K Number
K082553
Device Name
REXASTOM ORAL EASE
Manufacturer
Date Cleared
2008-11-21

(79 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
RexaStom™ Oral Ease has a mechanical barrier action indicated for the temporary relief of pain by adhering to the mucosal surface of the mouth, covering and soothing oral lesions of various etiologies. The lesions include oral mucositis resulting from chemo- or radiation therapy, stomatitis, irritation due to oral surgery, traumatic ulcers caused by braces or ill-fitting dentures, aphthous ulcers, or other diseases or conditions of the oral mucous surfaces.
Device Description
RexaStom Oral Ease is a dry, wafer or matrix type material, similar to coarse blotting paper. For mucositis, it is supplied in a 2.5-cm curcular format, packaged in a vacuumsealed, foil packet. Its ingredients are either food grade or generally regarded as safe and therefore the wafer material is safe when swallowed. RexaStom is designed to be physiologically compatible with both intact and compromised tissue in the mouth, and provides temporary management of pain associated with various types of injuries to the mouth. RexaStom's primary mode of action for pain relief is that it adheres to the wound surface, conforms to the contour of the wound, and protects the wound from contamination and irritation by forming a temporary protective barrier that is similar to the natural mucosa.
More Information

Not Found

No
The device description focuses on the mechanical barrier action and material properties, with no mention of AI or ML technologies.

Yes
The device is described as providing "temporary relief of pain" and covering/soothing "oral lesions of various etiologies," which directly addresses a health condition (pain/lesions) and aims to alleviate it.

No

The device description and intended use state that RexaStom Oral Ease provides a mechanical barrier for pain relief by adhering to and covering oral lesions, which is a therapeutic action, not a diagnostic one.

No

The device description clearly states it is a "dry, wafer or matrix type material" and describes its physical form and ingredients, indicating it is a physical medical device, not software.

Based on the provided information, RexaStom™ Oral Ease is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use clearly states that RexaStom is for the "temporary relief of pain by adhering to the mucosal surface of the mouth, covering and soothing oral lesions." This describes a therapeutic or palliative action within the body (in vivo), not a diagnostic test performed on samples taken from the body (in vitro).
  • Device Description: The description focuses on the physical properties and mechanism of action (forming a protective barrier) within the mouth. It does not mention any analysis of biological samples or the detection of specific substances or conditions.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting specific analytes (proteins, genes, pathogens, etc.)
    • Providing diagnostic information about a disease or condition
    • Using reagents or assays

RexaStom Oral Ease is a medical device intended for local application and physical protection within the oral cavity to alleviate symptoms. This falls under the category of a therapeutic or palliative medical device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

RexaStom™ Oral Ease has a mechanical barrier action indicated for the temporary relief of pain by adhering to the mucosal surface of the mouth, covering and soothing oral lesions of various etiologies. The lesions include oral mucositis resulting from chemo- or radiation therapy, stomatitis, irritation due to oral surgery, traumatic ulcers caused by braces or ill-fitting dentures, aphthous ulcers, or other diseases or conditions of the oral mucous surfaces.
Note that the indications for RexaStom are the same as for the predicate devices.

Product codes

MGQ

Device Description

RexaStom Oral Ease is a dry, wafer or matrix type material, similar to coarse blotting paper. For mucositis, it is supplied in a 2.5-cm curcular format, packaged in a vacuumsealed, foil packet. Its ingredients are either food grade or generally regarded as safe and therefore the wafer material is safe when swallowed. RexaStom is designed to be physiologically compatible with both intact and compromised tissue in the mouth, and provides temporary management of pain associated with various types of injuries to the mouth.

RexaStom's primary mode of action for pain relief is that it adheres to the wound surface, conforms to the contour of the wound, and protects the wound from contamination and irritation by forming a temporary protective barrier that is similar to the natural mucosa.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

mucosal surface of the mouth

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)

K013056, K023155

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

0

NOV 21 2008

RexaDerm, Inc.

3156 Doolittle Drive ♦ Northbrook, Illinois 60062♦ 847-562-0146

Conceller and and the consisted on the proposition of the proposition of the least of the least of

August 19, 2008

510(k) SUMMARY

    1. Submission Owner and Correspondent:
    • a. RexaDerm, Inc.
    • b. Address: 3156 Doolittle Drive Northbrook, Illinois 60062
    • c. Phone: 847-562-0146
    • d. Fax: 847-562-0146
    • Contact Person: e. Clyde R. Goodheart, MD, President
2. Name of Device:RexaStom™ Oral Ease
Trade name:RexaStom Oral Ease
Common or usual name:Dressing, Wound and Burn, Hydrogel w/Drug or Biologic
Classification names:Dressing, Wound and Burn, Hydrogel w/Drug or Biologic
    1. Devices to Which New Device is Substantially Equivalent:
      Gelclair Concentrated Oral Gel, Sinclair Pharmaceuticals K013056 Aloclair Oral Rinse, Sinclair Pharmaceuticals K023155
    1. Device Description:
      RexaStom Oral Ease is a dry, wafer or matrix type material, similar to coarse blotting paper. For mucositis, it is supplied in a 2.5-cm curcular format, packaged in a vacuumsealed, foil packet. Its ingredients are either food grade or generally regarded as safe and therefore the wafer material is safe when swallowed. RexaStom is designed to be physiologically compatible with both intact and compromised tissue in the mouth, and provides temporary management of pain associated with various types of injuries to the mouth.

RexaStom's primary mode of action for pain relief is that it adheres to the wound surface, conforms to the contour of the wound, and protects the wound from contamination and irritation by forming a temporary protective barrier that is similar to the natural mucosa.

1

5. Intended Use of the Device

The indications for RexaStom are the same as for the predicate devices:

RexaStom"" Oral Ease has a mechanical barrier action indicated for the temporary relief of pain by adhering to the mucosal surface of the mouth, covering and soothing oral lesions of various etiologies. The lesions include oral mucositis resulting from chemo- or radiation therapy, stomatitis, irritation due to oral surgery, traumatic ulcers caused by braces or ill-fitting dentures, aphthous ulcers, or other diseases or conditions of the oral mucous surfaces.

  1. Technological Characteristics of the Device Compared to Predicate Devices:

RexaStom, like the predicate devices cited in this 510(k), adheres to the wound surface, conforms to the contours of the wound, and provides temporary management of pain by forming a protective barrier over the wound, similar to undamaged natural mucosa. All these barriers manage pain by protecting the wound from contamination and irritation. They all slowly dissolve in the mouth, and all are safe if swallowed. Thus, the indication for use and the mode of action of this device are identical to those of predicate devices. We have found that the coating behavior of RexaStom in the mouth is the same as that for Gelclair, one of the predicate devices.

RexaStom is equivalent in composition to that of the cited predicate devices, except that because it is freeze-dried, glycerin is added to decrease brittleness, and preservatives have been omitted from its formulation. Further, because it is freeze-dried, it is light and easy to handle, and easier to use in public settings, because no mixing is needed. Because of this feature, we believe patients will be more likely to use the product for temporary relief of pain to make it easier for them to eat.

RexaStom contains five ingredients, all of which are food grade or approved by FDA for internal use, and generally regarded as safe. These ingredients are also in Gelclair, perhaps the closest predicate device. As it is now formulated, RexaStom omits flavoring, and is tasteless. Testing with more subjects may require addition of flavoring and possibly sweetener, which we assume will not require further approval.

Conclusion: RexaStom Oral Ease is substantially equivalent to the predicate devices in its indications and composition, and in its safety and effectiveness. Because the formulation of RexaStom is similar to, but more simple than, the predicate devices, the criteria for substantial equivalence have been met.

2

Image /page/2/Picture/10 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a stylized eagle with three stripes forming its body and wings. The eagle is facing right. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Clyde R. Goodheart, M.D. President RexaDerm, Incorporated 3156 Doolittle Drive Northbrook, Illinois 60062

Re: K082553

Trade/Device Name: RexaStom™ oral Ease Regulation Number: Unclassified Regulation Name: None Regulatory Class: Unclassified Product Code: MGQ Dated: August 29, 2008 Received: September 3, 2008

Dear Dr. Goodheart:

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.

NOV 21 2008

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.

3

Page 2 - Dr. Goodheart

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 on quirements of the Act or any Federal statutes and regulations administered by other Federal squarens. 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.

This letter will allow you to begin marketing your device as described in your Scction 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.

Susan Quares
Chiu S. Lin, Ph. D

Division Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

K082553

Indications for Use

510(k) Number (if known): Not known.

Device Name: RexaStom™ Oral Ease

Indications For Use:

RexaStom™ Oral Ease has a mechanical barrier action indicated for the temporary relief of pain by adhering to the mucosal surface of the mouth, covering and soothing oral lesions of various etiologies. The lesions include oral mucositis resulting from chemo- or radiation therapy, stomatitis, irritation due to oral surgery, traumatic ulcers caused by braces or ill-fitting dentures, aphthous ulcers, or other diseases or conditions of the oral mucous surfaces,

Note that the indications for RexaStom are the same as for the predicate devices.

Prescription Use AND/OR Over-The-Counter Use X (Part 21 CFR 801 Subpart D) (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Susan Rushe

(Division Sign-Off) Division of Anesthesiology, General Hospital Infection Control, Dental Devices

510(k) Number: FC82583

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