K Number
K011994
Device Name
ACRYDERM SILVER ANTTIMICROBIAL WOUND GEL MODEL# A-002101
Manufacturer
Date Cleared
2001-11-08

(135 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
AcryDerm Silver Antimicrobial Wound Gel is an amorphous wound moisture management gel that is an effective antimicrobial barrier. The antimicrobial barrier function of the dressing may help reduce the incidence of infection in partial and full thickness wounds including decubitus ulcers, venous stasis ulcers, diabetic ulcers, first and second degree burns, abrasions and lacerations, donor sites and surgical wounds. AcryDerm Silver may be used over debrided and grafted partial thickness wounds.
Device Description
AcryDerm Silver Antimicrobial Wound Gel is a line extension of the previously cleared product, AcryDerm Gel Wound Dressing. The new product is a moist amorphous gel wound filler that contains antimicrobial silver that inhibits the growth of microbial contaminants in contact with the dressing. The high moisture content gel contains a base matrix composed of hydrophilic polyacrylate absorbent microspheres that contain a silver complex and stabilizers to prevent discoloration and staining from the dressing. AcryDerm Silver Antimicrobial Wound Gel will be supplied in collapsible blind ended heat sealed co-laminate foil tubes fitted with screw caps. The reusable product primaries will be packed in individual dispenser boxes with a product insert. Biocompatibility has been assessed according to Part-1 of the ISO standard (Biological Evaluation of Medical Devices).
More Information

Not Found

Not Found

No
The description focuses on the chemical composition and physical properties of a wound gel, with no mention of AI or ML.

Yes
The device is described as an "amorphous wound moisture management gel" and an "effective antimicrobial barrier" intended to "reduce the incidence of infection in partial and full thickness wounds." This description indicates its use in managing and treating wounds, which aligns with the definition of a therapeutic device.

No

This device is a wound gel intended to manage wound moisture and provide an antimicrobial barrier, reducing the incidence of infection. It does not perform any diagnostic function.

No

The device description clearly states it is a "moist amorphous gel wound filler" supplied in "collapsible blind ended heat sealed co-laminate foil tubes," indicating it is a physical product, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use describes the device as a wound moisture management gel and antimicrobial barrier applied to wounds. This is a topical application for treatment and protection, not for testing samples taken from the body to diagnose or monitor a condition.
  • Device Description: The description details the composition of the gel and its packaging. It focuses on its physical properties and antimicrobial function in contact with the wound. There is no mention of analyzing biological samples.
  • Lack of IVD Characteristics: IVD devices typically involve:
    • Analysis of samples: Blood, urine, tissue, etc.
    • Diagnostic or monitoring purpose: Identifying diseases, measuring biomarkers, etc.
    • Reagents and instruments for testing: Often involve chemical reactions or specialized equipment.

This device is clearly intended for direct application to wounds for therapeutic and protective purposes, which falls under the category of a wound dressing or topical treatment, not an in vitro diagnostic.

N/A

Intended Use / Indications for Use

AcryDerm Silver Antimicrobial Wound Gel is an amorphous wound moisture management gel that is an effective antimicrobial barrier. The antimicrobial barrier function of the dressing may help reduce infection in partial and full thickness wounds including decubitus ulcers, venous stasis ulcers, diabetic ulcers, first and second degree burns, abrasions and lacerations, donor sites and surgical wounds. AcryDerm Silver may be used over debrided and grafted partial thickness wounds.

Product codes (comma separated list FDA assigned to the subject device)

MGQ

Device Description

AcryDerm Silver Antimicrobial Wound Gel is a line extension of the previously cleared product, AcryDerm Gel Wound Dressing. The new product is a moist amorphous gel wound filler that contains antimicrobial silver that inhibits the growth of microbial contaminants in contact with the dressing. The high moisture content gel contains a base matrix composed of hydrophilic polyacrylate absorbent microspheres that contain a silver complex and stabilizers to prevent discoloration and staining from the dressing. AcryDerm Silver Antimicrobial Wound Gel will be supplied in collapsible blind ended heat sealed co-laminate foil tubes fitted with screw caps. The reusable product primaries will be packed in individual dispenser boxes with a product insert. Biocompatibility has been assessed according to Part-1 of the ISO standard (Biological Evaluation of Medical Devices).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Not Found

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

N/A

0

KO1 1994

NOV 0 8 2001

510(k) Summery

Contact Person:Dr. Bruce L. Gibbins, Chairman & CTO
Date of preparation:June 22, 2001
Device Name (proprietary):AcryDerm Silver Antimicrobial Wound Gel
Common Name:Moist antimicrobial wound filler
Classification Name:Amorphous Hydrogel Wound Dressing
Classification:Unclassified

Legally marketed device(s) for substantial equivalence comparison:

AcryDerm Silver Antimicrobial Wound Dressing (AcryMed, Inc., OR) AcryDerm Gel Wound Dressing (AcryMed, Inc., OR)

Description of Device: AcryDerm Silver Antimicrobial Wound Gel is a line extension of the previously cleared product, AcryDerm Gel Wound Dressing. The new product is a moist amorphous gel wound filler that contains antimicrobial silver that inhibits the growth of microbial contaminants in contact with the dressing. The high moisture content gel contains a base matrix composed of hydrophilic polyacrylate absorbent microspheres that contain a silver complex and stabilizers to prevent discoloration and staining from the dressing. AcryDerm Silver Antimicrobial Wound Gel will be supplied in collapsible blind ended heat sealed co-laminate foil tubes fitted with screw caps. The reusable product primaries will be packed in individual dispenser boxes with a product insert. Biocompatibility has been assessed according to Part-1 of the ISO standard (Biological Evaluation of Medical Devices).

Intended Use of the Device: AcryDerm Silver Antimicrobial Wound Gel is an amorphous wound moisture management gel that is an effective antimierobial barrier. The antimicrobial barrier function of the dressing may help reduce infection in partial and full thickness wounds including decubitus ulcers, venous stasis ulcers, diabetic ulcers, first and second degree burns, abrasions and lacerations, donor sites and surgical wounds. AcryDerm Silver may be used over debrided and grafted partial thickness wounds.

Technological Characteristics: AcryDerm Silver Antimicrobial Wound Gel is an amorphous gel wound filler that controls wound moisture levels through dual function and absorption. Antimicrobial action is content of stabilized antimicrobial silver. The product carries the general classification name, "Amorphous hydrogel wound dressing". The composition of AcryDerm Silver Antimicrobial Wound Gel is identical to the predicate device, AcryDerm Gel Wound Dressing except that its preservatives have been replaced by silver technology which is in the predicate, AcryDerm Silver Antimicrobial Wound Dressing. AcryDerm Silver Antimicrobial Wound Gel contains silver that may control microbial contamination of the dressing.

Manufacturing: AcryDerm Silver Antimicrobial Wound Gel will be manufactured according to the product specifications and under good manufacturing practices that ensure the device is safe and effective antimicrobial barrier.

AcryDerm Silver Antimicrobial Wound Gel AcryMed, Inc.

1

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image is a seal for the Department of Health & Human Services - USA. The seal is circular and contains the department's name around the perimeter. In the center of the seal is an abstract image of an eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NOV 0 82001

Bruce Gibbins, Ph.D Chief Technical Officer AcryMed, Inc. 12232 SW Garden Place Portland, Oregon 97223

Re: K011994

Trade/Device Name: AcryDerm Silver Antimicrobial Wound Gel Regulatory Class: Unclassified Product Code: MGQ Dated: August 28, 2001 Received: August 29, 2001

Dear Dr. Gibbins:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave teviewed your becamined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for as sured in the enalousal 976, the enactment date of the Medical Device Amendments, or to commerce prior to may 20, 2017 11:51 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). and Cosmotion i tor (10) that to hevice, subject to the general controls provisions of the Act. The I ou may, dictively, mains of the Act include requirements for annual registration, listing of general volurous provincition 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 If your device 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.

2

Page 2 - Bruce Gibbins, Ph.D

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter with anow you to begin mainenes of your device of your device to a legally premaired notification. The PDF intelligent on 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 and II you desire specific advice to: your sovitro diagnostic devices), please contact the Office of additionally 21 CFR Far 007.10 Additionally, for questions on the promotion and advertising of Compilance at (301) 591 1057. Thereof Compliance at (301) 594-4639. Also, please note the your doveo, product of instrance to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Other general information on your and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours

Sincerely yours,
Mark N. Millikan

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

NOV 0 8 2001

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510(k) NUMBER (IF KNOWN):K011994
DEVICE NAME:AcryDerm Silver Antimicrobial Wound Gel
INDICATIONS FOR USE:

AcryDerm Silver Antimicrobial Wound Gel is an amorphous wound moisture management gel that is an effective antimicrobial barrier. The antimicrobial barrier function of the dressing may that is an enective and reduce the incidence of infection in partial and full thickness wounds nelp control blooding ulcers, venous stasis ulcers, diabetic ulcers, first and second depress were haves and Including decubitus theors, venous saiss and surgical wounds. AcryDerm Silver may be used over debrided and grafted partial thickness wounds.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

× Prescription use Use (Per 21 CFR 801.109) 1)

OR

Over-The-Counter-

(Optional Format

Suas Walke
Fiddler, S.C. 29633

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

AcryDerm Silver Antimicrobial Wound Gel AcryMed. Inc.

510(k) Number