K Number
K024160
Device Name
NEOSPORIN SCAR SOLUTION
Manufacturer
Date Cleared
2003-03-17

(90 days)

Product Code
Regulation Number
878.4025
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
[Trade Name] silicone sheeting is indicated for management of hypertrophic scars and keloids. Consistent use of [Trade Name] can reduce hypertrophic scarring and keloid formation, resulting from surgical or traumatic injury of the skin. [Trade Name] may be useful as a prophylaxis after surgical or traumatic dermal injury to aid in the prevention of hypertrophic scars and keloids.
Device Description
[Trade Name] is a self-adhesive, fabric-backed, semi-disposable silicone sheet. The main component of the product is a proprietary material called Silon®. The basic Silon material is made from a blend of medical grade silicone and polytetrafluoroethylene ("PTFE") in the form of an interpenetrating polymer network. [Trade Name] is not sterile and does not contain antibiotics. [Trade Name] is not intended for use on open wounds. Each package of [Trade Name] contains 30 individual sheets (1.5" x 3"). Each sheet can be cut to fit the size of the scar or applied side-by-side, depending on the size of the scar.
More Information

No
The device description and intended use focus on the material properties of silicone sheeting for scar management. There is no mention of AI, ML, image processing, or any data-driven analytical capabilities.

Yes
The device is indicated for the management of hypertrophic scars and keloids and can reduce their formation, which are therapeutic effects on a medical condition.

No

The device description and intended use indicate that it is a silicone sheeting used for the management and prevention of scars, not for diagnosing any condition.

No

The device description clearly states it is a "self-adhesive, fabric-backed, semi-disposable silicone sheet" made from a blend of medical grade silicone and PTFE. This describes a physical, hardware-based medical device, not a software-only one.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. They are used to provide information for diagnosis, monitoring, or screening.
  • Device Description and Intended Use: The provided text describes a silicone sheeting product applied externally to the skin for the management and prevention of scars. It does not involve testing samples taken from the body.

The device is a topical medical device intended for physical application to the skin.

N/A

Intended Use / Indications for Use

[Trade Name] silicone sheeting is indicated for the management of hypertrophic scars and keloids. Consistent use of [Trade Name] can reduce hypertrophic scarring and keloid formation, resulting from surgical or traumatic injury of the skin. [Trade Name] may be useful as a prophylaxis after surgical or traumatic dermal injury to aid in the prevention of hypertrophic scars and keloids.

Product codes

MDA

Device Description

[Trade Name] is a self-adhesive, fabric-backed, semi-disposable silicone sheet. The main component of the product is a proprietary material called Silon®. The basic Silon material is made from a blend of medical grade silicone and polytetrafluoroethylene ("PTFE") in the form of an interpenetrating polymer network. [Trade Name] is not sterile and does not contain antibiotics. [Trade Name] is not intended for use on open wounds. Each package of [Trade Name] contains 30 individual sheets (1.5" x 3"). Each sheet can be cut to fit the size of the scar or applied side-by-side, depending on the size of the scar.

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 applicable

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

Not Found

Predicate Device(s)

Oleeva® Fabric (K982036), (K023136)

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4025 Silicone sheeting.

(a)
Identification. Silicone sheeting is intended for use in the management of closed hyperproliferative (hypertrophic and keloid) scars.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 878.9.

0

Pfizer Consumer Healthcare Pfizer Inc
201 Tabor Road
Morris Plains, NJ 07950 Tel 973 385 4909

K024160
page1/2

Consumer Healthcare

MAR 1 7 2003

510(k) SUMMARY 12.0

Date Prepared:December 16, 2002
Applicant:Warner-Lambert Company
201 Tabor Rd.
Morris Plains, NJ 07950
Telephone: 973-385-5523
Fax: 973-385-4300
Contact Person:John R. Jacobs
Vice-President, Regulatory Affairs
Proprietary Name:
Common Name:
Classification Name:
Product Code:[Trade Name]
Silicone Elastomer Sheeting
Elastomer, Silicone, for Scar Management
MDA
Predicate Devices:Oleeva® Fabric (K982036), and (K023136)
Bio Med Sciences, Inc.
1111 Hamilton St.
Allentown, PA 18101
Description:[Trade Name] is a self-adhesive, fabric-backed, semi-
disposable silicone sheet. The main component of the
product is a proprietary material called Silon®. The
basic Silon material is made from a blend of medical
grade silicone and polytetrafluoroethylene ("PTFE") in
the form of an interpenetrating polymer network
(

1

K024160

December 16, 2002

[Trade Name] Silicone Sheeting [Trade Name] is not sterile and does not contain antibiotics. [Trade Name] is not intended for use on open wounds. Each package of [Trade Name] contains 30 individual sheets (1.5" x 3"). Each sheet can be cut to fit the size of the scar or applied side-by-side, depending on the size of the scar. [Trade Name] silicone sheeting is indicated for the Intended Use: management of hypertrophic scars and keloids. Consistent use of [Trade Name] can reduce hypertrophic scarring and keloid formation, resulting from surgical or traumatic injury of the skin. [Trade Name] may be useful as a prophylaxis after surgical or traumatic dermal injury to aid in the prevention of hypertrophic scars and keloids. Technological [Trade Name] and the predicate devices are Characteristics: technologically and functionally identical. All devices have a skin-contacting surface of medical grade silicone with an internal matrix of PTFE, which increases the physical strength and durability of the product. In addition, [Trade Name] and the predicate devices have a non-skin contacting fabric backing, which makes the products convenient to wear under clothing. Performance Data: Not applicable Biocompatibility Testing: When tested according to the ISO 10993 guidelines, [Trade Name], was found to be non-sensitizing (Kligman Maximization); non-irritating (Intracutaneous Injection); and, non-cytotoxic (MEM Elution Cytotoxicity

510(k) Notification

2

Image /page/2/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, with flowing lines suggesting movement or connection.

Public Health Service

MAR 1 7 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Warner-Lambert Company Dina Russello Director, Regulatory Affairs 201 Tabor Road Morris Plains, New Jersey 07950

Re: K024160

Trade/Device Name: Silicone Sheeting Regulation Name: Elastomer, silicone for scar management Regulatory Class: Unclassified Product Code: MDA Dated: December 16, 2002 Received: December 17, 2002

Dear Ms. Russello:

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

3

Page 2 – Ms. Dina Russello

(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. 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 (301) 594-4659. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International 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.

Muriam C. Provost

for 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

4

STATEMENT OF INDICATIONS FOR USE 13.0

510(k) Number:K024160
Device Name:[Trade Name] Silicone Sheeting
Indications for Use:[Trade Name] silicone sheeting is indicated for management of hypertrophic scars and keloids.
Consistent use of [Trade Name] can reduce hypertrophic scarring and keloid formation, resulting from surgical or traumatic injury of the skin.
[Trade Name] may be useful as a prophylaxis after surgical or traumatic dermal injury to aid in the prevention of hypertrophic scars and keloids.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Miriam C. Provost

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

510(k) Number_________________________________________________________________________________________________________________________________________________________________

OR

Prescription Use (Per 21 CFR §801.109) Over-The-Counter Use