (K972708) Note: Due to the lack of test strips for monitoring the concentrations of the active ingredients, the reuse period is limited to 14 days.	Cottrell Limited	7.35% hydrogen peroxide 0.23% peracetic acid	Indication for device sterilization. 180 min at 20°C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.	15 min at 20°C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Sporox^TM Sterilizing & Disinfection Solution (K970230)	Reckitt & Colman Inc.	7.5% hydrogen peroxide	Indication for device sterilization. 6 hrs at 20°C 21 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	30 min at 20°C 21 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Peract^TM 20 Liquid Sterilant/Disinfectant (K960513)	Minntech Corporation	1.0% hydrogen peroxide 0.08% peracetic acid	Indication for device sterilization. 8 hrs at 20°C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.	25 min at 20°C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Procide 14 N.S. (K932922)	Cottrell Limited	2.4% glutaraldehyde	Indication for device sterilization. 10 hrs at 20°C 14 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	45 min at 20°C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Omnicide^TM Long Life Activated Dialdehyde Solution (K932922)	Cottrell Limited	2.4% glutaraldehyde	Indication for device sterilization. 10 hrs at 20°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	45 min at 20°C 28 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Omnicide^TM Plus (K932922)	Cottrell Limited	3.4% glutaraldehyde	Indication for device sterilization. 10 hrs at 20°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	45 min at 20°C 28 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Metricide Plus 30 Long-Life Activated Dialdehyde Solution (K931592)	Metrex Research, Inc.	3.4% glutaraldehyde	Indication for device sterilization. 10 hrs at 25°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only. FDA accepted Metricide Plus as identical to Cidex Plus.	90 min at 25°C 28 days Maximum Reuse FDA accepted Metricide Plus as identical to Cidex Plus.
Metricide 28 Long-Life Activated Dialdehyde Solution (K931052)	Metrex Research, Inc.	2.5% glutaraldehyde	Indication for device sterilization. 10 hrs at 25°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only. FDA accepted Metricide 28 as identical to Cidex Formula 7.	90 min at 25°C 28 days Maximum Reuse FDA accepted Metricide 28 as identical to Cidex Formula 7.
Metricide Activated Dialdehyde Solution (K930284)	Metrex Research, Inc.	2.6% glutaraldehyde	Indication for device sterilization. 10 hrs at 25°C 14 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only. FDA accepted Metricide as identical to Cidex.	45 min at 25°C 14 days Maximum Reuse FDA accepted Metricide as identical to Cidex.
Cidex™ Activated Dialdehyde Solution (K924434)	Johnson & Johnson Medical Products	2.4% glutaraldehyde	Indication for device sterilization. 10 hrs at 25°C 14 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	45 min at 25°C 14 days Maximum Reuse Contact conditions based on literature references.
Cidex Formula 7™ Long-Life Activated Dialdehyde Solution (K924334)	Johnson & Johnson Medical Products	2.5% glutaraldehyde	Indication for device sterilization. 10 hrs at 20-25°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	90 min at 25°C 28 days Maximum Reuse Contact conditions based on literature references.
Cidex Plus^TM 28 Day Solution (K923744)	Johnson & Johnson Medical Products	3.4% glutaraldehyde	Indication for device sterilization. 10 hrs at 20-25°C 28 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	20 min at 25°C 28 days Maximum Reuse Contact conditions based on literature references.
Wavicide - 01 (K914749)	Wave Energy Systems	2.5% glutaraldehyde	Indication for device sterilization. 10 hrs at 22°C 30 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test only.	45 min at 22°C 30 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Resert XL HLD High Level Disnfectant (K080420)	Steris Corporation	2.0% Hydrogen peroxide	No indication for device sterilization. In-Use solution passes the AOAC Sporicidal Activity Test in 6 hrs at 20 °C	8 min at 20ºC 21 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Opaciden Solution (K070627)	Ciden Technologies, LLC	*0.60% ortho-phthalaldehyde (OPA)*	No indication for device sterilization. In-Use solution passes the AOAC Sporicidal Activity Test in 32 hrs at 21 ° C and 32 hrs at 25-27°C.	For Manual Processing: 12 min at 20ºC 14 days Maximum Reuse For processing in a legally marketed Automated Endoscope Reprocessor capable of maintaining solution temperature at 25ºC: 5 min at 25ºC 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.
Sterilox High Level Disinfectant System (K063159)	Sterilox, Technologies, Inc.	Hypochlorous acid/hypochlorite 400-450 ppm Active free chlorine	No indication for device sterilization. Passes the Modified AOAC Sporicidal Activity Test in 32 hrs at 30 ° C.	10 min at 30ºC Single use - generated on site Contact conditions established by simulated use testing with endoscopes.`
Cidex Activated Dialdehyde Solution (K060618)	Advanced Sterilization Products	2.4% glutaraldehyde	10 hrs at 25 °C 14 days Maximum Reuse Contact conditions based on AOAC Sporicidal Activity Test and by simulated use testing with endoscopes.	45 min at 25 °C 14 days Maximum Reuse Contact conditions established by simulated use testing with endoscopes.