K Number
K142979
Device Name
RENASYS; EZ MAX Negative Pressure Wound Therapy; Foam NPWT Wound Dressing Kits with Soft Port; Gauze NPWT Wound Dressing Kits with Soft Port; EZ PLUS/EZ MAX Canisters
Date Cleared
2015-04-29

(196 days)

Product Code
Regulation Number
878.4780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The RENASYS EZ MAX NPWT is indicated for patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via removal of fluids, including irrigation and body fluids, wound exudates and infectious materials. Appropriate wound types include: Chronic, Acute, Traumatic, Sub-acute and dehisced wounds, Ulcers (such as pressure or diabetic), Partial-thickness burns, Flaps and grafts. RENASYS EZ MAX professional healthcare facility model (REF 66801309) is intended for use in acute care settings and other professional healthcare environments where product use is conducted by or under the supervision of a qualified healthcare professional. The RENASYS™ Foam and Gauze NPWT Wound Dressing Kits with Soft Port are intended to be used in conjunction with Smith & Nephew NPWT (Negative Pressure Wound Therapy) systems. Smith & Nephew RENASYS systems are indicated for patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via the removal of fluids, including irrigation and body fluids, wound exudates and infectious materials. Appropriate wound types include: chronic, acute, traumatic, sub-acute and dehisced wounds, ulcers (such as pressure or diabetic), partial-thickness burns, flaps and grafts.
Device Description
The RENASYS EZ MAX Negative Pressure Wound Therapy NPWT device is a lightweight, suction device intended for wound management via application of continuous or intermittent negative pressure wound therapy to the wound for removal of fluids, including wound exudates, irrigation fluids, and infectious materials. The pump is connected to the wound dressing via a tube connected to a disposable canister. The device provides negative pressure wound therapy to the wound at a range of pressure settings and removes exudates from the wound site to the disposable canister. The device can operate either by a mains power supply or internal battery. The technological characteristics of the new device have not changed. The 800ml and 250ml canisters are non-sterile, single use devices with a lid that is ultrasonically welded on. The canister kits contain a combination of solidifier gel pack, bacterial overflow quard that attaches to the pump and canister tubing that attaches to the Soft Port assembly. The 800ml canister without solidifier is a non-sterile, single use device with a lid that is ultrasonically welded on. The canister kit contains a bacterial overflow guard that attaches to the pump and canister tubing that attaches to the Soft Port assembly. The RENASYS Foam and Gauze Wound Dressing Kits with Soft Port consist of the following components: Foam Kits: Polyurethane foam wound filler, a Soft Port assembly and transparent film drape. The foam kits are supplied sterile, single use and are offered in three sizes: small, medium and large. Gauze Kits: Antimicrobial gauze wound filler, a Soft Port assembly, non-adherent wound contact layer, transparent film drape, saline bullet, No Sting Skin Prep and wound ruler. The Gauze kits are offered in four sizes: small, medium, large and extra-large. The individual components of the kit are packed sterile and kitted in a non-sterile kit package. The kit is single use. The Soft Port assembly attaches to an exudate canister to deliver negative pressure wound therapy. The foam and gauze kits are designed specifically for use with the RENASYS negative pressure wound therapy devices and canisters.
More Information

Not Found

No
The document describes a standard negative pressure wound therapy device and its accessories. There is no mention of AI, ML, or any features that would suggest the use of such technologies for data analysis, decision-making, or adaptive control. The performance studies focus on basic device functionality and equivalence to predicate devices.

Yes.
The device is indicated for promoting wound healing and is used for therapeutic purposes, such as removal of fluids and infectious materials from various wound types.

No

Explanation: The device is a suction device for wound healing and fluid removal, not for diagnosing conditions.

No

The device description clearly outlines a physical pump, canisters, and dressing kits, which are hardware components. The summary describes bench testing of the physical device's performance.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, tissue) to provide information about a person's health. This information is used for diagnosis, monitoring, or screening.
  • Device Function: The RENASYS EZ MAX NPWT is a suction device used for wound management. It applies negative pressure to a wound to remove fluids and promote healing. It interacts directly with the wound surface, not with specimens taken from the body for analysis.
  • Intended Use: The intended use clearly states it's for "patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via removal of fluids...". This describes a therapeutic intervention, not a diagnostic test.
  • Device Description: The description focuses on the mechanical function of applying negative pressure and collecting exudate. There is no mention of analyzing the collected fluids for diagnostic purposes.

Therefore, the RENASYS EZ MAX NPWT falls under the category of a therapeutic medical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The RENASYS EZ MAX NPWT is indicated for patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via removal of fluids, including irrigation and body fluids, wound exudates and infectious materials.

Appropriate wound types include:

  • Chronic
  • Acute
  • Traumatic
  • Sub-acute and dehisced wounds
  • Ulcers (such as pressure or diabetic)
  • Partial-thickness burns
  • Flaps and grafts

RENASYS EZ MAX professional healthcare facility model (REF 66801309) is intended for use in acute care settings and other professional healthcare environments where product use is conducted by or under the supervision of a qualified healthcare professional.

The RENASYS™ Foam and Gauze NPWT Wound Dressing Kits with Soft Port are intended to be used in conjunction with Smith & Nephew NPWT (Negative Pressure Wound Therapy) systems.
Smith & Nephew Negative Pressure Wound Therapy systems who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via the removal of fluids, including irrigation and body fluids, wound exudates and infectious materials. Appropriate wound types include: chronic, acute, traumatic, sub-acute and dehisced wounds, ulcers (such as pressure or diabetic), partial thickness burns, flaps and grafts.

Product codes

OMP

Device Description

RENASYS EZ MAX Negative Pressure Wound Therapy Device

The RENASYS EZ MAX Negative Pressure Wound Therapy NPWT device is a lightweight, suction device intended for wound management via application of continuous or intermittent negative pressure wound therapy to the wound for removal of fluids, including wound exudates, irrigation fluids, and infectious materials. The pump is connected to the wound dressing via a tube connected to a disposable canister. The device provides negative pressure wound therapy to the wound at a range of pressure settings and removes exudates from the wound site to the disposable canister. The device can operate either by a mains power supply or internal battery. The technological characteristics of the new device have not changed.

RENASYS Canisters

The 800ml and 250ml canisters are non-sterile, single use devices with a lid that is ultrasonically welded on. The canister kits contain a combination of solidifier gel pack, bacterial overflow quard that attaches to the pump and canister tubing that attaches to the Soft Port assembly.

The 800ml canister without solidifier is a non-sterile, single use device with a lid that is ultrasonically welded on. The canister kit contains a bacterial overflow guard that attaches to the pump and canister tubing that attaches to the Soft Port assembly.

RENASYS Foam and Gauze NPWT Wound Dressing Kits with Soft Port

The RENASYS Foam and Gauze Wound Dressing Kits with Soft Port consist of the following components:

Foam Kits: Polyurethane foam wound filler, a Soft Port assembly and transparent film drape. The foam kits are supplied sterile, single use and are offered in three sizes: small, medium and large.

Gauze Kits: Antimicrobial gauze wound filler, a Soft Port assembly, non-adherent wound contact layer, transparent film drape, saline bullet, No Sting Skin Prep and wound ruler. The Gauze kits are offered in four sizes: small, medium, large and extra-large. The individual components of the kit are packed sterile and kitted in a non-sterile kit package. The kit is single use.

The Soft Port assembly attaches to an exudate canister to deliver negative pressure wound therapy. The foam and gauze kits are designed specifically for use with the RENASYS negative pressure wound therapy devices and canisters.

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

RENASYS EZ MAX professional healthcare facility model (REF 66801309) is intended for use in acute care settings and other professional healthcare environments where product use is conducted by or under the supervision of a qualified healthcare professional.

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)

RENASYS EZ MAX Negative Pressure Wound Therapy Device

Testing has been conducted to verify the modifications to the RENASYS EZ MAX NPWT meet design specifications and demonstrate substantial equivalence to the predicate device.

The list below summarizes the bench testing undertaken and successfully completed for the RENASYS EZ MAX NPWT device:

  • Pumping capacity is equivalent to the predicate device.
  • Device provides negative pressure at individual pressure settings, identical to the predicate device.
  • Verification that the device delivers negative pressure wound therapy in a continuous and intermittent operating mode identical to the predicate device.
  • Verification of Canister Full alarm functionality using wound fluid designed to simulate chemistry and protein content of real exudate.
  • Verification of system performance in foreseeable fault conditions.
  • Verification of system performance when running with high air leaks at the dressing site
  • Verification of system performance in worst case scenarios with ranges of exudate viscosity and protein content.

RENASYS Foam and Gauze NPWT Wound Dressing Kits with Soft Port

Testing has been conducted to verify the modifications to the RENASYS Foam and Gauze Wound Dressing Kits with Soft Port meet design specifications and demonstrate substantial equivalence to the predicate device.

  • Verification that the Soft Port serves as a conduit between RENASYS EZ MAX NPWT device and NPWT wound dressings by transmitting negative pressure and collecting exudate flows.
  • Verification that the Soft Port functions throughout the recommended maximum elapsed time of 72 hours between dressing changes.
  • Verification of system performance with full range of indicated disposable kits, spanning range of wound sizes

Biocompatibility on the new foam has been successfully completed in accordance with applicable parts of ISO 10993 as follows:

  • Cytotoxicity
  • Skin Irritation
  • Skin Sensitization
  • System Toxicity

There have been no other changes to patient contacting materials from the predicate devices.

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

Not Found

Predicate Device(s)

K132446, K102001, K110647

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4780 Powered suction pump.

(a)
Identification. A powered suction pump is a portable, AC-powered or compressed air-powered device intended to be used to remove infectious materials from wounds or fluids from a patient's airway or respiratory support system. The device may be used during surgery in the operating room or at the patient's bedside. The device may include a microbial filter.(b)
Classification. Class II.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or a bird in flight, formed by three stylized human profiles facing to the right. The profiles are stacked on top of each other, creating a sense of depth and movement.

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

April 29, 2015

Smith and Nephew Incorporated Ms. Laura Reynolds Director of Regulatory Affairs 970 Lake Carillon Drive, Suite 110 Saint Petersburg, Florida 33716

Re: K142979

Trade/Device Name: RENASYS® EZ MAX Negative Pressure Wound Therapy Device and RENASYS " Foam and Gauze NPWT Wound Dressing Kits with Soft Port" Regulation Number: 21 CFR 878.4780 Regulation Name: Powered suction pump Regulatory Class: Class II Product Code: OMP Dated: March 26, 2015 Received: March 27, 2015

Dear Ms. Reynolds:

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

1

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.

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/Resourcesfor You/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/ResourcesforYou/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

2

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K142979

Device Name

RENASYS™ EZ MAX Negative Pressure Wound Therapy Device

Indications for Use (Describe)

The RENASYS EZ MAX NPWT is indicated for patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via removal of fluids, including irrigation and body fluids, wound exudates and infectious materials.

Appropriate wound types include:

  • Chronic
  • · Acute
  • · Traumatic
  • · Sub-acute and dehisced wounds
  • · Ulcers (such as pressure or diabetic)
  • Partial-thickness burns
  • Flaps and grafts

RENASYS EZ MAX professional healthcare facility model (REF 66801309) is intended for use in acute care settings and other professional healthcare environments where product use is conducted by or under the supervision of a qualified healthcare professional.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995,

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

Indications for Use

510(k) Number (if known) K142979

Device Name

RENASYS™ Foam and Gauze NPWT Wound Dressing Kits With Soft Port™

Indications for Use (Describe)

The RENASYS™ Foam and Gauze NPWT Wound Dressing Kits with Soft Port are intended to be used in conjunction with Smith & Nephew NPWT (Negative Pressure Wound Therapy) systems.

Smith & Nephew Negative Pressure Wound Therapy systems who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via the removal of fluids, including irrigation and body fluids, wound exudates and infectious materials. Appropriate wound types include: chronic, acute, traumatic, sub-acute and dehisced wounds, ulcers (such as pressure or diabetic), partial thickness burns, flaps and grafts.

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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

4

Wound Management 727 392-1261

Smith & Nephew, Inc. F 727 392-6914 or 727 392-0797 970 Lake Carillon Drive Customer Care Center: 1 800 876-1261 www.smith-nephew.com Suite 110 St. Petersburg, FL 33716

510(k) Summary

General Information
Submitters Name/Address:Smith & Nephew, Inc.
970 Lake Carillon Drive
Suite 110
St. Petersburg, FL 33716
Establishment Registration Number:3006760724
Contact Person:Laura Reynolds
Director Regulatory Affairs
Phone Number:(727) 329-7702
Date Prepared:October 14, 2014
Device Description
Trade Name:RENASYS™ EZ MAX Negative Pressure Wound
Therapy Device
RENASYS™ Foam and Gauze NPWT Wound
Dressing Kits with Soft Port™
Generic/Common Name:Powered Suction Pump
Classification Name:Powered Suction Pump; 21 CFR 878.4780
Product Code: OMP

Predicate Device Information

| Current Device | Predicate Device | 510k# | Clearance
Date |
|-----------------------------------------------------------------------|----------------------------------------------------------------------|---------|-------------------|
| RENASYS EZ MAX Negative
Pressure Wound Therapy Device | RENASYS EZ MAX Negative
Pressure Wound Therapy Device | K132446 | 10/23/2013 |
| RENASYS EZ MAX Negative
Pressure Wound Therapy Device
Canisters | RENASYS EZ PLUS Negative
Pressure Wound Therapy Device | K102001 | 08/06/2010 |
| RENASYS Foam and Gauze
NPWT Wound Dressing Kits with
Soft Port | RENASYS Foam and Gauze
NPWT Wound Dressing Kits with
Soft Port | K110647 | 06/23/2011 |

5

Device Description

RENASYS EZ MAX Negative Pressure Wound Therapy Device

The RENASYS EZ MAX Negative Pressure Wound Therapy NPWT device is a lightweight, suction device intended for wound management via application of continuous or intermittent negative pressure wound therapy to the wound for removal of fluids, including wound exudates, irrigation fluids, and infectious materials. The pump is connected to the wound dressing via a tube connected to a disposable canister. The device provides negative pressure wound therapy to the wound at a range of pressure settings and removes exudates from the wound site to the disposable canister. The device can operate either by a mains power supply or internal battery. The technological characteristics of the new device have not changed.

RENASYS Canisters

The 800ml and 250ml canisters are non-sterile, single use devices with a lid that is ultrasonically welded on. The canister kits contain a combination of solidifier gel pack, bacterial overflow quard that attaches to the pump and canister tubing that attaches to the Soft Port assembly.

The 800ml canister without solidifier is a non-sterile, single use device with a lid that is ultrasonically welded on. The canister kit contains a bacterial overflow guard that attaches to the pump and canister tubing that attaches to the Soft Port assembly.

RENASYS Foam and Gauze NPWT Wound Dressing Kits with Soft Port

The RENASYS Foam and Gauze Wound Dressing Kits with Soft Port consist of the following components:

Foam Kits: Polyurethane foam wound filler, a Soft Port assembly and transparent film drape. The foam kits are supplied sterile, single use and are offered in three sizes: small, medium and large.

Gauze Kits: Antimicrobial gauze wound filler, a Soft Port assembly, non-adherent wound contact layer, transparent film drape, saline bullet, No Sting Skin Prep and wound ruler. The Gauze kits are offered in four sizes: small, medium, large and extra-large. The individual components of the kit are packed sterile and kitted in a non-sterile kit package. The kit is single use.

The Soft Port assembly attaches to an exudate canister to deliver negative pressure wound therapy. The foam and gauze kits are designed specifically for use with the RENASYS negative pressure wound therapy devices and canisters.

Indications for Use

RENASYS EZ MAX Negative Pressure Wound Therapy Device

The RENASYS EZ MAX NPWT is indicated for patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via removal of fluids, including irrigation and body fluids, wound exudates and infectious materials

Appropriate wound types include:

  • . Chronic
  • Acute .
  • Traumatic ●

6

  • . Sub-acute and dehisced wounds
  • . Ulcers (such as pressure or diabetic)
  • . Partial-thickness burns
  • . Flaps and grafts

RENASYS EZ MAX professional healthcare facility model (REF 66801309) is intended for use in acute care settings and other professional healthcare environments where product use is conducted by or under the supervision of a qualified healthcare professional.

RENASYS Foam and Gauze NPWT Wound Dressing Kits with Soft Port

The RENASYS Foam and Gauze Wound Dressing Kits with Soft Port are intended to be used in coniunction with Smith & Nephew NPWT (Negative Pressure Wound Therapy) systems. Smith & Nephew RENASYS systems are indicated for patients who would benefit from a suction device (negative pressure wound therapy) as it may promote wound healing via the removal of fluids, including irrigation and body fluids, wound exudates and infectious materials. Appropriate wound types include: chronic, acute, traumatic, sub-acute and dehisced wounds, ulcers (such as pressure or diabetic), partial-thickness burns, flaps and grafts.

Both Indications for Use are identical to the predicates except the term "examples" has been removed from the appropriate wound types.

Summary Comparison between New and Predicate Devices

New Device:Predicate Device:
510(k)# K132446
Trade Name:RENASYS EZ MAX NPWTRENASYS EZ MAX NPWT
Indications for Use:Substantially equivalentSubstantially equivalent
ComponentsSubstantially equivalentSubstantially equivalent
Principle of OperationIdenticalIdentical
Operating Time (Battery)IdenticalIdentical
Negative Pressure
RangeIdenticalIdentical
High Flow/Leak Rate
Alarm Threshold LimitSameSame
SterilizationN/AN/A
BiocompabilityNo patient contact materialsNo patient contact materials
Alarms and IndicatorsIdenticalIdentical
SoftwareN/AN/A

RENASYS EZ MAX NPWT

RENASYS EZ MAX NPWT Canisters Only

7

New Device:Predicate Device:
510(k)# K102001
Trade Name:RENASYS EZ MAX NPWTRENASYS EZ PLUS NPWT
Indications for Use:Substantially equivalentSubstantially equivalent
Bacterial Overflow
GuardMaterial change to softer
plastic outer casing of filterPlastic outer casing of filter
MaterialSubstantially equivalentSubstantially equivalent
Canister without
solidifierNewN/A
Canisters with
SolidifierSubstantially equivalentSubstantially equivalent

RENASYS - Foam and Gauze NPWT Wound Dressing Kits with Soft Port

New Device:Predicate Device:
510(k)# K110647
Trade Name:RENASYS - Foam and Gauze
NPWT Wound Dressing Kits
with Soft PortRENASYS - Foam and Gauze
Wound Dressing Kits with
Soft Port
Indications for Use:Substantially equivalentSubstantially equivalent
Materials:Substantially equivalentSubstantially equivalent
Soft Port Assembly:Increased aperture size
Two slits in paper release linerSmaller aperture size
One slit in paper release liner
Single-use or
Reusable:Single-useSingle-use
Method of
Sterilization:IdenticalIdentical
Biocompatibility:All components comply with
ISO 10993All components comply with
ISO 10993
Packaging:Substantially equivalentSubstantially equivalent
Kit Shelf-lifeSame as the predicate9 months
Kit configurationsRENASYS F- Foam Dressing
Kits with Soft Port, Small,
Medium, LargeRENASYS F- Foam Dressing
Kits with Soft Port, Small,
Medium, Large
RENASYS G - Gauze Dressing
Kits with Soft Port, Small,
Medium, Large, X-largeRENASYS G - Gauze Dressing
Kits with Soft Port, Small,
Medium, Large, X-large
RENASYS Soft Port AssemblyRENASYS Soft Port Assembly
RENASYS G Sterile GauzeNA

8

New Device:Predicate Device:
510(k)# K110647
Trade Name:RENASYS - Foam and Gauze
NPWT Wound Dressing Kits
with Soft PortRENASYS - Foam and Gauze
Wound Dressing Kits with
Soft Port
Dressing Kit with Soft Port

Table of Modifications

| Modification | Reason For Change | Verification Testing
Performed |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------|
| Addition of RENASYS EZ
MAX 800ml S-Canister
without Solidifier | Product line extension | Comprehensive verification
was completed which
demonstrated acceptable
device performance |
| Modification to half of the
bacterial overflow guard
housing material to a
softer resin | Reduced
insertion
force;
Improved usability | Comprehensive verification
was completed which
demonstrated acceptable
device performance and
improved usability |
| Qualification of a
replacement resin for the
RENASYS EZ PLUS/EZ
MAX 250ml S-Canister | Obsolete material | Qualification studies
demonstrated acceptable
replacement of the resin |
| Reduction in the amount
of solidifier in the
RENASYS EZ PLUS/EZ
MAX 800ml S-Canister | Less solidifier continues to meet
acceptance criteria | Comprehensive verification
was completed which
demonstrated acceptable
device performance |
| Qualification of a
replacement resin for the
RENASYS EZ PLUS/EZ
MAX 800ml S-Canister
(including lid) and the
RENASYS EZ PLUS/EZ
MAX 250ml S-Canister lid | Obsolete material | Qualification studies
demonstrated acceptable
replacement of the resin |
| Modification to the
release paper liner of the
Soft Port assembly to add
an additional slit | Improved usability | Comprehensive verification
was completed which
demonstrated acceptable
device performance and
improved usability |
| Modification to increase
the Soft Port aperture size | Improved usability | Comprehensive verification
was completed which
demonstrated acceptable
device performance |
| Modification | Reason For Change | Verification Testing
Performed |
| Modification of the hole
size and geometry in the
mid and bottom poly
sheet layers of the Soft
Port Assembly | Improve manufacturability | Comprehensive verification
was completed which
demonstrated acceptable
device performance and
improved usability |
| Qualification of an
alternate Controlled Leak
Path (CLP) adhesive
material | Alternate adhesive material | Qualification studies
demonstrated acceptable
criteria met |
| Extension of the shelf-life
of the RENASYS Foam
and Gauze NPWT
Dressing Kits with Soft
Port from 9 months to 24
months | Shelf-life extension | Comprehensive verification
demonstrated acceptable
extension of shelf-life |
| Addition of RENASYS G
Sterile Gauze Dressing
Kit with Soft Port | Product line extension | Comprehensive verification
was completed which
demonstrated acceptable
device performance |

9

Non-Clinical Tests (Bench)

RENASYS EZ MAX Negative Pressure Wound Therapy Device

Testing has been conducted to verify the modifications to the RENASYS EZ MAX NPWT meet design specifications and demonstrate substantial equivalence to the predicate device.

The list below summarizes the bench testing undertaken and successfully completed for the RENASYS EZ MAX NPWT device:

  • . Pumping capacity is equivalent to the predicate device.
  • Device provides negative pressure at individual pressure settings, identical to the . predicate device.
  • Verification that the device delivers negative pressure wound therapy in a continuous and ● intermittent operating mode identical to the predicate device.
  • Verification of Canister Full alarm functionality using wound fluid designed to simulate . chemistry and protein content of real exudate.
  • Verification of system performance in foreseeable fault conditions. ●
  • . Verification of system performance when running with high air leaks at the dressing site
  • . Verification of system performance in worst case scenarios with ranges of exudate viscosity and protein content.

RENASYS Foam and Gauze NPWT Wound Dressing Kits with Soft Port

Testing has been conducted to verify the modifications to the RENASYS Foam and Gauze Wound Dressing Kits with Soft Port meet design specifications and demonstrate substantial equivalence to the predicate device.

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  • . Verification that the Soft Port serves as a conduit between RENASYS EZ MAX NPWT device and NPWT wound dressings by transmitting negative pressure and collecting exudate flows.
  • . Verification that the Soft Port functions throughout the recommended maximum elapsed time of 72 hours between dressing changes.
  • Verification of system performance with full range of indicated disposable kits, spanning ● range of wound sizes

Biocompatibility on the new foam has been successfully completed in accordance with applicable parts of ISO 10993 as follows:

  • . Cytotoxicity
  • Skin Irritation ●
  • Skin Sensitization
  • . System Toxicity

There have been no other changes to patient contacting materials from the predicate devices.

Device complies with the following standards:

  • . ISO13485:2003, Medical Devices - Quality Management Systems
  • ISO 14971:2012 Medical Devices Application of Risk Management to Medical Devices .
  • ISO 15223-1:2012 Medical devices Symbols to be used with medical device labels, . labelling, and information to be supplied Part 1: General requirements.(General)
  • . ISO 15223-2:2010 Medical devices - Symbols to be used with medical device labels, labelling, and information to be supplied-Part 2: Symbol development, selection and validation. (General)
  • BS EN 980:2008 Graphical Symbols for use in the labeling of Medical Devices ●
  • . BS EN 1041:2008 +A1:2013 Information Supplied by the Manufacturer with Medical Devices
  • IEC 60601-1-2:2007(3rd edition) Medical electrical equipment Part 1-2: General . requirements for basic safety and essential performance - Collateral standard: Electromagnetic compatibility -Requirements and tests, Interpretation Sheet
  • IEC 60601-1:2005 (3rd edition). Medical Electrical Equipment Part 1: General . Requirements for Safety
  • . ANSI/AAMI ES60601-1:2005 Version (R2012) Medical Electrical Equipment - Part 1: General Requirements for Basic Safety and Essential Performance
  • IEC 60601-1-8:2006 (2nd edition) Medical electrical equipment Part 1-8: General ● requirements for basic safety and essential performance - Collateral Standard: General requirements, tests and guidance for alarm systems in medical electrical equipment and medical electrical
  • IEC 60601-1-6:2010 (3rd Edition) Medical electrical equipment - Part 1-6: General requirements for basic safety and essential performance - Collateral standard: Usability
  • IEC 62366:2007 (1st edition) Medical devices - Application of usability engineering to medical devices. (General)
  • . ISO 11135: 2014 Medical Devices - Validation and routine control of ethylene oxide sterilization
  • . ISO 11607-1:2006 Packaging for terminally sterilized medical devices Part 1: Requirements for materials, sterile barrier systems and packaging systems

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  • . ISO 10993-7:2008 Biological evaluation of medical devices Part 7: Ethylene oxide sterilization residuals
  • . ISO 10993-1:2009 Biological evaluation of medical devices Part 1: Evaluation and testing with a risk management process
  • . AAMI/ ANSI HE75:2009 Human Factor Engineering-Design of Medical Devices

Conclusions

In establishing substantial equivalence to the currently marketed predicate devices, Smith & Nephew, Inc. evaluated the indications for use, materials, technology, product specifications and energy requirements of the device. Performance testing, biocompatibility testing and electrical safety testing has been successfully completed to demonstrate that the RENASYS EZ MAX NPWT device and canisters, and the RENASYS Foam and Gauze NPWT Wound Dressing Kits with Soft Port are substantially equivalent to the predicate devices for the intended use.