K Number
K160379
Device Name
Exufiber Ag+
Date Cleared
2016-08-25

(197 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For over-the-counter use, Exufiber Ag+ may be used for: - · Abrasions - · Lacerations - Minor cuts - · Minor scalds and burns Under the supervision of a healthcare professional, Exufiber Ag+ is intended to be used on the following medium to high exuding wounds: - · Leg ulcers (venous stasis ulcers and ulcers and ulcers of mixed etiology) and diabetic foot ulcers - · Pressure ulcers (partial and full thickness) - Partial thickness burns - · Donor sites and other wounds that are prone to bleeding, such as debrided wounds - Traumatic wounds - Surgical wounds that heal by primary intention, such as dermatological incisions (e.g. orthopaedic and vascular), and surgical wounds left to heal by secondary intention, such as dehisced surgical incisions - · Oncology wounds with exudate, such as fungoides-cutaneous tumours, fungating carcinoma, cutaneous metastasis, Kaposi's sarcoma and angiosarcoma Exufiber Ag+ may be used for management of wounds as an effective barrier to bacterial penetration of the dressing, as this may help to reduce the risk of infection. Indicated wear time: up to seven (7) days.
Device Description
Exufiber Ag+ Antimicrobial Gelling Fibre Dressing is a highly absorbent and gel-forming wound dressing that is intended to be used on medium to high exuding wound fluid, creating a soft gel and maintaining a moist wound healing environment. The dressing consists of a polyvinyl alcohol (PVA) pad or ribbon, coated on both sides with silver sulfate to act as a preservative in the dressing to inhibit or reduce microbial growth.
More Information

No
The device description and performance studies focus on the material properties and antimicrobial efficacy of a wound dressing, with no mention of AI or ML.

Yes
The device is described as a wound dressing intended to promote healing by absorbing exudate and maintaining a moist environment, and is listed for various wound types, aligning with the definition of a therapeutic device.

No

This device is a wound dressing designed for the management and healing of wounds, not for diagnosing conditions. Its primary function is to absorb exudate, create a moist healing environment, and act as a barrier to bacterial penetration.

No

The device description clearly states it is a "Gelling Fibre Dressing" consisting of a "polyvinyl alcohol (PVA) pad or ribbon," which are physical components, not software.

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 (like blood, urine, or tissue) to detect diseases, conditions, or infections.
  • Device Function: The Exufiber Ag+ is a wound dressing. Its function is to absorb wound exudate, create a moist healing environment, and act as a barrier to bacterial penetration. It is applied externally to the wound.
  • Intended Use: The intended use describes the conditions and types of wounds the dressing is designed to manage. This involves direct application to the wound surface, not analysis of a sample taken from the body.
  • Device Description: The description details the physical composition and mechanism of action of the dressing, which is related to wound management, not diagnostic testing.
  • Performance Studies: The performance studies focus on parameters relevant to wound dressings, such as cytotoxicity, irritation, sensitization, wound healing, and antimicrobial efficacy. These are not typical performance metrics for IVDs.

Therefore, the Exufiber Ag+ Antimicrobial Gelling Fibre Dressing is a medical device used for wound management, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

For over-the-counter use, Exufiber Ag+ may be used for:

  • · Abrasions
  • · Lacerations
  • Minor cuts
  • · Minor scalds and burns

Under the supervision of a healthcare professional, Exufiber Ag+ is intended to be used on the following medium to high exuding wounds:

  • · Leg ulcers (venous stasis ulcers and ulcers and ulcers of mixed etiology) and diabetic foot ulcers
  • · Pressure ulcers (partial and full thickness)
  • Partial thickness burns
  • · Donor sites and other wounds that are prone to bleeding, such as debrided wounds
  • Traumatic wounds
    · Surgical wounds that heal by primary intention, such as dermatological incisions (e.g. orthopaedic and vascular), and surgical wounds left to heal by secondary intention, such as dehisced surgical incisions
    · Oncology wounds with exudate, such as fungoides-cutaneous tumours, fungating carcinoma, cutaneous metastasis, Kaposi's sarcoma and angiosarcoma

Exufiber Ag+ may be used for management of wounds as an effective barrier to bacterial penetration of the dressing, as this may help to reduce the risk of infection.

Indicated wear time: up to seven (7) days.

Product codes (comma separated list FDA assigned to the subject device)

FRO

Device Description

Exufiber Ag+ Antimicrobial Gelling Fibre Dressing is a highly absorbent and gel-forming wound dressing that is intended to be used on medium to high exuding wound fluid, creating a soft gel and maintaining a moist wound healing environment. The dressing consists of a polyvinyl alcohol (PVA) pad or ribbon, coated on both sides with silver sulfate to act as a preservative in the dressing to inhibit or reduce microbial growth.

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; For over-the-counter use.

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)

In vitro and in vivo methods have been used to demonstrate the safety and effectiveness of the Exufiber Ag+ Antimicrobial Gelling Fibre Dressing with regards to the following parameters:

  • Cytotoxicity
  • . Irritation
  • . Sensitization
  • Wound healing model
  • . Antimicrobial efficacy against 11 strains
  • Silver release kinetics ●
  • . Minimum effective concentration

No clinical data was required to support substantial equivalence.

Key results: Substantial equivalence has been demonstrated through a comparison of intended use, design, and technological characteristics as well as performance testing. Exufiber Ag+ is at least as safe and effective, and performs at least as well as the predicate device, Aquacel Ag Extra.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

Aquacel Aq Extra Hydrofiber Dressing with Silver and Strengthening Fiber (K121275)

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

K122634, K123892, K130040

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

N/A

0

Image /page/0/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized image of three faces in profile, stacked on top of each other. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the image.

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

August 25, 2016

Mölnlycke Health Care US, LLC Ms. Megan Bevill Manager, Regulatory Affairs 5550 Peachtree Parkway, Suite 500 Norcross. GA 30092

Re: K160379

Trade/Device Name: Exufiber Ag+ Antimicrobial Gelling Fibre Dressing Regulatory Class: Unclassified Dated: July 22, 2016 Received: July 25, 2016

Dear Ms. Bevill:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set 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" (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,

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

Indications for Use

510(k) Number (if known) K160379

Device Name

Exufiber® Ag+ Antimicrobial Gelling Fibre Dressing

Indications for Use (Describe)

For over-the-counter use, Exufiber Ag+ may be used for:

  • · Abrasions
  • · Lacerations
  • Minor cuts
  • · Minor scalds and burns

Under the supervision of a healthcare professional, Exufiber Ag+ is intended to be used on the following medium to high exuding wounds:

  • · Leg ulcers (venous stasis ulcers and ulcers and ulcers of mixed etiology) and diabetic foot ulcers
  • · Pressure ulcers (partial and full thickness)
  • Partial thickness burns
  • · Donor sites and other wounds that are prone to bleeding, such as debrided wounds
  • Traumatic wounds

· Surgical wounds that heal by primary intention, such as dermatological incisions (e.g. orthopaedic and vascular), and surgical wounds left to heal by secondary intention, such as dehisced surgical incisions

· Oncology wounds with exudate, such as fungoides-cutaneous tumours, fungating carcinoma, cutaneous metastasis, Kaposi's sarcoma and angiosarcoma

Exufiber Ag+ may be used for management of wounds as an effective barrier to bacterial penetration of the dressing, as this may help to reduce the risk of infection.

Indicated wear time: up to seven (7) days.

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

X Prescription Use (Part 21 CFR 801 Subpart D)X Over-The-Counter Use (21 CFR 801 Subpart C)
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510(k) SUMMARY

This 510(k) summary information is being submitted in accordance with the requirements of 21 CFR 807.92(c).

Date Prepared:August 23, 2016
Applicant:MöInlycke Health Care US, LLC
5550 Peachtree Parkway, Suite 500
Norcross, GA 30092
Registration number: 3004763499
Owner/Operator Number: 8030877
Official Correspondent:Megan Bevill
Manager, Regulatory Affairs
Tel: 470-375-0049
Fax: 678-245-7746
email: megan.bevill@molnlycke.com
Trade/Proprietary Names:Exufiber Ag+ Antimicrobial Gelling Fibre Dressing
Requlation Name:Dressing, Wound, Drug
Device Class:Unclassified
Product Code:FRO
Predicate Device Name(s):Aquacel Aq Extra Hydrofiber Dressing with Silver and
Strengthening Fiber (K121275)

Description of Device:

Exufiber Ag+ Antimicrobial Gelling Fibre Dressing is a highly absorbent and gel-forming wound dressing that is intended to be used on medium to high exuding wound fluid, creating a soft gel and maintaining a moist wound healing environment. The dressing consists of a polyvinyl alcohol (PVA) pad or ribbon, coated on both sides with silver sulfate to act as a preservative in the dressing to inhibit or reduce microbial growth.

Intended Use/Indication for Use:

For over-the-counter use, Exufiber Ag+ may be used for:

  • Abrasions
  • Lacerations ●
  • Minor cuts
  • Minor scalds and burns

Under the supervision of a healthcare professional, Exufiber Ag+ is intended to be used on the following medium to high exuding wounds:

  • Leg ulcers (venous stasis ulcers, arterial ulcers and ulcers of mixed etiology) and diabetic foot ulcers
  • Pressure ulcers (partial and full thickness)
  • Partial thickness burns
  • Donor sites and other wounds that are prone to bleeding, such as debrided wounds ●
  • . Traumatic wounds

4

  • Surgical wounds that heal by primary intention, such as dermatological and surgical incisions . (e.g. orthopaedic and vascular), and surgical wounds left to heal by secondary intention, such as dehisced surgical incisions
  • . Oncology wounds with exudate, such as fungoides-cutaneous tumours, fungating carcinoma, cutaneous metastasis, Kaposi's sarcoma and angiosarcoma

Exufiber Ag+ may be used for management of wounds as an effective barrier to bacterial penetration of the dressing, as this may help to reduce the risk of infection.

Indicated wear time: up to seven (7) days.

5

Technological Characteristics:

FeatureExufiber Ag+Aquacel Ag ExtraSubstantial Equivalence Comments
510(k)
clearanceSubject of submissionK121275NA
Rationale for
inclusionSubject of submissionPredicate deviceNA
ManufacturerMölnlycke Health CareConvaTec Inc.NA
Class nameDressing, wound, drugDressing, wound, drugSame classification as predicate
ClassUnclassifiedUnclassifiedSame classification as predicate
Product codeFROFROSame product code as predicate
Indication for
use/Intended
useFor over-the-counter use, Exufiber Ag+ may be used for:
AbrasionsLacerationsMinor cutsMinor scalds and burns
Under the supervision of a healthcare professional,
Exufiber Ag+ is intended to be used on the following
medium to high exuding wounds:
Leg ulcers (venous stasis ulcers, arterial ulcers
and ulcers of mixed etiology) and diabetic foot
ulcersPressure ulcers (partial and full thickness)Partial thickness burnsDonor sites and other wounds that are prone to
bleeding, such as debrided woundsTraumatic woundsSurgical wounds that heal by primary intention,
such as dermatological and surgical incisions
(e.g. orthopaedic and vascular), and surgical
wounds left to heal by secondary intention, such
as dehisced surgical incisionsOncology wounds with exudate, such as
fungoides-cutaneous tumours, fungating
carcinoma, cutaneous metastasis, Kaposi's
sarcoma and angiosarcoma
Exufiber Ag+ may be used for management of wounds as
an effective barrier to bacterial penetration of the dressing,
as this may help to reduce the risk of infection.
Indicated wear time: up to seven (7) days.For over-the-counter use, Aquacel Ag Extra may be used
for:
AbrasionsLacerationsMinor cutsMinor scalds and burns
Under the supervision of a healthcare professional,
Aquacel Ag Extra may be used for the management of:
Wounds as an effective barrier to bacterial
penetration of the dressing as this may help
reduce infectionPartial thickness (2nd degree) burnsDiabetic foot ulcers, leg ulcers, (venous stasis
ulcers, arterial ulcers and leg ulcers of mixed
etiology) and pressure ulcers/sores (partial and
full thickness)Surgical wounds left to heal by secondary
intention such as dehisced surgical incisionsSurgical wounds that heal by primary intent such
as dermatological and surgical incisions (e.g.,
orthopedic and vascular)Traumatic woundsWounds that are prone to bleeding, such as
wounds that have been mechanically or
surgically debrided and donor sitesOncology wounds with exudate, such as
fungoides-cutaneous tumors, fungating
carcinoma, cutaneous metastasis, Kaposi's
sarcoma, and angioarcomaPainful woundsInfected woundsThe subject device is indicated for the
same wound types as the predicate
Physical
designNonwoven pad or ribbonNonwoven pad or ribbonSame as predicate
Dressing
propertiesHighly absorbent, cohesive, gel formingHighly absorbent, cohesive, gel formingSame as predicate
Dressing
materialPolyvinyl alcohol (PVA) fibresCarboxymethylcellulose (CMC) fibresThe subject and predicate devices are
both manufactured from highly
absorbent base materials. Exufiber
Ag+ has been shown to be suitable for
its intended use through
biocompatibility and bench testing.

PVA has been cleared for use in
wound care applications under
K122634 (Iodofoam Iodophor Foam
Dressing), and others. |
| Antimicrobial
agent and
content | Silver, in the form of silver sulfate
0.2 mg/cm², as silver | Ionic silver
0.18 mg/cm² | The subject and predicate devices
utilize similar antimicrobial agents but
in different chemical forms.

The silver sulfate used in the subject
device is the same silver sulfate that is
used in other Mölnycke silver
dressings, including Mepilex Transfer
Ag (K123892) and Mepitel Ag
(K130040). |
| Single use or
Reusable | Single Use | Single Use | Same as predicate |
| Sterility | Sterile (EtO) | Sterile (gamma) | The subject and predicate devices are
both provided sterile and are sterilized
by traditional methods.

Mölnlycke's Mepilex Transfer Ag
(K123892) and Mepitel Ag (K130040)
dressings are sterilized using the same
EtO process as the subject device. |

6

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Performance Data:

In vitro and in vivo methods have been used to demonstrate the safety and effectiveness of the Exufiber Ag+ Antimicrobial Gelling Fibre Dressing with regards to the following parameters:

  • Cytotoxicity
  • . Irritation
  • . Sensitization
  • Wound healing model
  • . Antimicrobial efficacy against 11 strains
  • Silver release kinetics ●
  • . Minimum effective concentration

Clinical Data:

No clinical data was required to support substantial equivalence.

Conclusion:

Substantial equivalence has been demonstrated through a comparison of intended use, design, and technological characteristics as well as performance testing. Exufiber Ag+ is at least as safe and effective, and performs at least as well as the predicate device, Aquacel Ag Extra.