K Number
K132891
Device Name
HYDROLYZED COLLAGEN/AG WOUND GEL WITH SILVER
Date Cleared
2014-06-19

(276 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Indications for Over-the-Counter Use: Hydrolyzed Collagen/Ag Wound Gel is indicated for the management of minor burns, superficial cuts, lacerations, abrasions and minor irritation of the skin. Indications for Prescription Use: Under the supervision of a healthcare professional, it is indicated for partial and full thickness wounds including pressure ulcers, venous stasis ulcers, first and second degree burns, abrasions, lacerations, skin tears, grafted wounds, donor sites and surgical wounds.
Device Description
Hydrolyzed Collagen/Ag Wound Gel for OTC use is a change in label of the previously approved Hydrolyzed Collagen/Ag Wound Gel with Silver (K061227), for Rx use, to permit its use by the general public without the need for a physician's prescription. The proposed Hydrolyzed Collagen/Ag Wound Gel for OTC use is the identical hydrolyzed collagen wound gel formulation manufactured using the same manufacturing process and conforming to the same specifications as the Collagen Ag Wound Gel (K061227) with elemental silver as a preservative that reduces the growth of bacteria within the dressing. Hydrolyzed Collagen/Ag Wound Gel contains a high concentration of water bound to the hydrolyzed collagen which maintains a moist wound environment as it manages wound healing. The high concentration of hydrolyzed collagen in the gel provides for greater moisture absorption capacity into the gel supporting silver retention within the gel. Hydrolyzed Collagen/Ag Wound gel is provided in a patient ready, one (1) ounce, collapsible tube.
More Information

No
The device description and performance studies focus on the chemical composition and biological effects of the wound gel, with no mention of AI or ML.

Yes.
The device is indicated for the management of various wounds, including burns, cuts, lacerations, and ulcers, which are conditions that require therapeutic intervention to promote healing.

No

This device is a wound gel intended for the management and healing of various types of wounds, not for diagnosis. It is a therapeutic device.

No

The device is a wound gel, which is a physical substance applied to wounds, not a software program.

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

Here's why:

  • Intended Use: The intended use describes the management of various types of wounds and skin irritations. This is a therapeutic application, not a diagnostic one.
  • Device Description: The description focuses on the physical properties of the gel and how it interacts with the wound environment (maintaining moisture, controlling bacterial growth within the dressing). It does not describe any components or mechanisms for analyzing biological samples to provide diagnostic information.
  • Performance Studies: The performance studies described are related to biocompatibility (cytotoxicity, sensitization, irritation) and microbial control within the hydrogel. These are relevant to a wound dressing, not an IVD.
  • Lack of Diagnostic Elements: There is no mention of analyzing blood, urine, tissue, or any other biological sample to diagnose a condition or provide information about a patient's health status.

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's function is to aid in the healing and management of wounds, which is a therapeutic purpose.

N/A

Intended Use / Indications for Use

Indications for Over-the-Counter Use: Hydrolyzed Collagen/Ag Wound Gel is indicated for the management of minor burns, superficial cuts, lacerations, abrasions and minor irritation of the skin.

Indications for Prescription Use: Under the supervision of a healthcare professional, it is indicated for partial and full thickness wounds including pressure ulcers, venous stasis ulcers, first and second degree burns, abrasions, lacerations, skin tears, grafted wounds, donor sites and surgical wounds.

Product codes

FRO

Device Description

Hydrolyzed Collagen/Ag Wound Gel for OTC use is a change in label of the previously approved Hydrolyzed Collagen/Ag Wound Gel with Silver (K061227), for Rx use, to permit its use by the general public without the need for a physician's prescription. The proposed Hydrolyzed Collagen/Ag Wound Gel for OTC use is the identical hydrolyzed collagen wound gel formulation manufactured using the same manufacturing process and conforming to the same specifications as the Collagen Ag Wound Gel (K061227) with elemental silver as a preservative that reduces the growth of bacteria within the dressing.

The addition of the silver preservative to hydrolyzed collagen formulation does not affect the safety or efficacy of Collagen/Ag gel for use by the general public. Hydrolyzed Collagen/Ag Wound Gel contains a high concentration of water bound to the hydrolyzed collagen which maintains a moist wound environment as it manages wound healing. The high concentration of hydrolyzed collagen in the gel provides for greater moisture absorption capacity into the gel supporting silver retention within the gel. Hydrolyzed Collagen/Ag Wound gel is provided in a patient ready, one (1) ounce, collapsible tube.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Wounds (partial and full thickness wounds including pressure ulcers, venous stasis ulcers, diabetic ulcers, first and second-degree burns, abrasions, lacerations, skin tears, grafted wounds, donor sites and surgical wounds). Minor burns, superficial cuts, lacerations, abrasions and minor irritation of the skin.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

General public (OTC), Healthcare professional (Rx)

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)

Non-Clinical Performance Data: Hydrolyzed Collagen/Ag Wound Gel has been evaluated in accordance with Part 10-993 of the International Standard Organization (ISO). Standard tests which include:

  • Cytotoxicity (Exhibit I) indicated a grade 1 cytotoxic grade.
  • ISO Guinea Pig Maximization Sensitization (Exhibit II) wherein a negative sensitization incidence was interpreted for all test animals and
  • ISO intracutaneous reactivity (Exhibit III) which indicated that the product would be considered a non-irritant.
  • Microbial control within the hydrogel claims are supported by in-vitro evaluation. Collagen/Ag gel was found to control bacterial growth within the hydrogel.
  • Collagen/Ag gel has not been studied in a clinical setting. Hydrolyzed Collagen/Ag Wound Gel with Silver (K061227) has been marketed as a Prescription wound dressing since 2007.

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

Cytotoxicity: grade 1 cytotoxic grade
Sensitization: negative sensitization incidence for all test animals
Dermal Irritant: No
Dermal Sensitizer: No

Predicate Device(s)

K073019

Reference Device(s)

K061227

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

0

The Hymed Group Confidential hymed@hymed.com Phone: 610-865-9876 Collagen Ag Rx to Rx & OTC K132891 This eCopy is an exact duplicate of the paper copy

510(k) Summary

JUN 1 9 2014

Submitters Name and Address:The Hymed Group Corporation
1890 Bucknell Drive
Bethlehem, PA 18015

George Petito Contact Person: President. The Hymed Group Phone: 610-865-9876 E-Mail: gpetito@hymed.com

Establishment Number: 2530949

User Fee ID Number: MD6070502-956733

May 28, 2014 Date of Summary Preparation:

Name of Device:

Hydrolyzed Collagen/Ag Wound Gel with Silver Proprietary: Common: Moist wound gel Classification Name: Dressing, Wound, Drug

Medical Device Classification: Unclassified

Product Code: FRO (Dressing, Wound, Drug)

Purpose of this submission: This submission seeks approval for Collagen/Ag to be available also as an Over-The-Counter (OTC) wound care product substantially equivalent to SilverMed Antimicrobial Wound Gel which was approved for OTC and Rx use via K073019.

Identification of predicate devices to which substantial equivalence is being claimed and for which approval was granted for both Rx and OTC: SilverMed™ Antimicrobial Hydrogel (Rx & OTC), K073019

Description of the Device: Hydrolyzed Collagen/Ag Wound Gel for OTC use is a change in label of the previously approved Hydrolyzed Collagen/Ag Wound Gel with Silver (K061227), for Rx use, to permit its use by the general public without the need for a physician's prescription. The proposed Hydrolyzed Collagen/Ag Wound Gel for OTC use is the identical hydrolyzed collagen wound gel formulation manufactured using the same manufacturing process and conforming to the same specifications as the Collagen Ag Wound Gel (K061227) with elemental silver as a preservative that reduces the growth of bacteria within the dressing.

1

The Hymed Group Confidential hymed@hymed.com Phone: 610-865-9876 Collagen Ag Rx to Rx & OTC K132891 This eCopy is an exact duplicate of the paper copy

The addition of the silver preservative to hydrolyzed collagen formulation does not affect the safety or efficacy of Collagen/Ag gel for use by the general public. Hydrolyzed Collagen/Ag Wound Gel contains a high concentration of water bound to the hydrolyzed collagen which maintains a moist wound environment as it manages wound healing. The high concentration of hydrolyzed collagen in the gel provides for greater moisture absorption capacity into the gel supporting silver retention within the gel. Hydrolyzed Collagen/Ag Wound gel is provided in a patient ready, one (1) ounce, collapsible tube.

Intended use of the Device: Hydrolyzed Collagen/Ag Wound Gel (Rx) is currently approved for use in partial and full thickness wounds including pressure ulcers, venous stasis ulcers, diabetic ulcers, first and second degree burns, abrasions, lacerations, skin tears, grafted wounds, donor sites and surgical wounds.

Hydrolyzed Collagen/Ag Wound Gel for OTC use is an absorbent hydrogel wound dressing that is indicated for the management of minor burns, superficial cuts, lacerations, abrasions and minor irritation of the skin.

Technology Characteristics: Hydrolyzed Collagen/Ag Wound Gel for OTC use is an aqueous, hydrogel identical in formulation to Hydrolyzed Collagen/Ag Wound Gel with silver (K061227) and substantially equivalent to SilverMed Antimicrobial Hydrogel (073019) which is approved for Rx & OTC market and whose market approval references the sponsors Collagen/Ag Wound Gel (K061227) as substantially equivalent to SilverMed. Hydrolyzed Collagen/Ag Wound Gel contains, as a preservative, elemental silver for the purpose of controlling bacterial bioburden within the gel dressing as does SilverMed Antimicrobial Hydrogel (K073019) currently in commercial distribution. The label use change to OTC availability does not alter the fundamental scientific technology of the device.

Non-Clinical Performance Data: Hydrolyzed Collagen/Ag Wound Gel has been evaluated in accordance with Part 10-993 of the International Standard Organization (ISO). Standard tests which include:

  • Cytotoxicity (Exhibit I) indicated a grade 1 cytotoxic grade, .
  • · ISO Guinea Pig Maximization Sensitization (Exhibit II) wherein a negative sensitization incidence was interpreted for all test animals and
  • ISO intracutaneous reactivity (Exhibit III) which indicated that the product would . be considered a non-irritant.
  • Microbial control within the hydrogel claims are supported by in-vitro evaluation. . Collagen/Ag gel was found to control bacterial growth within the hydrogel.
  • Collagen/Ag gel has not been studied in a clinical setting. Hydrolyzed . Collagen/Ag Wound Gel with Silver (K061227) has been marketed as a Prescription wound dressing since 2007.

2

Hydrolyzed Collagen/Ag Wound Gel - SilverMed Antimicrobial Wound Gel
----------------------------------------------------------------------------------
Device Comparison Table
ParametersHydrolyzed Collagen/Ag
Wound Gel
(K132891)SilverMed Antimicrobial
Wound Gel
(K073019)
Indications for useIndications for OTC Use:
Collagen/Ag Wound Gel is
indicated for the
management of minor
burns, superficial cuts,
lacerations, abrasions and
minor irritation of the skin.

Rx: Under the supervision
of a healthcare professional,
it is indicated for partial and
full thickness wounds
including pressure ulcers,
venous stasis ulcers,
diabetic ulcers, first and
second degree burns,
abrasions, lacerations, skin
tears, grafted wounds,
donor sites and surgical
wounds. | Indications for OTC Use:
SilverMed Gel is indicated
for the management of
minor burns, superficial
cuts, lacerations, abrasions
and minor irritation of the
skin.

Rx: Under the supervision
of a healthcare professional,
it is indicated for partial and
full thickness wounds
including pressure ulcers,
venous stasis ulcers,
diabetic ulcers, first and
second degree burns,
abrasions, lacerations, skin
tears, grafted wounds,
donor sites and surgical
wounds. |
| Product Code | FRO | FRO |
| Rx | Yes | Yes |
| OTC* | No (hence the purpose of
this submission*) | Yes |
| Physical | Hydrogel | Hydrogel |
| Product Description | Type I Bovine Collagen | Type I Bovine Collagen |
| Animal Tissue | Dermis | Dermis |
| Preserved | Yes | Yes |
| Dermal Irritant | No | No |
| Cytotoxic | No | No |
| Dermal Sensitizer | No | No |
| Product Classification | Dressing, wound, drug,
unclassified | Dressing, wound, drug,
unclassified |

Conclusion: These data support the safe use of the Hydrolyzed Collagen/Ag Wound Gel in contact with breached or compromised skin.

End of Summary

3

Image /page/3/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized emblem featuring a symbol that resembles an abstract human form or a caduceus, rendered in a bold, black color.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Health Service

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

June 19, 2014

The Hymed Group Corporation Mr. George Petito President 1890 Bucknell Drive Bethlehem, Pennsylvania 18015

Re: K132891

Trade/Device Name: Hydrolyzed Collagen Ag Wound Gel Regulatory Class: Unclassified Product Code: FRO Dated: May 12, 2014 Received: May 13, 2014

Dear Mr. Petito:

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 or any I 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.

4

Page 2 - Mr. George Petito

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 Industry and Consumer Education 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,

David Krause -S

for

Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: January 31, 2017 See PRA Statement below.

510(k) Number (if known) K132891

Device Name Hydrolyzed Collagen Ag Wound Gel

Indications for Use (Describe)

Indications for Over-the-Counter Use: Hydrolyzed Collagen/Ag Wound Gel is indicated for the management of minor burns, superficial cuts, lacerations, abrasions and minor irritation of the skin.

Indications for Prescription Use: Under the supervision of a healthcare professional, it is indicated for partial and full thickness wounds including pressure ulcers, venous stasis ulcers, first and second degree burns, abrasions, lacerations, skin tears, grafted wounds, donor sites and surgical wounds.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE -- CONTINUE ON A SEPARATE PAGE IF NEEDED.

PIST PRODUCT OF OF FOR FDA USE ONLY OF CONSTITUTION OF CONSTITUTION OF

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

Jiyoung Dang -S

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