K Number
K152926
Device Name
AQUACEL Ag Surgical SP Dressing
Manufacturer
Date Cleared
2016-01-21

(108 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
AQUACEL® Ag Surgical SP may be used for the management of wounds healing by primary intent (e.g., traumatic and elective post operative wounds/incisions) and as an effective barrier to bacterial penetration to help reduce infection. Under the supervision of a healthcare professional, AQUACEL™ Ag Surgical SP cover dressing may be used for the management of: Wounds healing by primary intent (e.g. traumatic and elective post operative wounds/incisions) and as an effective barrier to bacterial penetration to help reduce infection.
Device Description
AQUACEL™ Ag Surgical SP dressing is a sterile post-operative dressing comprising of an inner (wound contact) non-woven pad composed of Hydrofiber™ technology and ionic silver which is stitch bonded with nylon and elastane yarns. The pad is held in place between a top layer of hydrocolloid adhesive which is bound to an outer polyurethane film and a windowed skin contact layer consisting of polyurethane film sandwiched between one layer of acrylic and one layer of Hydrocolloid contacting the skin. The outer layer of polyurethane film of AQUACEL™ Ag Surgical SP dressing provides a bacterial and viral barrier to reduce the risk of infection provided the dressing remains intact and there is no leakage. The highly absorbent central Hydrofiber™ pad absorbs and retains serosanguinous leakage and transforms into a soft gel which maintains a moist environment to support the body's healing process. The hydrocolloid component of the dressing provides secure, skin friendly adhesion and supports non traumatic removal of the dressing while minimizing damage to the intact surrounding skin. AQUACEL™ Ag Surgical SP dressing is a waterproof, bacterial and viral barrier dressing which is designed to conform to changes in the wound/incision geometry during body movement and post-operative edema. The dressing is intended for single use and is provided sterile (via a gamma irradiation process). This Special 510(k) details the modifications of the predicate device, AQUACEL™ Ag Surgical dressing, which form the AQUACEL™ Ag Surgical SP dressing. These modifications do not alter the intended use or indications for use.
More Information

No
The device description focuses on the physical and chemical properties of the dressing materials and their function in wound management. There is no mention of any computational or analytical capabilities that would suggest the use of AI or ML.

Yes
The device is a dressing designed to manage wounds, provide a barrier to bacterial penetration, reduce infection, and support the body's healing process, which aligns with the definition of a therapeutic device.

No.
The device is a medical dressing intended for the management of wounds and is described as a barrier to bacterial penetration to help reduce infection, supporting the body's healing process, and providing secure adhesion. It does not perform any diagnostic function.

No

The device description clearly outlines a physical dressing with multiple material components (Hydrofiber, ionic silver, nylon, elastane, hydrocolloid adhesive, polyurethane film, acrylic). It is a tangible product applied to wounds, not a software program.

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

Here's why:

  • IVD Definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description and Intended Use: The description and intended use clearly state that the AQUACEL® Ag Surgical SP is a dressing for managing wounds. It is applied externally to the wound and acts as a barrier and absorbent material to aid in the healing process. It does not involve testing samples taken from the body.

Therefore, this device falls under the category of a wound dressing, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

AQUACEL® Ag Surgical SP may be used for the management of wounds healing by primary intent (e.g., traumatic and elective post operative wounds/incisions) and as an effective barrier to bacterial penetration to help reduce infection.

Product codes

FRO

Device Description

AQUACEL™ Ag Surgical SP dressing is a sterile post-operative dressing comprising of an inner (wound contact) non-woven pad composed of Hydrofiber™ technology and ionic silver which is stitch bonded with nylon and elastane yarns. The pad is held in place between a top layer of hydrocolloid adhesive which is bound to an outer polyurethane film and a windowed skin contact layer consisting of polyurethane film sandwiched between one layer of acrylic and one layer of Hydrocolloid contacting the skin.

The outer layer of polyurethane film of AQUACEL™ Ag Surgical SP dressing provides a bacterial and viral barrier to reduce the risk of infection provided the dressing remains intact and there is no leakage.

The highly absorbent central Hydrofiber™ pad absorbs and retains serosanguinous leakage and transforms into a soft gel which maintains a moist environment to support the body's healing process.

The hydrocolloid component of the dressing provides secure, skin friendly adhesion and supports non traumatic removal of the dressing while minimizing damage to the intact surrounding skin.

AQUACEL™ Ag Surgical SP dressing is a waterproof, bacterial and viral barrier dressing which is designed to conform to changes in the wound/incision geometry during body movement and post-operative edema.

The dressing is intended for single use and is provided sterile (via a gamma irradiation process).

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

Under the supervision of a 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)

Non-clinical testing of the subject device for functional and structural design parameters (such as fluid handling and adhesive properties) has been performed. In this testing, the device's performance has been found to be comparable to the aforementioned predicate device.

The device has also been biologically evaluated in accordance with the US Food and Drug Administration's guidance entitled Use of International Standard ISO-10993, 'Biological Evaluation of Medical Devices Part 1: Evaluation and Testing', issued May 1, 1995, and has been found safe in such respect for its intended use.

In conclusion, the subject device has been demonstrated as safe and effective and substantially equivalent to the predicate device.

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

Not Found

Predicate Device(s)

K091034

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

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

January 21, 2016

ConvaTec Limited Aaron Sibley Regulatory Affairs Manager First Avenue Deeside Industrial Park Flintshire, CH5 2NU United Kingdom

Re: K152926

Trade/Device Name: AQUACEL Ag Surgical SP Dressing Regulatory Class: Unclassified Product Code: FRO Dated: December 21, 2015 Received: December 23, 2015

Dear Mr. Sibley:

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 devicerelated 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.

1

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" (21 CFR 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

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

Enclosure

2

Indications for Use

510(k) Number (if known) K152926

Device Name AQUACEL® Ag Surgical SP Dressing

Indications for Use (Describe)

AQUACEL® Ag Surgical SP may be used for the management of wounds healing by primary intent (e.g., traumatic and elective post operative wounds/incisions) and as an effective barrier to bacterial penetration to help reduce infection.

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)

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ConvaTec Limited First Avenue Deeside Industrial Park Flintshire CH5 2NU United Kingdom

510(k) SummaryK152926
Subject Device:AQUACEL™ Ag Surgical SP Dressing
Date Prepared:January 21, 2016
Applicant:ConvaTec Limited
First Avenue
Deeside Industrial Park
Deeside
Flintshire CH5 2NU
UK
Contact:Aaron Sibley
Regulatory Affairs Manager
Tel: +44 (0)1494 816054
Fax: +44 (0)1244 584311
Email: aaron.sibley@convatec.com
Device Trade Name:AQUACEL™ Ag Surgical SP Dressing
Common Name:Surgical Cover Dressing
Classification Name:Dressing, Wound, Drug
Product Code:FRO
Device Class:Unclassified
Predicate Device
Device Trade Name:AQUACEL™ Ag Surgical Dressing
Common Name:Surgical Cover Dressing
Classification Name:Dressing, Wound, Drug
Product Code:FRO
Device Class:Unclassified

510(k) Substantial Equivalence: K091034 - determined substantially equivalent on December 16, 2009

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Device Description:

AQUACEL™ Ag Surgical SP dressing is a sterile post-operative dressing comprising of an inner (wound contact) non-woven pad composed of Hydrofiber™ technology and ionic silver which is stitch bonded with nylon and elastane yarns. The pad is held in place between a top layer of hydrocolloid adhesive which is bound to an outer polyurethane film and a windowed skin contact layer consisting of polyurethane film sandwiched between one layer of acrylic and one layer of Hydrocolloid contacting the skin.

The outer layer of polyurethane film of AQUACEL™ Ag Surgical SP dressing provides a bacterial and viral barrier to reduce the risk of infection provided the dressing remains intact and there is no leakage.

The highly absorbent central Hydrofiber™ pad absorbs and retains serosanguinous leakage and transforms into a soft gel which maintains a moist environment to support the body's healing process.

The hydrocolloid component of the dressing provides secure, skin friendly adhesion and supports non traumatic removal of the dressing while minimizing damage to the intact surrounding skin.

AQUACEL™ Ag Surgical SP dressing is a waterproof, bacterial and viral barrier dressing which is designed to conform to changes in the wound/incision geometry during body movement and post-operative edema.

The dressing is intended for single use and is provided sterile (via a gamma irradiation process).

This Special 510(k) details the modifications of the predicate device, AQUACEL™ Ag Surgical dressing, which form the AQUACEL™ Ag Surgical SP dressing. These modifications do not alter the intended use or indications for use.

Indications for Use:

Under the supervision of a healthcare professional, AQUACEL™ Ag Surgical SP cover dressing may be used for the management of:

Wounds healing by primary intent (e.g. traumatic and elective post operative wounds/incisions) and as an effective barrier to bacterial penetration to help reduce infection.

The indications for use are identical to the predicate device.

Summary of Technological Characteristics:

AQUACEL™ Ag Surgical SP dressing has the same intended use and indications for use as the predicate device but has a slimmer profile than the predicate device. This is achieved by replacing an internal hydrocolloid layer of the composite dressing with a thinner acrylic adhesive, and reducing the profile of the two remaining Hydrocolloid layers. The differences in the composition, as detailed below, is explained by the reduction of Hydrocolloid adhesive in the modified device as compared to the predicate device. This necessarily increases the %w/w of the other components overall.

5

There are no differences in operation and directions for use between AQUACEL™ Ag Surgical SP dressing and the predicate device.

Predicate DeviceModified Device
AQUACEL™ Ag SurgicalAQUACEL™ Ag Surgical
Dressing K091034SP Dressing
DesignA composite dressing incorporating a
central silver containing absorbent
pad within a Hydrocolloid adhesive
construct with an approximate
border thickness of 48 mil.A composite dressing incorporating a
central silver containing absorbent
pad within a Hydrocolloid adhesive
construct with an approximate
border thickness of 27 mil. This
reduction is achieved by reducing
thickness of two Hydrocolloid layers
and replacing an internal
Hydrocolloid layer with an acrylic tie
layer.
MaterialsLayer 1: Polyurethane and
Hydrocolloid adhesive
Layer 2: Hydrofiber™ pad with 1.2%
ionic silver
Layer 3: Hydrocolloid adhesive
Layer 4: Polyurethane
Layer 5: Hydrocolloid adhesiveLayer 1: Polyurethane and
Hydrocolloid adhesive
Layer 2: Hydrofiber™ pad with 1.2%
ionic silver
Layer 3: 100% coat acrylic adhesive
Layer 4: Polyurethane
Layer 5: Hydrocolloid adhesive
Chemical
CompositionApproximates:
13.32% Silver Hydrofiber™ (sodium
carboxymethylcellulose with silver)
0.71% Nylon yarn
0.89% Elastane (polyurethane) yarn
83.83% proprietary Hydrocolloid
adhesive
1.26% Polyurethane FilmApproximates:
19.65% Silver Hydrofiber™ (sodium
carboxymethylcellulose with silver)
0.93% Nylon yarn
1.12% Elastane (polyurethane) yarn
71.47% proprietary Hydrocolloid
adhesive
3.43% Polyurethane Film
3.4% Acrylic adhesive
EnergyNo energy sources areNo energy sources are
Sourceutilizedutilized

Summary of Performance (Non-Clinical Testing) Data:

Non-clinical testing of the subject device for functional and structural design parameters (such as fluid handling and adhesive properties) has been performed. In this testing, the device's performance has been found to be comparable to the aforementioned predicate device.

The device has also been biologically evaluated in accordance with the US Food and Drug Administration's guidance entitled Use of International Standard ISO-10993, 'Biological Evaluation of Medical Devices Part 1: Evaluation and Testing', issued May 1, 1995, and has been found safe in such respect for its intended use.

In conclusion, the subject device has been demonstrated as safe and effective and substantially equivalent to the predicate device.