← Product Code KGN · K070269

# MODIFICATION TO COLLAWOUND DRESSING (K070269)

_Collamatrix Co., Inc. · KGN · Mar 2, 2007 · SU · SESE_

**Canonical URL:** https://fda.innolitics.com/device/K070269

## Device Facts

- **Applicant:** Collamatrix Co., Inc.
- **Product Code:** KGN
- **Decision Date:** Mar 2, 2007
- **Decision:** SESE
- **Submission Type:** Special
- **Device Class:** Class U
- **Review Panel:** SU
- **Attributes:** Therapeutic

## Intended Use

CollaWound™ dressing will be used for the management of partial and full thickness wounds, pressure ulcers, venous ulcers, chronic vascular ulcers, diabetic ulcers, trauma wounds, first and second degree burns, surgical wounds and superficial injuries.

## Device Story

CollaWound™ dressing is a sterile, single-use, disposable wound dressing composed of porcine-derived collagen. It functions as a thin film layer applied to the wound site to maintain a moist environment, facilitating the management of exudating wounds. The device is intended for clinical use by healthcare providers for various wound types, including ulcers, burns, and surgical wounds. It provides a physical barrier and moisture regulation to support wound healing.

## Clinical Evidence

No clinical data; safety and substantial equivalence established via product characterization and biocompatibility testing in accordance with ISO 10993/G95-1.

## Technological Characteristics

Material: Porcine-derived collagen. Form factor: Thin film dressing. Sterilization: Sterile, single-use. Biocompatibility: Compliant with ISO 10993/G95-1.

## Submission Summary (Full Text)

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# Attachment 9

# COLLAMATRIX Inc.

K070369

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# 510(k) summary

## 1. Date Prepared Jan 18, 2007

## Submitter name and address 2.

MAR 0 2 2007

Collamatrix Inc. 2nd F, 360, RuiGuang Road, Neihu, Taipei, 114, Taiwan

#### 3. Contact person

| Name: | Dennis J. N. Seah |
|-------|-------------------|
| Tel:  | + 886 2 7720 9988 |
| Fax:  | + 886 2 7720 9900 |

## 4. Device names

| Propriety name:      | CollaWound™ dressing    |
|----------------------|-------------------------|
| Common name:         | Wound dressing          |
| Classification name: | Collagen wound dressing |

## ડ. Device classification

Regulatory class: Product code:

Class II unelassified
KGN

## 6. Device description

CollaWound™ dressing is a sterile, single use, disposable wound dressing device for the management of exudating wounds. It comprises collagen derived from porcine, which forms a layer of thin film to maintain a moist environment at the wound site.

## 7. Intended use

CollaWound™ dressing will be used for the management of partial and full thickness wounds, pressure ulcers, venous ulcers, chronic vascular ulcers, diabetic ulcers, trauma wounds, first and second degree burns, surgical wounds and superficial injuries.

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KC70269
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# COLLAMATRIX Inc.

## 8. Statement of Substantial equivalence

CollaWound™ dressing is substantially equivalent in material, function, technological characteristics and intended use to its predicate.

## 9. Safety

Biocompatibility tests have confirmed that CollaWound™ dressing meets the reguirements stated in ISO 10993/G95-1.

# 10. Conclusion

The product characterization studies and biocompatibility studies show that the CollaWound™ dressing is safe and substantially equivalent to its predicate device.

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## DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes forming its body and wing. The eagle faces left. Encircling the eagle is the text "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" in a circular arrangement.

## Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Collamatrix Co., Inc. % Mr. Dennis J. Seah Manager 2nd F, 360, RuiGuang Road Neihu, Taipei, 114, Taiwan

MAR 0 2 2007

Re: K070269

Trade/Device Name: CollaWound™ dressing Regulatory Class: Unclassified Product Code: KGN Dated: January 19, 2007 Received: January 31, 2007

Dear Mr. Seah:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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## Page 2 - Mr. Dennis J. Seah

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Mark M. Milkezon

Mark N. Melkerson Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K07-0369

## 3 Statement of indications for use

510(k) Number (if known): .

Device Name: CollaWound™ dressing

Indications for Use:

CollaWound™ dressing is intended for the management of partial and full-thickness exudating wounds including:

- Pressure ulcers
- Venous ulcers
- Vascular ulcers
- Diabetic ulcers
- Trauma wounds (abrasions, lacerations, skin tears)
- First and second degree burns
- Surgical wounds

Mark A. Milkersen

Division Sign-Off Division of General, Restorative, and Neurological Devices

**510(k) Number** K070269

X Prescription Use_ (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use_ (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

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**Source:** [https://fda.innolitics.com/device/K070269](https://fda.innolitics.com/device/K070269)

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