K Number
K012116
Device Name
ACRYDERM SILVER ANTIMICROBIAL PERFORATED WOUND DRESSING
Manufacturer
Date Cleared
2001-09-12

(68 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
AcryDerm Silver Antimicrobial Perforated Dressing is an effective barrier to bacterial penetration. The 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.
Device Description
AcryDerm Silver Antimicrobial Perforated Dressing is a line extension of the previously cleared product, AcryDerm Silver Antimicrobial Strands. The new product is made from the same matrix material, has the same composition and is made using substantially an equivalent manufacturing process as the predicate. The new product is an absorbent, perforated wound dressing that contains antimicrobial silver that minimizes the growth of microbial contaminants in contact with the dressing. AcryDerm Silver Antimicrobial Perforated Dressing will be supplied sterile packaged in single use heat sealed medical grade poly-laminate pouches. The single use primaries will be packed into dispenser boxes for distribution. Biocompatibility has been assessed and it meets the requirements of ISO 10993-1 (Biological Evaluation of Medical Devices).
More Information

Not Found

Not Found

No
The summary describes a wound dressing with antimicrobial properties and does not mention any computational or analytical functions that would involve AI/ML.

Yes
The device is described as an "effective barrier to bacterial penetration" that "may help reduce infection in partial and full thickness wounds." This indicates a therapeutic function aimed at healing wounds and preventing complications.

No
Explanation: The device, AcryDerm Silver Antimicrobial Perforated Dressing, is described as a wound dressing that acts as a barrier to bacterial penetration and minimizes microbial growth. Its intended use is to cover and protect wounds, not to diagnose medical conditions or provide diagnostic information.

No

The device is a physical wound dressing containing antimicrobial silver, clearly described as a material product and 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 a wound dressing applied directly to the body to act as a barrier and help reduce infection in various types of wounds. This is a therapeutic or protective function, not a diagnostic one.
  • Device Description: The description details a wound dressing material with antimicrobial properties. It does not mention any components or functions related to testing samples of human origin (like blood, urine, tissue, etc.) outside of the body for diagnostic purposes.
  • Lack of IVD Indicators: There are no mentions of analyzing samples, detecting biomarkers, or providing diagnostic information about a patient's condition.

IVD devices are used to examine specimens taken from the human body to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. This device's function is to directly interact with a wound on the body.

N/A

Intended Use / Indications for Use

AcryDerm Silver Antimicrobial Perforated Dressing is an effective barrier to bacterial penetration. The 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)

FRO

Device Description

AcryDerm Silver Antimicrobial Perforated Dressing is a line extension of the previously cleared product, AcryDerm Silver Antimicrobial Strands. The new product is a perforated sheet matrix material, has the same composition and is made from the same manufacturing process as the predicate. The new product is an equivalent material, which contains absorbent, perforated polyurethane foam with a layer of antimicrobial silver that minons the growth of microbial contaminants in contact with the dressing. AcryDerm Silver Antimicrobial Perforated Dressing will be supplied sterile packaged in single use heat sealed medical grade poly-laminate pouches. The single use primaries will be packed into single use dispenser boxes for distribution. Biocompatibility has been confirmed, with a product meets all specified criteria from ISO 10993 (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

SEP 1 2 2001

Special 510(k) Summary

Contact Person:Dr. Bruce L. Gibbins, Chairman & CTO
Date of preparation:July 3, 2001
Device Name (proprietary):AcryDerm Silver Antimicrobial Perforated Dressing
Common Name:Moist antimicrobial wound dressing
Classification Name:Hydrophilic Wound Dressing
Classification:Unclassified

Legally marketed device(s) for substantial equivalence comparison:

AcryDerm Silver Antimicrobial Strands (AcryMed, Inc., OR)

Description of Device: AcryDerm Silver Antimicrobial Perforated Dressing is a line extension Description of Device. TeryDerm Silver Antimicrobial Strands. The new product is or the previously cleared product, rese matrix material, has the same composition and is made made from the same meetined one facturing process as the predicate. The new product is an tront substantiany an equiralent manances and problems for the wound dressing that contains aosorocit, perforuced inforemine porjudy of microbial contaminants in contact with the antineroblar silver that minons the group erforated Dressing will be supplied sterile packaged in single use heat sealed medical grade poly-laminate pouches. The single use primaries will be m single use nour source into dispenser boxes for distribution. Biocompatibility has been packed, with a product misers, mits and it (Biological Evaluation of Medical Devices).

Intended Use of the Device: AcryDerm Silver Antimicrobial Perforated Dressing is an effective barrier to bacterial penetration. The 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 Perforated Dressing is a I ecfinetion of that controls wound moisture levels through dual function of donation perforated sheet arossing that conferred by its content of stabilized antimicrobial silver. The product carries the general classification name, "Hydrophilic wound dressing". The The produce carries the general entimicrobial Perforated Dressing is identical to the predicate device, AcryDerm Silver Antimicrobial Strands. AcryDerm Silver Antimicrobial Perforated Dressing contains silver that may control microbial contamination of the dressing.

Manufacturing: AcryDerm Silver Antimicrobial Perforated Dressing will be manufactured according to the product specifications and under good manufacturing practices that ensure the device is safe and effective for its intended use.

1

Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's name encircling a symbol. The symbol consists of three stylized human profiles facing right, stacked on top of each other. The profiles are connected by a flowing line that forms the base of the symbol.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 1 9 2007

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

Re: K012116

Trade/Device Name: AcryDerm Silver Antimicrobial Perforated Dressing Regulatory Class: Unclassified Product Code: FRO Dated: August 7, 2001 Received: August 13, 2001

Dear Dr. Gibbons:

This letter corrects our substantially equivalent letter of September 12, 2001.

We have reviewed your Section 510(k) premarket notification of intent to market the device w t nave reviewed your Section of the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate for use stated in the encreations of the enactment date of the Medical Device Amendments, or to conninered price to May 20, 1978, in econdance with the provisions of the Federal Food, Drug, devices that have boom require approval of a premarket approval application (PMA). and Cosmetic Act (110.) that be novice, subject to the general controls provisions of the Act. The I ou may, mereloro, mans of the Act include requirements for annual registration, listing of general controls provisions a ractice, 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 is crassified (see aboro) the exist on the regulations affecting your device can
may be subject to such additional controls. Existing major regulations FDA m may be subject to such additional controliar in the 21, Parts 800 to 898. In addition, FDA may be found in the Couv acements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean Flease oc advised that I Dri 3 issualles or our device complies with other requirements of the Act that I DA has made a determination administered by other Federal agencies. You must or ally redelal statutes and regulations daminding, but not limited to: registration and listing (21 comply will an the Act 3 requirements, mortaling, cannotacturing practice requirements as set CFK Part 807), labeling (21 CFR Part 820); and if 820); and if applicable, the electronic form in the quality systems (Sections 531-542 of the Act); 21 CFR 1000-1050.
product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

2

Page 2 - Bruce Gibbons, Ph.D.

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 A. Mulhern

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

3

Page 16

NUMBER (IF KNOWN): 510(k)

AcryDerm Silver Antimicrobial Perforated DEVICE NAME: Dressing

INDICATIONS FOR USE:

AcryDerm Silver Antimicrobial Perforated Dressing is an effective barrier to bacterial AcryDelini Silver Antimicrobial Perfer function of the dressing may help reduce infection in penetialion. The althineroolar barrer Tunetion of the dressing this stasis ulcers, diabetic ulcers, first and second degree burns, abrasions and lacerations, donor sites and surgical wounds.
first and second degree burns, abrasions and lacerations, donor sites and surgical rist and second degroe barns, derasted 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)
OROver-The-Counter-Use
(Optional Format)
(Division Sign-Off)
Division of General, Restorative and Neurological Devices
510(k) NumberK012116