K Number
K160136
Device Name
Flowable Wound Matrix
Date Cleared
2016-09-28

(252 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Flowable Wound Matrix is intended for the management of wounds including: partial and full-thickness wounds, pressure ulcers, venous ulcers, diabetic ulcers, chronic vascular ulcers, tunneled/undermined wounds, surgical wounds (donor sites/grafts, post-Moh's surgery, post-laser surgery, podiatric, wound dehiscence), trauma wounds (abrasions, lacerations, 2nd degree burns, skin tears) and draining wounds.
Device Description
The Flowable Wound Matrix is a wound management device consisting of particulate Porcine Small Intestinal Submucosa (SIS) and fructose, a natural carrier. The device is an addition to the family of SIS-based wound management devices (Oasis Wound Matrix (K061711) and Cook ECM Powder (K152033)) already manufactured by Cook Biotech Incorporated. The device is supplied dry, rehydrated with saline at the time of application, and delivered topically to the wound through a pre-supplied syringe. SIS, which composes the majority of the device, is the same base material as that of the predicate device Oasis Wound Matrix (K061711) and reference device Cook ECM Powder (K152033). In addition to SIS, the device also contains fructose, a carrier added only to facilitate the preparation and delivery of the device. Fructose is a sugar naturally found in the body and is readily metabolized. The Flowable Wound Matrix is meant to be employed by the user to manage wounds of the types outlined in the intended use of the device. The device achieves its intended use by providing a scaffold for cellular invasion and capillary growth, and maintaining a supportive environment for wound management.
More Information

No
The description focuses on the biological and material properties of the wound matrix and does not mention any computational or algorithmic components.

Yes.
The device is intended for the management of various types of wounds, aiding in the healing process by providing a scaffold for cellular invasion and capillary growth, which are therapeutic actions.

No

The device description indicates it is a wound management device providing a scaffold for cellular invasion and capillary growth, and maintaining a supportive environment for wound management, rather than diagnosing a condition.

No

The device description clearly states it is a physical wound management device composed of particulate Porcine Small Intestinal Submucosa (SIS) and fructose, delivered via a syringe. It is not software.

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

Here's why:

  • Intended Use: The intended use clearly states the device is for the "management of wounds." This is a therapeutic application, not a diagnostic one. IVDs are used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening.
  • Device Description: The description details a wound management device that provides a "scaffold for cellular invasion and capillary growth, and maintaining a supportive environment for wound management." This describes a biological or structural support for healing, not a test or analysis of a biological sample.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific markers, or providing diagnostic information.
  • Performance Studies: The performance studies focus on biocompatibility and physical characteristics (rehydration, deployment, shelf life, collagen characterization), which are relevant to a therapeutic device, not an IVD.

Therefore, the Flowable Wound Matrix is a therapeutic medical device intended for wound management, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The Flowable Wound Matrix is intended for the management of wounds including: partial and full-thickness wounds, pressure ulcers, venous ulcers, diabetic ulcers, chronic vascular ulcers, tunneled/undermined wounds, surgical wounds (donor sites/grafts, post-Moh's surgery, post-laser surgery, podiatric, wound dehiscence), trauma wounds (abrasions, lacerations, 2nd degree burns, skin tears) and draining wounds.

Product codes

KGN

Device Description

The Flowable Wound Matrix is a wound management device consisting of particulate Porcine Small Intestinal Submucosa (SIS) and fructose, a natural carrier. The device is an addition to the family of SIS-based wound management devices (Oasis Wound Matrix (K061711) and Cook ECM Powder (K152033)) already manufactured by Cook Biotech Incorporated. The device is supplied dry, rehydrated with saline at the time of application, and delivered topically to the wound through a pre-supplied syringe. SIS, which composes the majority of the device, is the same base material as that of the predicate device Oasis Wound Matrix (K061711) and reference device Cook ECM Powder (K152033). In addition to SIS, the device also contains fructose, a carrier added only to facilitate the preparation and delivery of the device. Fructose is a sugar naturally found in the body and is readily metabolized. The Flowable Wound Matrix is meant to be employed by the user to manage wounds of the types outlined in the intended use of the device. The device achieves its intended use by providing a scaffold for cellular invasion and capillary growth, and maintaining a supportive environment for wound management.

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

Not Found

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

The following testing was performed to demonstrate substantial equivalence:

  • Biocompatibility Testing:
    • Cytotoxicity
    • Sensitization
    • Irritation/Intracutaneous Reactivity
    • Acute Systemic Toxicity
  • Other Testing:
    • Rehydration and Deployment
    • Package Integrity
    • Shelf Life
    • Collagen Characterization (Western Blot and Digital Scanning Calorimetry)

Key Metrics

Not Found

Predicate Device(s)

Oasis Wound Matrix (K061711)

Reference Device(s)

Integra Flowable Wound Matrix (K072113), Cook ECM Powder (K152033), MicroMatrix (K153754)

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

0

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

September 28, 2016

Cook Biotech Incorporated Nick Wang, Ph.D. Regulatory Affairs Scientist 1425 Innovation Place West Lafayette, Indiana 47906

Re: K160136

Trade/Device Name: Flowable Wound Matrix Regulatory Class: Unclassified Product Code: KGN Dated: September 2, 2016 Received: September 6, 2016

Dear Dr. Wang:

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.

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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

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

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Indications for Use

510(k) Number (if known) K160136

Device Name Flowable Wound Matrix

Indications for Use (Describe) The Flowable Wound Matrix is intended for the management of wounds including:

  • partial and full-thickness wounds,

  • pressure ulcers,

  • venous ulcers,

  • diabetic ulcers,

  • chronic vascular ulcers,

  • tunneled/undermined wounds.

  • surgical wounds (donor sites/grafts, post-Moh's surgery, post-laser surgery, podiatric, wound dehiscence),

  • trauma wounds (abrasions, lacerations, 2nd degree burns, skin tears),

  • draining wounds.

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary

| Submitted By: | Perry W. Guinn
Vice President of Quality Assurance & Regulatory Affairs
Cook Biotech Incorporated
1425 Innovation Place
West Lafayette, IN 47906
(765) 497-3355
23 September 2016 |

--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Name of Device:

Trade/Proprietary Name:Flowable Wound Matrix
510(k) Number:K160136
Common/Usual Name:Dressing, Wound, Collagen
Classification Name:Dressing, Wound, Collagen
Product Code:KGN
Device Class:The product code KGN is considered by FDA to be unclassified.

Predicate Device:

Oasis Wound Matrix (K061711)

Reference Devices:

Integra Flowable Wound Matrix (K072113) Cook ECM Powder (K152033) MicroMatrix (K153754)

Intended Use:

The Flowable Wound Matrix is intended for the management of wounds including: partial and full-thickness wounds, pressure ulcers, venous ulcers, diabetic ulcers, chronic vascular ulcers, tunneled/undermined wounds, surgical wounds (donor sites/grafts, post-Moh's surgery, post-laser surgery, podiatric, wound dehiscence), trauma wounds (abrasions, lacerations, 2nd degree burns, skin tears) and draining wounds.

Device Description:

The Flowable Wound Matrix is a wound management device consisting of particulate Porcine Small Intestinal Submucosa (SIS) and fructose, a natural carrier. The device is an addition to the family of SIS-based wound management devices (Oasis Wound Matrix (K061711) and Cook ECM Powder (K152033)) already manufactured by Cook Biotech

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Incorporated. The device is supplied dry, rehydrated with saline at the time of application, and delivered topically to the wound through a pre-supplied syringe. SIS, which composes the majority of the device, is the same base material as that of the predicate device Oasis Wound Matrix (K061711) and reference device Cook ECM Powder (K152033). In addition to SIS, the device also contains fructose, a carrier added only to facilitate the preparation and delivery of the device. Fructose is a sugar naturally found in the body and is readily metabolized. The Flowable Wound Matrix is meant to be employed by the user to manage wounds of the types outlined in the intended use of the device. The device achieves its intended use by providing a scaffold for cellular invasion and capillary growth, and maintaining a supportive environment for wound management.

Comparison to Predicate Device:

The subject and predicate devices share the same fundamental technology; the main components of both devices are porcine SIS. The main difference between the subject and predicate is the device configuration and method of application. The Oasis Wound Matrix is supplied as a dry sheet of SIS and is applied topically by rehydrating and placing the sheet directly onto a wound. The Flowable Wound Matrix, in contrast, is particulate SIS supplied dry in a cylindrical shape. Upon rehydration with saline, the device acquires a gel-like consistency and can be applied directly to the wound site using the supplied syringe.

Summary of Non-Clinical Tests:

The following testing was performed to demonstrate substantial equivalence:

  • Biocompatibility Testing:
    • o Cytotoxicity
    • o Sensitization
    • Irritation/Intracutaneous Reactivity O
    • O Acute Systemic Toxicity
  • Other Testing: ●
    • Rehydration and Deployment o
    • o Package Integrity
    • Shelf Life o
    • Collagen Characterization (Western Blot and Digital Scanning o Calorimetry)

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Substantial Equivalence:

Table 5-1 provides a comparison of the subject and predicate devices.

To provide further evidence of substantial equivalence, CBI used the 510(k) Decision-Making Flowchart from the FDA guidance document Evaluating Substantial Equivalence in Premarket Notifications [510(k)] (July 28, 2014) to compare and assess the intended use and the technological characteristics of the subject and predicate devices. Specifically, the intended uses of both devices are identical. In terms of technological characteristics, while the subject device differs from the predicate device in form (sheet vs. flowable), both devices share the same underlying technology, namely topical application of porcine SIS for wound management. In this 510(k), CBI submits biocompatibility, deployment, package and shelf-life testing as evidence to demonstrate the device can function as intended and performs comparably to the predicate device that is currently marketed for the same intended use. In conclusion, CBI believes the Flowable Wound Matrix is substantially equivalent to the Oasis Wound Matrix based on success in non-clinical testing and the identical nature of the fundamental technology and intended use.

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| | Flowable Wound
Matrix (Subject
Device) | Oasis® Wound Matrix
(Predicate Device) | Integra™ Flowable
Wound Matrix
(Reference Device) | Cook ECM Powder
(Reference Device) | MicroMatrix®
(Reference Device) | | Flowable Wound
Matrix (Subject
Device) | Oasis® Wound Matrix
(Predicate Device) | Integra™ Flowable
Wound Matrix
(Reference Device) | Cook ECM Powder
(Reference Device) | MicroMatrix
(Reference Device) |
|-----------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------|------------------------------------------------------------------------|
| 510(k)
number | K160136 | K061711 | K072113 | K152033 | K153754 | Dimensions | Particles of ≤1000 µm
in diameter
Volume of device is
1.25cc | 2 cm x 2 cm to 20 cm
by 40 cm | Collagen Particles of
200 – 2000 um in
diameter*
Volume of device is
3cc | Particles of ≤1000 µm
in diameter | Two particle
distributions, particles
of