K Number
K091013
Device Name
SILVER PU ANTIBACTERIAL FOAM DRESSING - NON ADHERENT AND ISLAND
Date Cleared
2009-07-30

(112 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Silver PU Antibacterial Foam Dressings are indicated for the management of light to moderate exuding partial and full thickness wounds, such as: '. - Decubitus (pressure) ulcers - Diabetic ulcers 0 - Leg ulcers . - Graft and donor sites - Lacerations and abrasions 9 - 1st and 2nd degree burns - Trauma wounds (dermal lesions, trauma injuries or incisions) e - Post-operative surgical wounds The Silver PU Antibacterial Foam Dressings are indicated for external use only
Device Description
The Silver PU Antibacterial Foam Dressings is available in two variants: Silver PU Antimicrobial Foam Dressing - Non-Adherent variant consists of a low friction waterproof polyurethane film, which also provides a bacterial barrier, laminated to hydrophilic absorbent polyurethane foam with a silver coated nylon mesh wound contact layer. Silver PU Antimicrobial Foam Dressing - Island variant consists of a polyurethane waterproof membrane coated with pressure sensitive acrylic adhesive, which also provides a bacterial barrier, with a centrally located hydrophilic absorbent polyurethane foam with a silver coated nylon mesh wound contact layer. Each Silver PU Antibacterial Foam Dressing contains a minimum of 0.26mg/cm² of elemental silver, the antibacterial action of the silver protects the dressing from bacterial contamination and provides an effective barrier to bacterial penetration. The antibacterial properties of the dressing are effective for up to 7 days, as demonstrated in vitro, against a broad spectrum of microorganisms associated with wound infection, such as Staphylococcus aureus, including MRSA, Staphylococcus epidermidis, including MRSE, Strentococcus pvogenes, Enterococcus faecalis (VRE) and Escherichia coli. Silver Antibacterial Foam Dressings may reduce odour caused by micro-organisms in the wound. Odour reduction results from the antibacterial effect in the dressing. Silver PU Antibacterial Foam Dressings are soft, highly absorbent, conformable and create the ideal environment for moist wound healing. Silver PU Antibacterial Foam Dressings are suitable for use under compression bandaging. Silver PU Antibacterial Foam Dressings are available in various sizes and shapes. The dressings are packaged in individual pouches, then into shelf cartons.
More Information

Not Found

No
The device description focuses on the physical properties and antibacterial action of the foam dressing, with no mention of AI or ML.

No.
The Silver PU Antibacterial Foam Dressings are indicated for managing various wounds and are described as wound dressings, which are generally considered supportive or protective devices rather than therapeutic devices that directly treat a disease or condition. Their primary function is to create an ideal environment for wound healing, protect against bacterial contamination, and manage exudate, which assists the body's natural healing process rather than providing active therapy.

No

The device is a wound dressing designed for the management of wounds, not for diagnosing conditions. Its function is to absorb exudate, provide a bacterial barrier, and promote healing.

No

The device description clearly describes a physical wound dressing made of materials like polyurethane foam, silver-coated nylon mesh, and adhesive. It does not mention any software components.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for the "management of light to moderate exuding partial and full thickness wounds." This is a therapeutic application, not a diagnostic one.
  • Device Description: The description details the physical components and function of a wound dressing, focusing on absorption, bacterial barrier properties, and the release of silver for antimicrobial action. This aligns with a wound care product, not a diagnostic test.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples from the body (like blood, urine, tissue), detecting specific biomarkers, or providing information for diagnosis.
  • Performance Studies: The performance studies mentioned are related to antimicrobial activity, animal testing, and bench testing, which are relevant for evaluating the efficacy and safety of a wound dressing, not a diagnostic device.

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device does not fit that description.

N/A

Intended Use / Indications for Use

Silver PU Antibacterial Foam Dressings are indicated for the management of light to moderate exuding partial and full thickness wounds, such as:

  • Decubitus (pressure) ulcers
  • Diabetic ulcers
  • Leg ulcers
  • Graft and donor sites
  • Lacerations and abrasions
  • 1st and 2nd degree burns
  • Trauma wounds (dermal lesions, trauma injuries or incisions)
  • Post-operative surgical wounds

The Silver PU Antibacterial Foam Dressings are indicated for external use only.

Product codes

FRO

Device Description

The Silver PU Antibacterial Foam Dressings is available in two variants:

Silver PU Antimicrobial Foam Dressing - Non-Adherent variant consists of a low friction waterproof polyurethane film, which also provides a bacterial barrier, laminated to hydrophilic absorbent polyurethane foam with a silver coated nylon mesh wound contact layer.

Silver PU Antimicrobial Foam Dressing - Island variant consists of a polyurethane waterproof membrane coated with pressure sensitive acrylic adhesive, which also provides a bacterial barrier, with a centrally located hydrophilic absorbent polyurethane foam with a silver coated nylon mesh wound contact layer.

Each Silver PU Antibacterial Foam Dressing contains a minimum of 0.26mg/cm² of elemental silver, the antibacterial action of the silver protects the dressing from bacterial contamination and provides an effective barrier to bacterial penetration.

The antibacterial properties of the dressing are effective for up to 7 days, as demonstrated in vitro, against a broad spectrum of microorganisms associated with wound infection, such as Staphylococcus aureus, including MRSA, Staphylococcus epidermidis, including MRSE, Strentococcus pvogenes, Enterococcus faecalis (VRE) and Escherichia coli. Silver Antibacterial Foam Dressings may reduce odour caused by micro-organisms in the wound. Odour reduction results from the antibacterial effect in the dressing.

Silver PU Antibacterial Foam Dressings are soft, highly absorbent, conformable and create the ideal environment for moist wound healing.

Silver PU Antibacterial Foam Dressings are suitable for use under compression bandaging.

Silver PU Antibacterial Foam Dressings are available in various sizes and shapes. The dressings are packaged in individual pouches, then into shelf cartons.

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)

Performance data for the Silver PU Antibacterial Foam Dressings have been established using antimicrobial, animal and bench testing. The biocompatibility of Advanced Medical Solutions Limited Silver PU Antibacterial Foam Dressings have been demonstrated to be in compliance with the requirements of BS EN ISO 10993-1(Biological Evaluation of Medical Devices). Sterilisation validation has been performed in compliance with harmonised standards.

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

Not Found

Predicate Device(s)

K063835, K071354 / K061554

Reference Device(s)

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

N/A

0

K091013
page 1 of 2

JUL 30 2009

Section 5 - Traditional 510(k) Notification :- Summary

This Traditional 510(k) notification is to provide substantial equivalence for Advanced Medical Solutions Limited's Silver PU Antibacterial Foam Dressings, which are substantially equivalent to currently marketed devices intended for wound care.

| Submitted by:- | Advanced Medical Solutions Limited
Road Three
Winsford Industrial Estate
Winsford, Cheshire
CW7 3PD
United Kingdom |
|-----------------------|----------------------------------------------------------------------------------------------------------------------------------------------|
| Contact:- | Mrs Claire Ryan
Regulatory Affairs Manager
Telephone: + 44(0)1606 545569
Fax: + 44(0)1606 863600
Email: claire.ryan@admedsol.com |
| Date prepared:- | 3rd April 2009 |
| Common Name:- | Silver PU Antibacterial Foam Dressings |
| Trade Names:- | Not yet defined |
| Classification Name:- | Dressing, Wound, Drug |
| Classification:- | Unclassified |
| Product Code:- | FRO |

Legally marketed device(s) for substantial equivalence comparison :-

Allevyn Ag Dressings, 510(k) # K063835, manufactured by Smith & Nephew. Mepilex Ag Dressing, 510(k) # K071354 / K061554, manufactured by Mölnlycke Health Care.

Device Description :-

The Silver PU Antibacterial Foam Dressings is available in two variants:

Silver PU Antimicrobial Foam Dressing - Non-Adherent variant consists of a low friction waterproof polyurethane film, which also provides a bacterial barrier, laminated to hydrophilic absorbent polyurethane foam with a silver coated nylon mesh wound contact layer.

Silver PU Antimicrobial Foam Dressing - Island variant consists of a polyurethane waterproof membrane coated with pressure sensitive acrylic adhesive, which also provides a bacterial barrier, with a centrally located hydrophilic absorbent polyurethane foam with a silver coated nylon mesh wound contact layer.

Each Silver PU Antibacterial Foam Dressing contains a minimum of 0.26mg/cm² of elemental silver, the antibacterial action of the silver protects the dressing from bacterial contamination and provides an effective barrier to bacterial penetration.

1

091013
Page 272

The antibacterial properties of the dressing are effective for up to 7 days, as demonstrated in vitro, against a broad spectrum of microorganisms associated with wound infection, such as Staphylococcus aureus, including MRSA, Staphylococcus epidermidis, including MRSE, Strentococcus pvogenes, Enterococcus faecalis (VRE) and Escherichia coli. Silver Antibacterial Foam Dressings may reduce odour caused by micro-organisms in the wound. Odour reduction results from the antibacterial effect in the dressing.

Silver PU Antibacterial Foam Dressings are soft, highly absorbent, conformable and create the ideal environment for moist wound healing.

Silver PU Antibacterial Foam Dressings are suitable for use under compression bandaging.

Silver PU Antibacterial Foam Dressings are available in various sizes and shapes. The dressings are packaged in individual pouches, then into shelf cartons.

Indications for use:

Silver PU Antibacterial Foam Dressings are indicated for the management of light to moderate exuding partial and full thickness wounds, such as decubitus (pressure) ulcers, diabetic ulcers, leg ulcers, graft and donor sites, lacerations and abrasions, 18 and 210 degree burns, trauma (dermal lesions, trauma injuries or incisions) and post-operative surgical wounds. Silver PU Antibacterial Foam Dressings are indicated for external use only.

Manufacturing :-

Silver PU Antibacterial Foam Dressings will be manufactured according to the product specification and under good manufacturing practices (GMP). A risk analysis has been performed in accordance with BS EN ISO 14971 to identify possible failure mode during manufacturing. Manufacturing controls have been developed and implemented to address the identified risk factors based on the criticality of the failure mode.

Advanced Medical Solutions Ltd, Silver PU Antibacterial Foam Dressings meets all the established specifications prior to release to ensure the device is safe, effective and correctly labelled for its intended use.

Testing :-

Performance data for the Silver PU Antibacterial Foam Dressings have been established using antimicrobial, animal and bench testing. The biocompatibility of Advanced Medical Solutions Limited Silver PU Antibacterial Foam Dressings have been demonstrated to be in compliance with the requirements of BS EN ISO 10993-1(Biological Evaluation of Medical Devices). Sterilisation validation has been performed in compliance with harmonised standards.

Statement of Substantial Equivalence:-

The indication for use, performance testing and antimicrobial activity for the Silver PU Antibacterial Foam Dressings are substantially equivalent to the predicate devices; Allevyn Ag Dressings, 510(k) # K063835, manufactured by Smith & Nephew and Mepilex Ag Dressing, 510(k) # K071354 / K061554. manufactured by Moinlycke Health Care. The biocompatibility and performance testing for the Silver PU Antibacterial Foam Dressings have demonstrated that the device is safe and effective for the indications of use.

2

Image /page/2/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three legs and a circular border. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged around the border of the circle.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Advanced Medical Solutions Limited % Ms. Claire Ryan Road Three Winsford Industrial Estate Winsford, Cheshire CW7 3PD United Kingdom

JUL 3 0 2009

Re: K091013

Trade/Device Name: Silver PU Antibacterial Foam Dressings Regulatory Class: Unclassified Product Code: FRO Dated: July 17, 2009 Received: July 22, 2009

Dear Ms. Ryan:

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 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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. Claire Ryan

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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,

incerely yours,

ark N. Melkerson

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

Enclosure

4

000020

Indications for Use

510(k) Number (if known): KO91013

Device Name: Silver PU Antibacterial Foam Dressings

Indications for Use:

Silver PU Antibacterial Foam Dressings are indicated for the management of light to moderate exuding partial and full thickness wounds, such as: '.

  • Decubitus (pressure) ulcers �
  • Diabetic ulcers 0
  • Leg ulcers .
  • Graft and donor sites �
  • Lacerations and abrasions 9
  • 1st and 2nd degree burns �
  • Trauma wounds (dermal lesions, trauma injuries or incisions) e
  • Post-operative surgical wounds

The Silver PU Antibacterial Foam Dressings are indicated for external use only

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

Over-The-Counter Use (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)

David Kione for MKM

Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K091013