K Number
K182191
Device Name
Invia Abdominal Dressing Kit
Manufacturer
Date Cleared
2019-02-01

(172 days)

Product Code
Regulation Number
878.4780
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Invia Abdominal Dressing Kit is indicated for temporary bridging of abdominal wall openings where primary closure is not possible and/or repeat abdominal entries may be required. Its intended use is with patients who have open abdominal wounds with exposed viscera and organs, and including but not limited to patients with abdominal compartment syndrome. It is intended for use in acute hospital settings (trauma, general and plastic surgery wards) and should ideally be applied in the operating theatre. The dressing kit is intended for use together with the Invia Liberty NPWT System.
Device Description
The Invia Abdominal Dressing Kit consists of an Organ Contact Layer (OCL), two foam pads, four transparent films and a suction interface (Invia FitPad). - -The OCL is an oval polyurethane film with fenestrations intended to protect the abdominal content and enable fluid drainage from the abdomen. - -The foam pad is an oval hydrophobic polyurethane foam with open cell structure intended to be placed over the OCL in order to distribute the negative pressure across the wound surface and allow passage of fluids and exudates through to the negative pressure system. - -The transparent film is a thin transparent polyurethane film with acrylic adhesive intended to fixate the wound filler and seal tight to the skin. - The Invia FitPad is intended to distribute negative pressure to the wound and transport exudates from the abdominal cavity to the canister of the Invia Liberty Negative Pressure Wound Therapy (NPWT) pump. The components of the Invia Abdominal Dressing Kit are packaged sterile and are for single use only.
More Information

No
The description focuses on the physical components and mechanical function of a wound dressing kit used with a negative pressure wound therapy system. There is no mention of AI or ML in the intended use, device description, or performance studies.

Yes
The device is described for "temporary bridging of abdominal wall openings" and is used in "patients who have open abdominal wounds with exposed viscera and organs, and including but not limited to patients with abdominal compartment syndrome," indicating a direct therapeutic action for a medical condition.

No

The device is an abdominal dressing kit used for temporary bridging of abdominal wall openings and is intended for wound care, specifically Negative Pressure Wound Therapy (NPWT), to manage open abdominal wounds, not to diagnose a condition.

No

The device description clearly outlines physical components such as an Organ Contact Layer, foam pads, transparent films, and a suction interface. These are hardware components, not software.

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

Here's why:

  • Intended Use: The intended use is for temporary bridging of abdominal wall openings and managing open abdominal wounds with exposed viscera and organs. This is a therapeutic and wound management application, not a diagnostic one.
  • Device Description: The components (Organ Contact Layer, foam pads, transparent films, suction interface) are designed for physical wound management, fluid drainage, and applying negative pressure. They do not perform any in vitro testing of biological samples to diagnose a condition.
  • Lack of Diagnostic Function: There is no mention of the device analyzing biological samples (blood, urine, tissue, etc.) to provide diagnostic information about a patient's health status.
  • Performance Studies: The performance studies focus on the device's ability to maintain pressure, remove exudate, and function in a wound model, which are all related to its therapeutic function.

In vitro diagnostics are devices used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information for the diagnosis, monitoring, or treatment of a disease or condition. This device does not fit that description.

N/A

Intended Use / Indications for Use

The Invia Abdominal Dressing Kit is indicated for temporary bridging of abdominal wall openings where primary closure is not possible and/or repeat abdominal entries may be required. Its intended use is with patients who have open abdominal wounds with exposed viscera and organs, and including but not limited to patients with abdominal compartment syndrome. It is intended for use in acute hospital settings (trauma, general and plastic surgery wards) and should ideally be applied in the operating theatre. The dressing kit is intended for use together with the Invia Liberty NPWT System.

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

OMP, FTL

Device Description

The Invia Abdominal Dressing Kit consists of an Organ Contact Layer (OCL), two foam pads, four transparent films and a suction interface (Invia FitPad).

  • -The OCL is an oval polyurethane film with fenestrations intended to protect the abdominal content and enable fluid drainage from the abdomen.
  • -The foam pad is an oval hydrophobic polyurethane foam with open cell structure intended to be placed over the OCL in order to distribute the negative pressure across the wound surface and allow passage of fluids and exudates through to the negative pressure system.
  • -The transparent film is a thin transparent polyurethane film with acrylic adhesive intended to fixate the wound filler and seal tight to the skin.
  • The Invia FitPad is intended to distribute negative pressure to the wound and transport | exudates from the abdominal cavity to the canister of the Invia Liberty Negative Pressure Wound Therapy (NPWT) pump.

The components of the Invia Abdominal Dressing Kit are packaged sterile and are for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Abdominal wall openings, abdomen, abdominal cavity

Indicated Patient Age Range

Not Found

Intended User / Care Setting

acute hospital settings (trauma, general and plastic surgery wards); applied in the operating theatre by a trained physician.

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)

  • Risk Analysis developed in accordance with ISO 14971: 2007.
  • A usability process, following the recommendations of the FDA guidance document . Applying Human Factors and Usability Engineering to Medical Devices (Feb. 3, 2016), was used in the development and evaluation of the usability of the Invia Abdominal Wound Dressing.
    • Three usability experts conducted the heuristic evaluations of the dressing kit and O dressing kit IFU.
    • o A use-related risk analysis of the dressing kit was also developed.
    • Human factors validation testing of Invia Abdominal Dressing Kit included 15 о surgeons with experience operating on open abdomens, representing the expected end users of this product. Participants completed validation sessions that included training representative of that provided in actual use followed by a decay period of one hour before completing usability testing scenarios related to realistic product use. Results of the validation study were successful, with very low error rates observed for the performance scenarios.
  • Performance testing demonstrated the functionality of the Invia Abdominal Dressing Kit . in combination with the separately cleared compatible NPWT pump as compared to the cleared predicate abdominal dressing kit with its compatible NPWT pump. Testing was completed to demonstrate that the pressure at the wound is within 10% of the setpoint using a wound model, simulated wound exudates, and multiple pressure sensors within the wound model. Testing further demonstrated effective removal of simulated wound exudate from the wound model. Multiple vacuum settings over 30 minutes and 73 hours were used to demonstrate both short and long term performance in pressure stability and removal of simulated wound exudate. Tests were also performed for a short period of time to verify the leakage and blockage notification functionality is in accordance with the description in the Invia Liberty Pump Instructions for use. Comparison to the predicate Mölnlycke Avance Abdominal Dressing Kit (K130852) with its compatible pump was made to demonstrate equivalent performance with NaCl exudate removal over 30 minutes. Results demonstrated that both the Invia Abdominal Dressing Kit and the Ayance Foam Abdominal Dressing Kit maintained constant vacuum values within the wound model, with efficient liquid being discharged through the interface and draining into the pump canister at their intended settings. The data demonstrate adequate vacuum performance of the Abdominal Dressing Kit and substantial equivalence to the predicate Mölnlycke Avance Abdominal Dressing Kit (K130852).
  • The ethylene oxide sterilization process was validated according to ISO 11135-1:2007 ● including Annex A (Biological Indicators) and B (Overkill Approach). A sub-lethal cycle (biological indicators, bacteriostatic and fungistasis, product sterility and bioburden), half cycle (biological indicator) and routine cycles (EO and ECH residuals) were performed to establish that an SAL of at least 10° is provided by the cycle and that EO residuals meet the limits in ANSI/AAMI/ISO 10993-7.
  • The sealed Tyvek packaging underwent environmental conditioning, transit simulation and integrity testing, which include visual inspection per ASTM F1886, bubble leak integrity testing per ASTM F2096 and peel strength testing per ASTM F88.
  • . Accelerated aging tests were performed to support this 2-year shelf life via methods published in FDA recognized standard ASTM F1980-07 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices.
  • The Foam, Transparent Film and Suction Port (FitPad) in their final finished form are ● identical to the Foam. Transparent Film and Suction Port (FitPad) cleared in K170088. Due to the extended use of the foam and film, the following biocompatibility endpoint was evaluated in addition to those recommended for an external communicating device in prolonged contact with tissue/bone/dentin according to the 2016 FDA guidance document Use of International Standard ISO 10993-1, "Biological evaluation of medical devices -Part 1: Evaluation and testing within a risk management process" : Hemocompatibility. Biocompatibility Testing was also performed for the OCL according to the Good Laboratory Practice requirements and biocompatibility evaluation endpoints for an implant device in prolonged contact with tissue/ bone as listed in the aforementioned 2016 FDA biocompatibility guidance document. The following additional biocompatibility endpoint was also assessed for the OCL: Hemocompatibility.

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.

K130852 Mölnlycke Avance Foam Abdominal Dressing Kit

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.

K170088 Invia FitPad Dressing Kit, K142626 Invia Liberty Negative Pressure Wound Therapy System

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

§ 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/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the seal of the Department of Health & Human Services. To the right of that is the FDA logo, which consists of the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG" in blue, and then the word "ADMINISTRATION" in a smaller font size below that.

February 1, 2019

Medela AG % Adrienne Lenz Senior Medical Device Regulation Expert Hyman, Phelps & McNamara, P.C. 700 Thirteenth Street, N.W., Suite 1200 Washington, District of Columbia 20005

Re: K182191

Trade/Device Name: Invia Abdominal Dressing Kit Regulation Number: 21 CFR 878.4780 Regulation Name: Powered Suction Pump Regulatory Class: Class II Product Code: OMP, FTL Dated: January 3, 2019 Received: January 3, 2019

Dear Adrienne Lenz:

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 mav, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be avare that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely.

Kimberly Ferlin -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) K182191

Device Name Invia Abdominal Dressing Kit

Indications for Use (Describe)

The Invia Abdominal Dressing Kit is indicated for temporary bridging of abdominal wall openings where primary closure is not possible and/or repeat abdominal entries may be required. Its intended use is with patients who have open abdominal wounds with exposed viscera and organs, and including but not limited to patients with abdominal compartment syndrome. It is intended for use in acute hospital settings (trauma, general and plastic surgery wards) and should ideally be applied in the operating theatre. The dressing kit is intended for use together with the Invia Liberty NPWT System.

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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3

Medela AG

510(k) Summary - K182191

In accordance with 21 CFR 807.92 the following summary of information is provided:

DATE: January 31, 2019

SUBMITTER:

Medela AG Lättichstrasse 4b 6341 Baar / Switzerland Phone +41 (0)41 769 51 51 Fax + 41 (0)41 769 51 00

PRIMARY CONTACT PERSON:

Adrienne Lenz, RAC Senior Medical Device Regulation Expert Hyman, Phelps & McNamara, P.C. T (202)737-4292

SECONDARY CONTACT PERSON:

Judith Bernardo Global RA Director & Team Leader Global RA Healthcare Medela AG

DEVICE:

TRADE NAME: Invia Abdominal Dressing Kit

COMMON/USUAL NAME: Negative Pressure Wound Therapy Dressing Kit, Mesh, Surgical, Polymeric

CLASSIFICATION NAMES: 878.4780 Powered Suction Pump, 878.3300 Surgical mesh

PRODUCT CODE: OMP, FTL

PREDICATE DEVICE(S):

K130852 Mölnlycke Avance Foam Abdominal Dressing Kit K170088 Invia FitPad Dressing Kit (Reference Device) K142626 Invia Liberty Negative Pressure Wound Therapy System (Reference Device)

4

DEVICE DESCRIPTION:

The Invia Abdominal Dressing Kit consists of an Organ Contact Layer (OCL), two foam pads, four transparent films and a suction interface (Invia FitPad).

  • -The OCL is an oval polyurethane film with fenestrations intended to protect the abdominal content and enable fluid drainage from the abdomen.
  • -The foam pad is an oval hydrophobic polyurethane foam with open cell structure intended to be placed over the OCL in order to distribute the negative pressure across the wound surface and allow passage of fluids and exudates through to the negative pressure system.
  • -The transparent film is a thin transparent polyurethane film with acrylic adhesive intended to fixate the wound filler and seal tight to the skin.
  • The Invia FitPad is intended to distribute negative pressure to the wound and transport | exudates from the abdominal cavity to the canister of the Invia Liberty Negative Pressure Wound Therapy (NPWT) pump.

The components of the Invia Abdominal Dressing Kit are packaged sterile and are for single use only.

INTENDED USE:

The Invia Abdominal Dressing Kit is indicated for temporary bridging of abdominal wall openings where primary closure is not possible and/or repeat abdominal entries may be required. Its intended use is with patients who have open abdominal wounds with exposed viscera and organs, and including but not limited to patients with abdominal compartment syndrome. It is intended for use in acute hospital settings (trauma, general and plastic surgery wards) and should ideally be applied in the operating theatre. The dressing kit is intended for use together with the Invia Liberty NPWT System.

DETERMINATION OF SUBSTANTIAL EQUIVALENCE:

SUMMARY OF TECHNOLOGICAL CHARACTERISTICS OF THE DEVICE COMPARED TO THE PREDICATE DEVICE

The Invia Abdominal Dressing Kit is substantially equivalent to the Mölnlycke Abdominal Dressing Kit (K130852), which has equivalent indications for use, intended use and technological characteristics. Additionally, the film, foam and FitPad components used within the Medela Invia Abdominal Dressing kit are identical to those cleared for use in NPWT in 510(k) K170088 Invia Foam Dressing Kit with FitPad. Reference is also given to the Invia Liberty NPWT System (K142626) as the compatible pump used with the Invia Abdominal Dressing Kit.

The table below summarizes the key differences between the Invia Abdominal Dressing Kit and the predicate device.

5

Predicate DeviceInvia Abdominal Dressing
Mölnlycke Avance Foam
Abdominal Dressing Kit
(K130852)Kit
Indications for UseThe Avance Foam Abdominal
Dressing Kit is indicated for
temporary bridging of abdominal
wall openings where
primary closure is not possible
and/or repeat abdominal entries may
be required. Its intended use is with
patients who have open abdominal
wounds with exposed viscera and
organs, and including but not limited
to patients with abdominal
compartment syndrome. It is
intended for use in acute hospital
settings (trauma, general and plastic
surgery wards) and should ideally be
applied in the operating theatre. The
dressing kit is intended for use
together with the Avance NPWT
pump and its accessories.The Invia Abdominal Dressing Kit
is indicated for temporary bridging
of abdominal wall openings where
primary closure is not possible
and/or repeat abdominal entries may
be required. Its intended use is with
patients who have open abdominal
wounds with exposed viscera and
organs, and including but not limited
to patients with abdominal
compartment syndrome. It is
intended for use in acute hospital
settings (trauma, general and plastic
surgery wards) and should ideally be
applied in the operating theatre. The
dressing kit is intended for use
together with the Invia Liberty
NPWT System.
Contra-indications• Direct positioning NPWT (foam or
gauze dressings) over exposed
organs, large veins and arteries,
anastomotic sites, tendons or nerves
• Malignancy in wounds
• Untreated osteomyelitis
• Non-enteric or unexplored fistulas
• Undebrided wound with necrotic
tissue and eschar present• Direct positioning of NPWT foam
over exposed organs, large veins
and arteries, anastomotic sites,
tendons or nerves (unless suitably
covered with the Organ Contact
Layer)
• Necrotic tissue with eschar present
• Untreated osteomyelitis
• Non-enteric and unexplored
fistulas
• Malignancy in wound
Intended UseIts intended use is with patients who
have open abdominal wounds with
exposed viscera and organs, and
including but not limited to patients
with abdominal compartment
syndrome. It is intended for use in
acute hospital settings (trauma,
general and plastic surgery wards)
and should ideally be applied in the
operating theatre. The dressing kit is
intended for use together with the
Avance NPWT pump and its
accessories.The intended use of the Invia
Abdominal Dressing Kit together
with Invia Liberty NPWT system is
to manage patients with open
abdominal wounds with exposed
viscera and organs, and including
but not limited to patients with
abdominal compartment
syndrome. It is intended for use in
acute hospital settings (trauma,
general and plastic surgery wards)
and should ideally be applied in the
operating theatre by a trained
physician.
Predicate Device
Mölnlycke Avance Foam
Abdominal Dressing Kit
(K130852)Invia Abdominal Dressing
Kit
Environment of UseIt is intended for use in acute
hospital settings (trauma, general and
plastic surgery wards) and should
ideally be applied in the operating
theatre.It is intended for use in acute
hospital settings (trauma, general
and plastic surgery wards) and
should ideally be applied in the
operating theatre by a trained
physician.
Compatible NPWT SystemAvance NPWT Pump (K142626,
K080357)
Suction capacity 5l/min
Max. Vacuum -200 mmHg/-27kPa
Min. Vacuum -60 mmHg/-5.3kPaInvia Liberty Negative Pressure
Wound Therapy System (K142626,
K080357)
Suction capacity 5l/min
Max. Vacuum -200 mmHg/-27 kPa
Min. Vacuum -40 mmHg/-5.3 kPa
Recommended Abdominal
Wound Pressure Setting-120 mmHg-125 mmHg
Recommended Abdominal
Wound Pump SettingConstant ModeConstant Mode
Dressing (to pack the
wound)Green Foam Pad
Uses a reticulated flexible
polyurethane hydrophobic foam
materialCharcoal Foam Pad
Uses a reticulated flexible polyether
and polyurethane hydrophobic foam
material.
Transparent Film (to seal
the wound)Avance® Film with Safetac
technology
Polyurethane film coated with a soft
silicone adhesiveInvia Transparent Film
Vancive MED-9531S (Avery
Dennison)
Polyurethane transparent film with
acrylic adhesive
External suction interface
(ESI)Avance Transfer Pad (single lumen)
Tubing material: PVC
Tape: Acrylic adhesiveInvia FitPad (double lumen tubing
with Quick-Connector)
Tubing material: PVC, RO 1007
K20131 70 S
Body material: PVC, RO 1011
K20108 65 S
Double Adhesive Tape: Avery MED
1832
Predicate Device
Mölnlycke Avance Foam
Abdominal Dressing Kit
(K130852)Invia Abdominal Dressing
Kit
Organ contact layer (OCL
to protect the abdominal
content and enable fluid
drainage from the abdomen)Soft / flexible 60 micron PUR film
Oval 600x800 mm
5 mm fenestrations in square patternSoft / flexible 60 micron PUR film
Oval 600x800 mm
5 mm fenestrations in square pattern
PackagingSingle Use Dressing Kit is packed
sterile. Components are wrapped in
repellent nonwoven wrap and packed
in transparent unit pouch.Single Use Dressing Kit is double
pouched packed sterile in a
Tyvec/Foil pouch
Foam Dimensions (1 x w x h)38 cm × 25 cm × 2 cm (oval)38 cm x 25 cm x 2 cm (oval)
Sterilization methodEthylene oxide sterilizedEthylene oxide sterilized
Shelf lifeNot available2 years

6

7

SUMMARY OF NON-CLINICAL TESTS:

The following were completed in support of the substantial equivalence determination:

  • Risk Analysis developed in accordance with ISO 14971: 2007. ●
  • A usability process, following the recommendations of the FDA guidance document . Applying Human Factors and Usability Engineering to Medical Devices (Feb. 3, 2016), was used in the development and evaluation of the usability of the Invia Abdominal Wound Dressing.
    • Three usability experts conducted the heuristic evaluations of the dressing kit and O dressing kit IFU.
    • o A use-related risk analysis of the dressing kit was also developed.
    • Human factors validation testing of Invia Abdominal Dressing Kit included 15 о surgeons with experience operating on open abdomens, representing the expected end users of this product. Participants completed validation sessions that included training representative of that provided in actual use followed by a decay period of one hour before completing usability testing scenarios related to realistic product use. Results of the validation study were successful, with very low error rates observed for the performance scenarios.

8

  • Performance testing demonstrated the functionality of the Invia Abdominal Dressing Kit . in combination with the separately cleared compatible NPWT pump as compared to the cleared predicate abdominal dressing kit with its compatible NPWT pump. Testing was completed to demonstrate that the pressure at the wound is within 10% of the setpoint using a wound model, simulated wound exudates, and multiple pressure sensors within the wound model. Testing further demonstrated effective removal of simulated wound exudate from the wound model. Multiple vacuum settings over 30 minutes and 73 hours were used to demonstrate both short and long term performance in pressure stability and removal of simulated wound exudate. Tests were also performed for a short period of time to verify the leakage and blockage notification functionality is in accordance with the description in the Invia Liberty Pump Instructions for use. Comparison to the predicate Mölnlycke Avance Abdominal Dressing Kit (K130852) with its compatible pump was made to demonstrate equivalent performance with NaCl exudate removal over 30 minutes. Results demonstrated that both the Invia Abdominal Dressing Kit and the Ayance Foam Abdominal Dressing Kit maintained constant vacuum values within the wound model, with efficient liquid being discharged through the interface and draining into the pump canister at their intended settings. The data demonstrate adequate vacuum performance of the Abdominal Dressing Kit and substantial equivalence to the predicate Mölnlycke Avance Abdominal Dressing Kit (K130852).
  • The ethylene oxide sterilization process was validated according to ISO 11135-1:2007 ● including Annex A (Biological Indicators) and B (Overkill Approach). A sub-lethal cycle (biological indicators, bacteriostatic and fungistasis, product sterility and bioburden), half cycle (biological indicator) and routine cycles (EO and ECH residuals) were performed to establish that an SAL of at least 10° is provided by the cycle and that EO residuals meet the limits in ANSI/AAMI/ISO 10993-7.
  • The sealed Tyvek packaging underwent environmental conditioning, transit simulation and integrity testing, which include visual inspection per ASTM F1886, bubble leak integrity testing per ASTM F2096 and peel strength testing per ASTM F88.
  • . Accelerated aging tests were performed to support this 2-year shelf life via methods published in FDA recognized standard ASTM F1980-07 Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices.
  • The Foam, Transparent Film and Suction Port (FitPad) in their final finished form are ● identical to the Foam. Transparent Film and Suction Port (FitPad) cleared in K170088. Due to the extended use of the foam and film, the following biocompatibility endpoint was evaluated in addition to those recommended for an external communicating device in prolonged contact with tissue/bone/dentin according to the 2016 FDA guidance document Use of International Standard ISO 10993-1, "Biological evaluation of medical devices -Part 1: Evaluation and testing within a risk management process" : Hemocompatibility. Biocompatibility Testing was also performed for the OCL according to the Good Laboratory Practice requirements and biocompatibility evaluation endpoints for an implant device in prolonged contact with tissue/ bone as listed in the aforementioned 2016 FDA biocompatibility guidance document. The following additional biocompatibility endpoint was also assessed for the OCL: Hemocompatibility.

9

Medela AG

SUMMARY OF CLINICAL TESTS:

Clinical testing was not required to demonstrate the substantial equivalence of the Invia Abdominal Dressing Kit to its predicate device.

CONCLUSION:

The differences between the Invia Abdominal Dressing Kit and its predicate device do not introduce a new intended use and do not raise new issues of safety and effectiveness. Verification and Validation testing demonstrated that no adverse effects have been introduced by these differences and that the device performs as intended.

From the results of nonclinical testing described, Medela AG concludes that the Invia Abdominal Dressing Kit is substantially equivalent to the legally marketed predicate device.