K Number
K960099
Device Name
PENROSE DRAIN MODELS 6001 - 6007
Manufacturer
Date Cleared
1996-03-11

(60 days)

Product Code
Regulation Number
878.4680
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Post-operative passive drainage of serosanguineous fluids away from soft tissue operative site.
Device Description
Passive Wound Drain. Flat Silicone Drain. Dimensionally equivalent to the Davol Gravity Drain, except Davol offers both 12" and 18"; Sil-Med Corporation offers 18" only. Both have inner diameter teeth to prevent the drain from collapsing. Both devices have a Radiopaque stripe. Sil-Med Penrose Drains are sold sterile only.
More Information

Davol Gravity Drain

Not Found

No
The device description and intended use describe a simple passive wound drain with no mention of any computational or analytical capabilities that would suggest the use of AI or ML. The performance studies are standard biocompatibility tests, not related to algorithmic performance.

Yes
The device is described as a "Post-operative passive drainage of serosanguineous fluids away from soft tissue operative site," which indicates its use in aiding the healing process after surgery, falling under the definition of a therapeutic device.

No

Explanation: The device is described as a "Post-operative passive drainage of serosanguineous fluids away from soft tissue operative site." Its function is passive drainage, not to diagnose a condition or disease.

No

The device description clearly states it is a "Passive Wound Drain" made of "Flat Silicone Drain" and mentions physical characteristics like dimensions, inner diameter teeth, and a radiopaque stripe. It also describes biocompatibility testing, which is relevant to physical materials, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "Post-operative passive drainage of serosanguineous fluids away from soft tissue operative site." This describes a physical process performed on the patient's body, not a test performed on a sample taken from the body to diagnose a condition.
  • Device Description: The device is a "Passive Wound Drain." This is a physical device used for drainage, not for analyzing biological samples.
  • Lack of IVD Characteristics: The description does not mention any components or functions related to:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring substances in biological samples
    • Providing information for diagnosis, monitoring, or screening of diseases or conditions

IVD devices are used to perform tests in vitro (outside the body) on samples to provide information about a person's health. This device is used in vivo (inside the body) for a physical drainage function.

N/A

Intended Use / Indications for Use

Post-operative passive drainage of serosanguineous fluids away from soft tissue operative site.

Product codes

Not Found

Device Description

Passive Wound Drain

Mentions image processing

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Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue operative site

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

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Description of the test set, sample size, data source, and annotation protocol

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Summary of Performance Studies

Biocompatibility Testing:

  • Rabbit Pyrogen Test: non-pyrogenic
  • Hemolysis-Rabbit Blood: non-hemolytic at 2.02% Hemolysis
  • Salmonella typhimurium Reverse Mutation Assay: non-mutagenic
  • Kligman Maximization Study (Cottonseed Oil Extract): Grade I - weak allergenic potential (not considered significant)
  • Kilgman Maximization Study (Sodium Chloride Extract): Grade I - weak allergenic potential (not considered significant)
  • USP CLASS VI: Satisfied the requirements of USP XXII Biological Test for Plastics, Class VI-121°C
  • ELUTION TEST: non-cytotoxic
  • USP MUSCLE IMPLANTATION STUDY IN RABBITS WITH HISTOPATHOLOGY (90 Days): met USP requirements

Key Metrics

Not Found

Predicate Device(s)

Davol Gravity Drain

Reference Device(s)

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Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4680 Nonpowered, single patient, portable suction apparatus.

(a)
Identification. A nonpowered, single patient, portable suction apparatus is a device that consists of a manually operated plastic, disposable evacuation system intended to provide a vacuum for suction drainage of surgical wounds.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 878.9.

0

K960099

Image /page/0/Picture/1 description: The image shows the logo for SIL-MED. The logo consists of a stylized letter "S" formed by two rounded rectangles stacked on top of each other, with a small circle in the upper left corner. The words "SIL-MED" are printed below the symbol in a bold, sans-serif font, and the registered trademark symbol is present next to both the symbol and the company name.

Sil-Med Corporation

700 WARNER BLVD. TAUNTON, MA 02780 (508) 823-7701 FAX: (508) 823-1438

MAR 1 1 1996

510 (k) Summary

Company: Sil-Med Corporation 700 Warner Boulevard Taunton, MA 02780

Telephone: Fax:

(508) 823-7701 (508) 823-1438

Contact Person: Karen K. Sylvia QA/QC Manager

Trade Name:Penrose Drain
Common Name:Flat Silicone Drain
Classification Name:Apparatice, Single Patient Use, Portable, Non-Powered (878.4680)
Description:Passive Wound Drain
Predicate Device:Davol Gravity Drain
Intended Use:Post-operative passive drainage of serosanguineous fluids away from soft tissue operative site.

Biocompatability Testing:

TestResults
Rabbit Pyrogen Testnon-pyrogenic
Hemolysis-Rabbit Bloodnon-hemolytic at 2.02% Hemolysis
Salmonella typhimurium REVERSE
Mutation ASSAYnon-mutagenic
Kligman Maximization Study
(Cottonseed Oil Extract)Grade I - weak allergenic potential (not
considered significant)
Kilgman Maximization Study (Sodium
Chloride Extract)Grade I - weak allergenic potential (not
considered significant)
USP CLASS VISatisfied the requirements of USP XXII Biological
Test for Plastics, Class VI-121°C
ELUTION TESTnon-cytotoxic
USP MUSCLE IMPLANTATION
STUDY IN RABBITS WITH
HISTOPATHOLOGY (90 Days)met USP requirements

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K960099 ಕಿಳಿದ

Sil-Med Corporation 510 (k) Summary Penrose Drain

page 2

Sil-Med Corporation's Penrose Drain is dimensionally equivalent to the Davol Gravity Drain, except Davol offers both 12" and 18"; Sil-Med Corporation offers 18" only. Both have inner diameter teeth to prevent the drain from collapsing. Both devices have a Radiopaque stripe. Davol Gravity Drains are sold sterile and non sterile. Sil-Med Penrose Drains are sold sterile only. The intended use of both drains is equivalent.

Date: 1/10/96