K Number
K973572
Device Name
KELOCOTE SCAR GEL AND KELOCOTE LASER GEL
Date Cleared
1997-10-21

(32 days)

Product Code
Regulation Number
878.4025
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
KELOCOTE SCAR GEL: FOR THE MANAGEMENT OF HYPERTROPHIC SCARS AND KELOID SCARS AND ASSOCIATED ERYTHEMA SECONDARY TO ANY TRAUMA CAUSING SCARS KELOCOTE LASER GEL: FOR THE MANAGEMENT OF HYPERTROPHIC SCARS AND KELOID SCARS AND ERYTHEMA SECONDARY TO LASER RESURFACING
Device Description
Kelocote Scar Gel and Kelocote Laser Gel are topical silicone elastomer products. Kelocote Gel is described as an amorphous paste with minimal to no elasticity or strength. Kelocote Gel in one form will contain Titanium Oxid or Zinc Oxide for color and concistency. Kelocote is manufactured from Applied Silicone's LSR-30 and or Nusil Technology's MED 4210 and 4211 Silicone Rubber MAF 612.
More Information

Not Found

Not Found

No
The device description and the "Mentions AI, DNN, or ML" section explicitly state that AI/ML is not found. The device is described as a topical silicone elastomer product.

Yes.
The device is intended for the "management of hypertrophic scars and keloid scars and associated erythema," which indicates a therapeutic purpose.

No

Explanation: This device is a topical gel for the management of scars. It does not perform any diagnostic function.

No

The device description clearly states it is a "topical silicone elastomer product" and a "gel," indicating it is a physical substance applied to the skin, 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 the management of hypertrophic and keloid scars and associated erythema. This is a therapeutic application, not a diagnostic one. IVDs are used to diagnose diseases or conditions.
  • Device Description: The device is described as a topical silicone elastomer product. This is a physical product applied to the skin, not a reagent, instrument, or system used to examine specimens from the human body.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting biomarkers, or providing diagnostic information.

The information clearly indicates this is a topical medical device intended for scar management, which falls outside the scope of In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The intended use of Kelocote Scar and Kelocote Laser Gels are for . the management of hypertrophic scars and associated erythema which is commonly associated with scars in the first few months post trauma. Kelocote Scar Gel is applied in a very thin coat and the excess is wiped away. This forms a thin sheet on the skin which is very nearly invisible.

KELOCOTE SCAR GEL:
FOR THE MANAGEMENT OF HYPERTROPHIC SCARS AND KELOID SCARS AND ASSOCIATED ERYTHEMA SECONDARY TO ANY TRAUMA CAUSING SCARS

KELOCOTE LASER GEL:
FOR THE MANAGEMENT OF HYPERTROPHIC SCARS AND KELOID SCARS AND ERYTHEMA SECONDARY TO LASER RESURFACING

Product codes

MDA

Device Description

Kelocote Gel is described as an amorphous paste with minimal to no elasticity or strength. Kelocote Gel in one form will contain Titanium Oxid or Zinc Oxide for color and concistency. Kelocote is manufactured from Applied Silicone's LSR-30 and or Nusil Technology's MED 4210 and 4211 Silicone Rubber MAF 612.

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

Not Found

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

Not Found

Predicate Device(s)

Not Found

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4025 Silicone sheeting.

(a)
Identification. Silicone sheeting is intended for use in the management of closed hyperproliferative (hypertrophic and keloid) scars.(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 the limitations in § 878.9.

0

OCT 2 1 1997

K973572

TAB G

510 (k) Summary

Substantial Equivalence:

Kelocote Scar Gel and Kelocote Laser Gel are topical silicone elastomer products that are substantially equivalent to Kelocote Gel of Allied Biomedical. Allied Biomedical's kelocote was found SE to PMT's Gel Sheeting.

Intended Use:

The intended use of Kelocote Scar and Kelocote Laser Gels are for . the management of hypertrophic scars and associated erythema which is commonly associated with scars in the first few months post trauma. Kelocote Scar Gel is applied in a very thin coat and the excess is wiped away. This forms a thin sheet on the skin which is very nearly invisible.

Physical and Chemical Properties:

Kelocote Gel is described as an amorphous paste with minimal to no elasticity or strength. Kelocote Gel in one form will contain Titanium Oxid or Zinc Oxide for color and concistency. Kelocote is manufactured from Applied Silicone's LSR-30 and or Nusil Technology's MED 4210 and 4211 Silicone Rubber MAF 612.

Package Description:

Packaging will consist of aluminum tubes of varying volumes from 1/6 ounce to 2 ounces. Tubes will be blind mouth with crimped ends. Tubes will be shipped individually or in boxes of 12 in corrugated protective outer boxes.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the perimeter. Inside the circle is a stylized symbol that resembles a human figure with three heads or faces, represented by flowing lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20856

Ms. Kathy Hanson Richardson .Regulatory Affairs Hanson Medical Inc. 19325 58th Place N.E. Seattle, Washington 98155

OCT 2 1 1997

Re: K973572

Trade Name: Kelocote Scar Gel and Kelocote Laser Gel Regulatory Class: Unclassified Product Code: MDA Dated: September 10,1997 Received: September 19, 1997

Dear Ms. Richardson:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements , as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

2

Page 2 - Ms. Kathy Hanson Richardson

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

Celia M. Witten, Ph.D., M.D.

Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

1 of 1

510(k) Number (if known): K973572

Device Name: KELOCOTE SCAR_GEL, KELOCOTE LASER GEL

Indications For Use:

KELOCOTE SCAR GEL:

FOR THE MANAGEMENT OF HYPERTROPHIC SCARS AND KELOID SCARS AND ASSOCIATED ERYTHEMA SECONDARY TO ANY TRAUMA CAUSING SCARS

KELOCOTE LASER GEL:

FOR THE MANAGEMENT OF HYPERTROPHIC SCARS AND KELOID SCARS AND ERYTHEMA SECONDARY TO LASER RESURFACING

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)
---------------------

Division of General Restorative Devices

510(k) NumberL973572
------------------------

Prescription Use (Per 21 CFR 801.109)

OR

Over-The-Counter Use

(Optional Format 1-2-96)

. ا