K Number
K080779
Device Name
IRRISEPT WOUND CLEANSING SYSTEM
Date Cleared
2009-02-04

(322 days)

Product Code
Regulation Number
880.5475
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The IRRISEPT™ Wound Debridement and Cleansing System is a wound cleansing delivery system. The mechanical action effectively loosens and removes wound debris.
Device Description
IRRISEPT™ Wound Debridement and Cleansing System is a manual, self-contained irrigation device with 0.05% Chlorhexidine Gluconate (CHG) solution. The mechanical action effectively loosens and removes wound debris. The CHG acts as a preservative to help inhibit microbial growth in the solution. The IRRISEPT™ Wound Debridement and Cleansing System is straightforward and uncomplicated to use. The User opens a prepackaged box, which contains one bottle and one splashquard. The bottle is opened by twisting off its "T" cap seal. The splashguard is then removed from its pouch and screwed directly onto the bottle. The IRRISEPT™ Wound Debridement and Cleansing System is now ready for use. The IRRISEPT™ Wound Debridement and Cleansing System can produce 7-8 psi of pressure as recommended by College of Emergency Physician's (A.C.E.P) for effective wound American cleansing/irrigation. This pressure is sufficient to agitate, loosen and remove debris from wounds. The incredients of the solution are 0.05% Chlorhexidine Gluconate (CHG) in Sterile Water for Irrigation, USP (99.95%).
More Information

Not Found

No
The device description focuses on a manual irrigation system with a chemical solution and mechanical action, with no mention of AI or ML capabilities.

No
The device is described as a wound cleansing delivery system that uses mechanical action to loosen and remove wound debris. While it aids in wound care, its primary function is cleansing, not directly treating a disease or condition in a therapeutic manner. The CHG acts as a preservative for the solution, not as a therapeutic agent for the wound itself.

No

The device is described as a wound cleansing and debridement system that mechanically removes debris and uses a solution to inhibit microbial growth. Its function is therapeutic (cleansing), not diagnostic.

No

The device description clearly outlines a physical, manual irrigation system with a bottle, splashguard, and a solution, indicating it is a hardware device with a chemical component, not software only.

Based on the provided information, the IRRISEPT™ Wound Debridement and Cleansing System is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for "wound cleansing delivery system" and "effectively loosens and removes wound debris." This is a physical action performed on a wound, not a test performed on a sample taken from the body to diagnose a condition.
  • Device Description: The description focuses on the mechanical action of irrigation and the use of a solution to cleanse the wound. It does not describe any components or processes for analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, urine, tissue, or any other biological sample. There is no mention of diagnostic markers, assays, or any other elements typically associated with IVD devices.

The device is a wound care product designed for physical cleansing and debridement, not for in vitro diagnostic testing.

N/A

Intended Use / Indications for Use

The IRRISEPT™ Wound Debridement and Cleansing System is a wound cleansing delivery system. The mechanical action effectively loosens and removes wound debris.

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

FQH, FOH

Device Description

IRRISEPT™ Wound Debridement and Cleansing System is a manual, self-contained irrigation device with 0.05% Chlorhexidine Gluconate (CHG) solution. The mechanical action effectively loosens and removes wound debris. The CHG acts as a preservative to help inhibit microbial growth in the solution.

The IRRISEPT™ Wound Debridement and Cleansing System is straightforward and uncomplicated to use. The User opens a prepackaged box, which contains one bottle and one splashguard. The bottle is opened by twisting off its "T" cap seal. The splashguard is then removed from its pouch and screwed directly onto the bottle. The IRRISEPT™ Wound Debridement and Cleansing System is now ready for use. The IRRISEPT™ Wound Debridement and Cleansing System can produce 7-8 psi of pressure as recommended by College of Emergency Physician's (A.C.E.P) for effective wound American cleansing/irrigation. This pressure is sufficient to agitate, loosen and remove debris from wounds.

The incredients of the solution are 0.05% Chlorhexidine Gluconate (CHG) in Sterile Water for Irrigation, USP (99.95%).

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.

K022670, K970660, K954743, K945802, K003229

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

§ 880.5475 Jet lavage.

(a)
Identification. A jet lavage is a device used to clean a wound by a pulsatile jet of sterile fluid. The device consists of the pulsing head, tubing to connect to a container of sterile fluid, and a means of propelling the fluid through the tubing, such as an electric roller pump.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 880.9.

0

K080779 page 1/2

510(k) SUMMARY - Revised

FEB - 4 2009

Owner's Information:

IRRIMAX Corporation 1792 Bell Tower Lane Weston, FL 33326 Tel: (404) 317-9335 Fax: (678) 225-5877

Contact Person:

Julie Stephens, President/Consultant Regulatory Resources Group, Inc.

K080779 510(k) Number:

Date Prepared: August 2008

Trade/Proprietary Name: IRRISEPT™ Wound Debridement and Cleansing System

Common Name: Wound Cleanser

Jet Lavage, Class II, 21 CFR 880.5475 Classification Name:

FQH

Product Code:

Legally Marketed Predicate Devices: MicroKlenz™ Antimicrobial, Deodorizing Wound Cleanser, 510(k) #: K022670; DermaGran® Wound Cleanser, 510(k) #s: K970660; K954743, K945802; BioPatch® CHG Dressing, 510(k) #: K003229

Device Description:

IRRISEPT™ Wound Debridement and Cleansing System is a manual, self-contained irrigation device with 0.05% Chlorhexidine Gluconate (CHG) solution. The mechanical action effectively loosens and removes wound debris. The CHG acts as a preservative to help inhibit microbial growth in the solution.

The IRRISEPT™ Wound Debridement and Cleansing System is straightforward and uncomplicated to use. The User opens a prepackaged box, which contains one bottle and one splashquard. The bottle is opened by twisting off its "T" cap seal. The splashguard is then removed from its pouch and screwed directly onto the bottle. The IRRISEPT™ Wound Debridement and Cleansing System is now ready for use. The IRRISEPT™ Wound Debridement and Cleansing System can produce 7-8 psi of pressure as recommended by College of Emergency Physician's (A.C.E.P) for effective wound American cleansing/irrigation. This pressure is sufficient to agitate, loosen and remove debris from wounds.

The incredients of the solution are 0.05% Chlorhexidine Gluconate (CHG) in Sterile Water for Irrigation, USP (99.95%).

Intended Use:

The IRRISEPT™ Wound Debridement and Cleansing System is a wound cleansing delivery system. The mechanical action effectively loosens and removes wound debris.

1

510(k) SUMMARY - Revised

Similarities and Differences of the Proposed Devices to the Predicate Devices:

Similarities

The IRRISEPT™ Wound Debridement and Cleansing System is substantially equivalent in intended use and method of use to the predicate devices. The preservative present in the IRRISEPT™ solution, Chlorhexidine Gluconate (CHG), is equivalent to Johnson & Johnson's predicate device, BioPatch® CHG Dressing, and has been utilized extensively in the marketplace.

Differences

The IRRISEPT™ Wound Debridement and Cleansing System differs in its mechanical action because it utilizes a patented multi-port splashguard that screws onto the bottle to irrigate the wound while the predicate devices use either a pump-spray bottle or they directly pour the fluid onto the wound site.

Conclusion:

The IRRISEPT™ Wound Debridement and Cleansing System has the same intended use, principles of operation, and technological characteristics as the predicate devices. The IRRISEPT™ Wound Debridement and Cleansing System was developed with Chlorhexidine Gluconate, a proven effective preservative, already premixed and packaged for ease of use on wounds.

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal features an abstract eagle design with three tail feathers. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Public Health Service

FEB - 4 2009

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

IRRIMAX Corporation % Regulatory Resource Group, Inc. Ms. Julie Stephens 111 Laurel Ridge Drive Alpharetta, Georgia 3004

Re: K080779

Trade/Device Name: IRRISEPT™ Wound Debridement and Cleansing System Regulation Number: 21 CFR 880.5475 Regulation Name: Jet lavage Regulatory Class: II Product Code: FOH Dated: January 12, 2009 Received: January 13, 2009

Dear Ms. Stephens:

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 (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.

3

Page 2 - Ms. Julie Stephens

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 Center for Devices and Radiological Health's (CDRH's) 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/industry/support/index.html.

Sincerely yours.

Mark N Millerson

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 - Revised

510(k) Number (if known): K080779

Device Name: IRRISEPT™ Wound Debridement and Cleansing System IRRIMAX Corporation

Indications For Use:

The IRRISEPT™ Wound Debridement and Cleansing System is a wound cleansing delivery system. The mechanical action effectively loosens and removes wound debris.

Prescription Use __ X (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Division of General, Restorative, and Neurological Devices

510/11

Longong

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