K Number
K062227
Device Name
V.A.C. THERAPY SYSTEM
Date Cleared
2006-10-04

(63 days)

Product Code
Regulation Number
878.4780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The V.A.C. Therapy System is intended to create an environment that promotes wound healing by secondary or tertiary (delayed primary) intention by preparing the wound bed for closure, reducing edema, promoting granulation tissue formation and perfusion, and by removing exudate and infectious material. It is indicated for patients with chronic, acute, traumatic, subacute and dehisced wounds, partial-thickness burns, ulcers (such as diabetic or pressure), flaps and grafts. The V.A.C.® GranuFoam® Silver™ Dressing is an effective barrier to bacterial penetration and may help reduce infection in the above wound types.
Device Description
The components of the V.A.C.® Therapy System work as an integrated product to optimize both the delivery and the benefits of negative pressure. An open pore foam (reticulated polyurethane foam (GranuFoam®, GranuFoam® Silver, and Abdominal Dressings, etc.) or polyvinyl alcohol foam (Vers-Foam™ Dressing)] is cut to fit the wound, then covered with a semi-permeable adhesive drape. The software-controlled Therapy Unit applies negative pressure to the wound bed. The user can select continuous or intermittent therapy, depending upon wound type and the needs of each patient. The open cells of the foam enable equal distribution of the negative pressure across the surface of the wound, while the tubing transfers accumulated fluids to the canister. T.R.A.C.® (Therapeutic Regulated Accurate Care) technology monitors and maintains target pressure and alarms as needed to help assure target pressure is maintained and constant therapy is delivered. The safety features of the system include additional alarms, such as those that signal for tubing blockages, a full or missing collection canister, inactive therapy, low battery, and leaks in the seal of the dressing.
More Information

Not Found

No
The description focuses on mechanical and software-controlled negative pressure therapy, with no mention of AI or ML capabilities. The "software-controlled" aspect and "T.R.A.C.® technology" for monitoring pressure are standard control systems, not indicative of AI/ML.

Yes
The device is intended to promote wound healing, reduce edema, promote granulation tissue formation, and remove exudate and infectious material, all of which are therapeutic effects.

No

The V.A.C. Therapy System is described as a treatment device that promotes wound healing by applying negative pressure and removing exudate, not a device used to diagnose medical conditions.

No

The device description explicitly states that the system includes hardware components such as a Therapy Unit, foam dressings, tubing, and a canister, in addition to software.

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

Here's why:

  • Intended Use: The intended use clearly describes a system for wound healing by applying negative pressure to the wound bed. This is a therapeutic intervention applied directly to the patient's body.
  • Device Description: The description details components like foam dressings, a therapy unit, tubing, and a canister, all designed to physically interact with the wound and manage exudate.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for diagnosis, monitoring, or screening.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is used in vivo (on the body) for therapeutic purposes.

N/A

Intended Use / Indications for Use

The V.A.C. Therapy System is intended to create an environment that promotes wound healing by secondary or tertiary (delayed primary) intention by preparing the wound bed for closure, reducing edema, promoting granulation tissue formation and perfusion, and by removing exudate and infectious material. It is indicated for patients with chronic, acute, traumatic, subacute and dehisced wounds, partial-thickness burns, ulcers (such as diabetic or pressure), flaps and grafts.
The V.A.C.® GranuFoam® Silver™ Dressing is an effective barrier to bacterial penetration and may help reduce infection in the above wound types.

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

OMP

Device Description

The components of the V.A.C.® Therapy System work as an integrated product to optimize both the delivery and the benefits of negative pressure. An open pore foam (reticulated polyurethane foam (GranuFoam®, GranuFoam® Silver, and Abdominal Dressings, etc.) or polyvinyl alcohol foam (Vers-Foam™ Dressing)] is cut to fit the wound, then covered with a semi-permeable adhesive drape. The software-controlled Therapy Unit applies negative pressure to the wound bed. The user can select continuous or intermittent therapy, depending upon wound type and the needs of each patient. The open cells of the foam enable equal distribution of the negative pressure across the surface of the wound, while the tubing transfers accumulated fluids to the canister. T.R.A.C.® (Therapeutic Regulated Accurate Care) technology monitors and maintains target pressure and alarms as needed to help assure target pressure is maintained and constant therapy is delivered. The safety features of the system include additional alarms, such as those that signal for tubing blockages, a full or missing collection canister, inactive therapy, low battery, and leaks in the seal of the dressing.

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; no new nonclinical tests were performed for the purposes of this submission.
Not applicable; no new clinical tests were performed for the purposes of this submission, except as described in the submitted literature.

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.

K032310, K021501, K053627, K022011

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

§ 878.4780 Powered suction pump.

(a)
Identification. A powered suction pump is a portable, AC-powered or compressed air-powered device intended to be used to remove infectious materials from wounds or fluids from a patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter.(b)
Classification. Class II.

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K062227 Page 1/2

Image /page/0/Picture/1 description: The image shows the logo for KCI. The logo consists of a series of curved lines on the left, followed by the letters "KCI" in a bold, sans-serif font. A registered trademark symbol is located to the right of the "I".

OCT - 4 2006

Date preparedSeptember 27, 2006
510(k) Owner
NameKCI USA, Inc.
Address8023 Vantage Drive San Antonio, TX 78230
Fax number210 255-6727
Name of contact
personMargaret Marsh; Senior Manager, Regulatory Affairs
Name of the device
Trade or
proprietary nameV.A.C.® Therapy System
Common or usual
nameNegative pressure wound therapy device
Classification
namePowered suction pump
Legally marketed
device to which
equivalence is
claimedBecause the V.A.C.® Therapy System has not been modified
for the purposes of this submission, the predicate products
are the V.A.C.® Therapy Family of Products (Therapy Units
ATS, Freedom and Instill and their associated disposable
components), which were most recently cleared under
510(k)s: K032310 (V.A.C.® ATS and V.A.C.® Freedom®
Therapy Units), K021501 (V.A.C.® Instill Therapy Unit),
K053627 (V.A.C.® GranuFoam® Silver Protection Dressing)
and K022011 (V.A.C.® Abdominal Dressing).
Device descriptionThe components of the V.A.C.® Therapy System work as an
integrated product to optimize both the delivery and the
benefits of negative pressure. An open pore foam (reticulated
polyurethane foam (GranuFoam®, GranuFoam® Silver, and
Abdominal Dressings, etc.) or polyvinyl alcohol foam (Vers-
Foam™ Dressing)] is cut to fit the wound, then covered with a
semi-permeable adhesive drape. The software-controlled
Therapy Unit applies negative pressure to the wound bed.
The user can select continuous or intermittent therapy,
depending upon wound type and the needs of each patient.
The open cells of the foam enable equal distribution of the
negative pressure across the surface of the wound, while the
tubing transfers accumulated fluids to the canister. T.R.A.C.®
(Therapeutic Regulated Accurate Care) technology monitors
and maintains target pressure and alarms as needed to help
assure target pressure is maintained and constant therapy is
delivered. The safety features of the system include
additional alarms, such as those that signal for tubing
blockages, a full or missing collection canister, inactive
therapy, low battery, and leaks in the seal of the dressing.
Intended use of the deviceThe V.A.C. Therapy System is intended to create an
environment that promotes wound healing by secondary or
tertiary (delayed primary) intention by preparing the wound
bed for closure, reducing edema, promoting granulation tissue
formation and perfusion, and by removing exudate and
infectious material. It is indicated for patients with chronic,
acute, traumatic, subacute and dehisced wounds, partial-
thickness burns, ulcers (such as diabetic or pressure), flaps
and grafts.
The V.A.C.® GranuFoam® Silver™ Dressing is an effective
barrier to bacterial penetration and may help reduce infection
in the above wound types.
Differences in
intended use from the
predicateThe intended use of the device has not changed.
Summary of the
technological
characteristics of the
device compared to
the predicate deviceDesignSame as predicates
MaterialsSame as predicates
Energy
SourceSame as predicates
Summary of
nonclinical testsNot applicable; no new nonclinical tests were performed for
the purposes of this submission.
Summary of clinical
testsNot applicable; no new clinical tests were performed for the
purposes of this submission, except as described in the
submitted literature.
ConclusionsPublished literature documenting the effective use of the
V.A.C.® Therapy System in a variety of wound types and
clinical situations support the following revision to the
Indications for Use statement.
The V.A.C.® Therapy System is intended to create an
environment that promotes wound healing by
secondary or tertiary (delayed primary) intention by
preparing the wound bed for closure, reducing
edema, promoting granulation tissue formation and
perfusion, and by removing exudate and infectious
material. It is indicated for patients with chronic,
acute, traumatic, subacute and dehisced wounds,
partial-thickness burns, ulcers (such as diabetic or
pressure), flaps and grafts.
The V.A.C.® GranuFoam® Silver™ Dressing is an
effective barrier to bacterial penetration and may help
reduce infection in the above wound types.

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K062227 page 2/2

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ekci.

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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 caduceus symbol, which is a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus symbol.

APR -7 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Public Health Service

KCI USA, Inc. % Ms. Christy Oviatt 6203 Farinon Drive San Antonio, Texas 78230

Re: K062227

Trade/Device Name: V.A.C.® Therapy System Regulation Number: 21 CFR 878.4780 Regulation Name: Powered Suction Pump Regulatory Class: II Product Code: OMP Dated: July 31, 2006 Received: August 2, 2006

Dear Ms. Oviatt:

This letter corrects our substantially equivalent letter of October 4, 2006.

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 (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 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

3

Page 2 - Ms. Christy Oviatt

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.

This letter will allow you to continue 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). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at (240) 276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at (240) 276-3464. 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/dsma/dsmamain.html.

Sincerely yours,

foe Dott

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

Enclosure

4

INDICATIONS FOR USE

510(k) Number: K062227 Device Name: V.A.C. ® Therapy System Indications for Use:

The V.A.C. Therapy System is intended to create an environment that promotes wound healing by secondary or tertiary (delayed primary) intention by preparing the wound bed for closure, reducing edema, promoting granulation tissue formation and perfusion, and by removing exudate and infectious material. It is indicated for patients with chronic, acute, traumatic, subacute and dehisced wounds, partial-thickness burns, ulcers (such as diabetic or pressure), flans and grafts.

The V.A.C.® GranuFoam® Silver™ Dressing is an effective barrier to bacterial penetration and may help reduce infection in the above wound types.

| 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)

(Division (Sign-Off))

Division of General, Restorative

and Neurological Services

(Posted November 13, 2003)

Page ___ of ___

510(k) Number L062227