K Number
K052720
Device Name
MEDLINE IODOFORM PACKING STRIPS
Date Cleared
2005-10-20

(21 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Medline Iodoform Packing strips are intended for use for general wound packing.
Device Description
Not Found
More Information

Not Found

None

No
The summary describes a simple wound packing strip and contains no mention of AI, ML, image processing, or any other technology typically associated with AI/ML in medical devices.

No
The intended use describes the device for general wound packing, which is a supportive rather than therapeutic function. It does not treat or cure a disease or condition.

No
The device is described as "wound packing strips," which are used for treatment and not for diagnosing a condition.

No

The device is described as "Iodoform Packing strips," which are physical wound care products, not software. The lack of information about software, image processing, AI, or data sets further confirms it is not a software-only medical device.

Based on the provided information, the Medline Iodoform Packing strips are not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "for general wound packing." This describes a device used on the body for a physical purpose (packing a wound), not a device used outside the body to examine specimens (like blood, urine, or tissue) to diagnose or monitor a medical condition.
  • Lack of IVD Characteristics: The description doesn't mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples.
    • Providing diagnostic information.
    • Using reagents or assays.

Therefore, the Medline Iodoform Packing strips fall under the category of a medical device used for wound care, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Medline Iodoform Packing strips are intended for use for general wound packing.

Product codes

FRO

Device Description

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

0

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/0/Picture/1 description: The image shows the seal of the Department of Health and Human Services (HHS). The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, in the center. The words "DEPARTMENT OF HEALTH AND HUMAN SERVICES USA" are arranged in a circular pattern around the caduceus. The seal is black and white.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 2 0 2005

Lara N. Simmons Corporate Director, Regulatory Affairs Medline Industries, Inc. One Medline Place Mundelein, Illinois 60060

Re: K052720

Trade/Device Name: Medline Iodoform Packing Strips Regulatory Class: Unclassified Product Code: FRO Dated: September 27, 2005 Received: September 29, 2005

Dear Ms. Simmons:

We have reviewed your Section 510(k) premarket notification of intent to market the device we nave reviewed your bection 9 roxity people is substantially equivalent (for the indications ferenced above and have decembers and and and and the sunces marketed in interstate for use stated in the enclosate) (6 region) in the Medical Device Amendments, or to contineres print to May 20, 1978, the encordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). and Cosmetic Act (71ct) that do not require to the general controls provisions of the Act. The r va may, merefore, mainer of the Act include requirements for annual registration, listing of general controls provisions of 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 n your device is elabilional controls. Existing major regulations affecting your device can may be sabject to seen as a steel 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 r rease to acribed 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 or any I edelar statutes and states and the mot 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.

1

Page 2- Lara N. Simmons

This letter will allow you to begin marketing your device as described in your Section 510(k) This icher will anow you to begin mailing of substantial equivalence of your device to a legally premarket notification: "The PDF intemsgassification 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), plcase If you desire specific acrite 10-10-10-10-115. Also, please note the regulation entitled, Comation of Office of Comparket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small other general informational 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/industry/support/index.html

Sincerely yours,

Rardare pouent
for

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

Enclosure

2

652720

Page of

510(k) Number (if known): _

Device Name: Medline Iodoform Packing Strips Indications for Use:

Medline Iodoform Packing strips are intended for use for general wound packing.

052720

Prescription Use
(Per 21 CFR 801.109)

OR

Over-the-Counter Use xx

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Saubare PremeD for mxin
Division Sign-Off

Division of General, Restorative, and Neurological Devices

(Division Sign-On)
Division of General Restorative

(Optional Format 12-96)

510(k) Number K052730

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