(361 days)
OTC: Nixall™ Wound and Skin Care is intended for over-the-counter use (OTC) of the management of minor skin lacerations, minor abrasions, minor irritations, minor burns and intact skin. Professional Use: Nixall™ Wound and Skin Care is intended to be used under the supervision of a healthcare professional in the management of wounds such as stage I-IV pressure ulcers, partial and full thickness wounds, diabetic foot and leg ulcers, post surgical wounds, first and second degree burns, grafted and donor sites.
Nixall™ Wound and Skin Care, is intended for over the counter and professional use as follows:
- OTC: Nixall™ Wound and Skin Care is for the management of , the irrigation of, the moistening of, and lubrication of minor skin abrasions, minor lacerations, minor burns, minor irritations, minor cuts, and intact skin.
Prescription Use: Nixal™ Wound and Skin Care is intended to be used by health care professionals in the management, via debridement of wounds such as stage I-IV pressure ulcers, diabetic foot ulcers, post surgical wounds, first and second degree burns, grafted and donor sites.
Nixall™ Wound and Skin Care is a clear solution that aids in the removal of debris and foreign material from the application site. Foreign material and dirt debris are mechanically removed by the action of the wound cleanser moving across the wound bed on the application site with or without the assistance of a suitable wound dressing (i.e. gauze).
Nixall™ Wound and Skin Care will be supplied in High Density Polyethylene (HDPE) bottles of various volumes with dosing (spray) inserts and caps.
Nixall™ Wound and Skin Care is a clear, hypotonic liquid that helps in the removal of the debris and foreign material from the application site. Dirt, debris and foreign materials are removed by the mechanical action of the fluid moving across the wound bed or application site. Device components are Electrolyzed water 99.5615%, Sodium Chloride (NaCl) 0.4%, Hypochlorous Acid (HOCL) .035% Sodium Hypochlorite (NaOCl) .0035%. The solution preservatives are hypochlorous acid and sodium hypochlorite. The solution contains preservatives to suppress bacterial growth for up to one(1) year after the bottle is opened as referenced by testing in Appendix A in this application.
The provided text does not describe a study involving a device that uses AI or reports on the performance of a device against acceptance criteria in the context of AI or diagnostic accuracy metrics (e.g., sensitivity, specificity, AUC). Instead, it describes a traditional 510(k) premarket notification for a wound care solution (Nixall™ Wound and Skin Care). The "acceptance criteria" discussed are largely related to substantial equivalence to predicate devices, safety (biocompatibility), and product stability and effectiveness for its intended use, rather than diagnostic performance or AI model performance.
Therefore, many of the requested sections related to AI performance, sample sizes for test/training sets, expert ground truth, adjudication methods, and MRMC studies cannot be extracted from the provided text.
Here is an attempt to address the relevant points based on the available information:
1. A table of acceptance criteria and the reported device performance
Based on the provided K113693 submission, the acceptance criteria are implicitly met by demonstrating substantial equivalence to predicate devices and proving safety and effectiveness through various tests.
| Acceptance Criteria Category | Device Performance as Reported |
|---|---|
| Substantial Equivalence | Device is similar in function and has the same intended use as predicate devices (Oculus Puracyn™ Skin and Wound Cleanser, Vashe™ Wound Cleanser, Anasept™ Antimicrobial Skin and Wound Gel). Indications for use, device description, and performance testing support substantial equivalence. |
| Biocompatibility | Subjected to in-vivo biocompatibility studies to demonstrate safety and effectiveness for indications for use. (Specific criteria/results not detailed, but met). |
| Preservation Effectiveness | Supported by USP <51> testing. (Specific criteria/results not detailed, but met). |
| Antimicrobial Properties (in solution) | Showed inhibited growth of Proteus mirabilis, Serratia marcescens, MRSA, VRE, and Acinetobacter baumannii in solution. (Specific criteria/results not detailed, but positive outcome). |
| Stability/Shelf Life | Stability study results demonstrate product is stable and effective for the entire shelf life (up to one year after bottle opened). (Specific criteria/results not detailed, but met). |
| Manufacturing Standards | Manufactured under cGMP guidelines, with established manufacturing, quality, and product specifications. Process validation completed. |
2. Sample sized used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)
The document does not specify sample sizes for any of the performance tests (biocompatibility, preservation effectiveness, antimicrobial properties, stability). It does not provide information on data provenance (country of origin, retrospective/prospective). These types of details are typically found in the full study reports annexed to the 510(k) submission, not in the summary.
3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)
This is not applicable as the device is a wound cleanser, not a diagnostic device requiring expert interpretation for ground truth. The "ground truth" here is objective laboratory measurements (e.g., bacterial inhibition, stability parameters, biocompatibility reactions).
4. Adjudication method (e.g. 2+1, 3+1, none) for the test set
Not applicable for this type of device and performance testing.
5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance
Not applicable. This device is not an AI diagnostic tool or software.
6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done
Not applicable. This device is not an AI algorithm. Its performance is inherent to its chemical composition and physical action.
7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)
The "ground truth" for the performance testing of Nixall™ Wound and Skin Care would be based on:
- Physical/Chemical Standards: For stability (e.g., pH, concentration of active ingredients over time).
- Microbiological Standards: For preservative effectiveness (e.g., USP <51> criteria for reduction of microbial load) and antimicrobial activity (e.g., zone of inhibition, colony count reduction in lab tests).
- Biological Endpoints: For biocompatibility (e.g., lack of cytotoxicity, irritation, sensitization in accordance with ISO standards).
- Clinical Observations (for in-vivo biocompatibility): Though specific details are not provided, in-vivo studies would observe biological reactions.
8. The sample size for the training set
Not applicable. This device does not involve machine learning or AI, so there is no "training set."
9. How the ground truth for the training set was established
Not applicable. There is no training set for this device.
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Tuesday, December 04, 2012 2:19 PM
510 (k) Summary ph: 417-725-2116
Seriously Clean LTD Fax: 417-725-4048 1075 W. Kathryn St. Suite 6 Contact: Kip Glass Email: kip@nixall.com Nixa, Mo. 65714
Date of Preparation: 12/15/2011
Device Name (proprietary): Nixall™ Wound and Skin Care
Common Name: Wound Cleanser
Classification Name: Wound Dressing
Device Class: Unclassifie d
Product Code:FRO
Legally Marketed Device for substantial equivalence Comparison:
Oculus Puracyn™ Skin and Wound Cleanser with Preservatives K090206 Vashe™ Wound CleanserK092232 Anasept™ Antimicrobial Skin and Wound Gel K073547
Device Description:
Nixall™ Wound and Skin Care is a clear solution that aids in the removal of debris and foreign material from the application site. Foreign material and dirt debris are mechanically removed by the action of the wound cleanser moving across the wound bed on the application site with or without the assistance of a suitable wound dressing (i.e. gauze).
Nixall™ Wound and Skin Care will be supplied in High Density Polyethylene (HDPE) bottles of various volumes with dosing (spray) inserts and caps.
Intended Use:
OTC: Nixall™ Wound and Skin Care is intended for over-the-counter use (OTC) of the management of minor skin lacerations, minor abrasions, minor irritations, minor burns and intact skin. Professional Use: Nixall™ Wound and Skin Care is intended to be used under the supervision of a healthcare professional in the management of wounds such as stage I-IV pressure ulcers, partial and full thickness wounds, diabetic foot and leg ulcers, post surgical wounds, first and second degree burns, grafted and donor sites.
These indications are similar to that of the predicate device Oculus Puracyn™ Wound and Skin Care cleared on June 2, 2009.
510 (k) Summary Ph: 417-725-2116
Distributors Page 1
DEC 1 1 2012
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Seriously Clean LTD Fax: 417-725-4048 1075 W. Kathryn St. Suite 6 Contact: Kip Glass Nixa, Mo. 65714 Email: kip@nixall.com
Device Technological Characteristics:
Nixall™ Wound and Skin Care is a clear, hypotonic liquid that helps in the removal of the debris and foreign material from the application site. Dirt, debris and foreign materials are removed by the mechanical action of the fluid moving across the wound bed or application site. Device components are Electrolyzed water 99.5615%, Sodium Chloride (NaCl) 0.4%, Hypochlorous Acid (HOCL) .035% Sodium Hypochlorite (NaOCl) .0035%. The solution preservatives are hypochlorous acid and sodium hypochlorite. The solution contains preservatives to suppress bacterial growth for up to one(1) year after the bottle is opened as referenced by testing in Appendix A in this application.
Manufacturing:
Nixall™ Wound and Skin Care will be manufactured under the guidelines of current Good Manufacturing Practices (cGMPs) and according to the established manufacturing, quality and product specifications. Process validation has been completed for this device and filling process parameters have been qualified. Manufacturing controls have been developed and implemented to address the identified risk factors based on the criticality of the failure mode.
Established cGMPs will assure that the device manufactured at Seriously Clean LTD meet all the established specifications prior to the release and is safe and effective for the intended use.
Performance Testing:
Nixall™ Wound and Skin Care has been subjected to in-vivo biocompatibility studies to demonstrate that the device is safe and effe ctive for the indications for use. The preservative effectiveness has been supported by USP <51> testing. Other test results have shown inhibited growth of the following bacterium in solution, Proteus mirabilis, Serratia marcescens, including antibiotic resistant Metheicillin Resistant Staphylococcus aureus (MRSA), Vancomycin resistant Enterococcus faecalis (VRE), and Acinetobacter baumannii. The results of the stability study demonstrate that the product is stable and effe ctive for the entire shelf life.
Substantial Equivalence Discussion/Conclusion:
Nixall™ Wound and Skin Care is similar in function and has the same intended use as the predicate device Oculus Puracyn™ Wound and Skin Care (Oculus Innovative Sciences), legally marketed under 510(k) K090206 as a wound dressing.
The indications of use, device description and performance testing described above and in this 510(k) submission concludes that Nixal™ Wound and Skin Care is substantially equivalent to predicate devices, Puracyn™ Skin and Wound Cleanser, 510(k) #K090206, and Vashe™, 510(k) # K092232, and Anasept™, 510(k) #K073547.
Pasted from <file:///C.\Documents%20and%20Settings\Kip\My%20Documents\NIXALL\FDA%20Application 1510%20K%20summary .docx>
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/2/Picture/1 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 tail feathers, representing the department's commitment to health, human services, and well-being. The eagle is positioned to the right of the department's name, which is written in a circular fashion around the left side of the logo. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA".
Public Health Service
Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002
December 11, 2012
Seriously Clean Limited % Mr. Kip Glass Chief Operations Officer 1075 West Kathryn Street, Suite 6 Nixa. Missouri 65714
Re: K113693
Trade/Device Name: Nixall™ Wound and Skin Care Regulatory Class: Unclassified Product Code: FRO Dated: November 13, 2012 Received: November 13, 2012
Dear Mr. Glass:
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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.
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
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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.
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/ucm l 15809.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/MedicalDevices/Safety/ReportaProblem/default.htm 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 (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.
Sincerely yours.
Peter D. Rumm -S
Mark N. Melkerson Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use
510(k) Number (if known): K113693
Device Name:
. Nixall™ Wound and Skin Care
Indications For Use:
Nixall™ Wound and Skin Care, is intended for over the counter and professional use as follows:
- OTC: Nixall™ Wound and Skin Care is for the management of , the irrigation of, the moistening of, and lubrication of minor skin abrasions, minor lacerations, minor burns, minor irritations, minor cuts, and intact skin.
Prescription Use: Nixal™ Wound and Skin Care is intended to be used by health care professionals in the management, via debridement of wounds such as stage I-IV pressure ulcers, diabetic foot ulcers, post surgical wounds, first and second degree burns, grafted and donor sites.
Prescription Use
(Part 21 CFR 801 Subpart D)
AND/OR
Over-The-Counter Use (21 CFR 801 Subpart C)
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(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Jiyoung Dang
(Division Sign-Off) Division of Surgical Devices 510 (k) Number K113693
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