K Number
K092232
Device Name
MODIFICATION TO:VASHE WOUND CLEANSING SYSTEM, MODEL 9000-0014
Manufacturer
Date Cleared
2009-08-19

(27 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Vashe® Wound Cleanser is intended for cleansing, irrigating, moistening, and debriding acute and chronic dermal lesions, such as Stage I-IV pressure ulcers, stasis ulcers, diabetic ulcers, postsurgical wounds, first and second degree burns, abrasions and minor irritations of the skin in addition to moistening and lubricating absorbent wound dressings.
Device Description
The subject device is a wound cleansing and disinfecting solution that is intended for cleansing, irrigating, debriding and disinfecting dermal wounds in addition to moistening and lubricating absorbent wound dressings. The mechanical action of fluid moving across the wound provides for the mechanism of action and aids in the removal of foreign objects such as dirt and debris. Vashe is offered in various volumes.
More Information

Not Found

No
The device description and intended use focus on the chemical and mechanical action of a wound cleansing solution. There is no mention of AI, ML, image processing, or data-driven analysis.

No
The device is a wound cleanser, intended for cleansing, irrigating, moistening, and debriding wounds. This is not considered a therapeutic function; instead, it supports healing by maintaining wound hygiene.

No

The device is a wound cleanser used for therapeutic purposes (cleansing, irrigating, debriding, moistening, lubricating) rather than for diagnosing any condition.

No

The device description clearly states it is a "wound cleansing and disinfecting solution," which is a liquid substance, not software.

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

Here's why:

  • Intended Use: The intended use is for cleansing, irrigating, moistening, and debriding dermal lesions. This is a direct application to the wound for therapeutic and cleansing purposes.
  • Device Description: The device is a wound cleansing and disinfecting solution that works through mechanical action on the wound surface.
  • Lack of Diagnostic Purpose: There is no mention of the device being used to diagnose a condition, analyze a sample from the body (like blood, urine, or tissue), or provide information about a patient's health status based on in vitro testing.

IVD devices are specifically designed to perform tests on samples taken from the human body to provide information for diagnosis, monitoring, or screening. This device's function is entirely focused on the external treatment and cleansing of wounds.

N/A

Intended Use / Indications for Use

Vashe™ Wound Cleanser and Disinfectant is intended for cleansing, irrigating, moistening, debriding and disinfecting acute and chronic dermal lesions, such as Stage I-IV pressure ulcers, stasis ulcers, diabetic ulcers, post-surgical wounds, first and second degree burns, abrasions and minor irritations of the skin in addition to moistening and lubricating absorbent wound dressings.

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

FRO

Device Description

The subject device is a wound cleansing and disinfecting solution that is intended for cleansing, irrigating, debriding and disinfecting dermal wounds in addition to moistening and lubricating absorbent wound dressings. The mechanical action of fluid moving across the wound provides for the mechanism of action and aids in the removal of foreign objects such as dirt and debris. Vashe is offered in various volumes.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Dermal lesions, skin

Indicated Patient Age Range

Not Found

Intended User / Care Setting

The Vashe® Wound Cleanser is intended for used by qualified health care personnel trained in its use

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)

Pre-clinical testing demonstrated biocompatibility of the Vashe Wound Cleanser.

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.

Allklenz™ Cleanser; Healthpoint Medical K965120, CarraKlenz Wound Cleanser; Carrington Laboratories, Inc. K022670, Dermacyn™ Wound Cleanser, Oculus Innovative Sciences, K042729, Dermacyn™ Wound Dressing, Oculus Innovative Sciences, K041161, Biopure™ MTAD™ Root Canal Cleanser, Dentsply International, K053167

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

N/A

0

Attachment 4


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922-

510 (k) Summary

510(k) SUMMARY OF VASHE™ WOUND CLEANSER
510 (k) SummaryThis summary of 510(k) safety and effectiveness information is being
submitted in accordance with the requirements of 21 C.F.R. §807.92.
SubmitterSterilox Technologies, Inc.
320 King of Prussia Road
Radnor, PA 19087
Contact PersonHoward Mann
320 King of Prussia Road
Radnor, PA 19087
484-321-2703
610-341-0503 fax
Date PreparedMarch 24th, 2006
Trade NameVashe™
Common NameWound Cleanser
Classification NameSolution, saline, (wound dressing)
Predicate DeviceAllklenz™ Cleanser; Healthpoint Medical K965120, March 21st 1997.
CarraKlenz Wound Cleanser; Carrington Laboratories, Inc. K022670,
Oct. 17th, 2002. Dermacyn™ Wound Cleanser, Oculus Innovative
Sciences, K042729, September 30th, 2004 and Dermacyn™ Wound
Dressing, Oculus Innovative Sciences, K041161, February 1st, 2005.
Biopure™ MTAD™ Root Canal Cleanser, Dentsply International,
K053167, December 8, 2005
DescriptionThe subject device is a wound cleansing and disinfecting solution that is
intended for cleansing, irrigating, debriding and disinfecting dermal
wounds in addition to moistening and lubricating absorbent wound
dressings. The mechanical action of fluid moving across the wound
provides for the mechanism of action and aids in the removal of foreign
objects such as dirt and debris. Vashe is offered in various volumes.
Indications for UseVashe™ Wound Cleanser and Disinfectant is intended for cleansing,
irrigating, moistening, debriding and disinfecting acute and chronic
dermal lesions, such as Stage I-IV pressure ulcers, stasis ulcers, diabetic
ulcers, post-surgical wounds, first and second degree burns, abrasions
and minor irritations of the skin in addition to moistening and
lubricating absorbent wound dressings.
Substantial EquivalenceThe product is similar in function and intended use to:
Allklenz™ and CarraKlenz Wound Cleansers, manufactured by
Healthpoint Medical and Carrington Laboratories, Inc. that include
among their labeled uses the cleansing and irrigation of dermal
wounds and removal of foreign material. Dermacyn™ Wound Cleanser and Wound Dressing manufactured
by Oculus Innovative Sciences, that include among it's labeled uses
the cleansing, moistening and debriding of dermal wounds in
addition to moistening and lubricating absorbent wound dressings. Biopure™ MTAD™ Root Canal Cleanser manufactured by
Dentsply International, that include among its labeled uses the
cleaning and disinfecting of the root canal system.
Non-clinical PerformancePre-clinical testing demonstrated biocompatibility of the Vashe Wound
Cleanser.
ConclusionVashe™ Wound Cleanser is substantially equivalent to the currently
cleared and marketed Allklenz™ Cleanser, CarraKlenz Wound
Cleansers, Dermacyn™ Wound Cleanser, Dermacyn™ Wound Dressing
and Biopure™ MTAD™ Root Canal Cleanser

1

Image /page/1/Picture/1 description: The image is a black and white logo for the Department of Health & Human Services - USA. The logo features a stylized image of an eagle with its wings spread, and the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle. The eagle is facing to the right and has three stripes on each wing. The logo is simple and clean, and it is easily recognizable.

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002

PuriCore Inc. % Mr. Dennis J. Mahoney Director of Quality Assurance/ Regulatory Affairs 508 Lapp Road Malvern, Pennsylvania 19355

AUG 1 9 2009

Re: K092232

Trade/Device Name: Vashe® Wound Cleanser Regulatory Class: Unclassified Product Code: FRO Dated: August 19, 2009 Received: August 22, 2009

Dear Mr. Mahoney:

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.

2

Page 2 - Mr. Dennis J. Mahoney

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/ucm1158001, prefact 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 tollom are (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. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

92232 11,

Attachment 2

Indications for Use Statement

12092232 510(k) Number :

Vashe® Wound Cleanser Device Name :

Indications for Use :

Vashe® Wound Cleanser is intended for cleansing, irrigating, moistening, and debriding acute and chronic dermal lesions, such as Stage I-IV pressure ulcers, stasis ulcers, diabetic ulcers, postsurgical wounds, first and second degree burns, abrasions and minor irritations of the skin in addition to moistening and lubricating absorbent wound dressings.

The Vashe® Wound Cleanser is intended for used by qualified health care personnel trained in its use

Prescription Use
(Per 21 CFR 801.109)

OR

Over-The-Counter Use:

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

Concurrence of CDHR, Office of Device Evaluation (ODE)

David Krone for MKM
(Division Sign-Off)

Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K092232