K Number
K983234
Device Name
TIELLE PLUS HYDROPOLYMER ADHESIVE DRESSING
Date Cleared
1998-11-25

(71 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
TIELLE® PLUS Hydropolymer Dressing is indicated for the management of chronic and acute, moderate to heavily exuding, partial and full thickness wounds including: - Superficial wounds . - 1. Minor abrasions - Skin Tears - 3. Second Degree Burns TIELLE* PLUS Hydropolymer Dressing should be used under health care professional direction for the following indications: - Pressure ulcers Lower extremity ulcers - 1. Venous - 2. Arterial Mixed etlology 3. Diabetic ulcers Donor sites TIELLE* PLUS Hydropolymer Dressing is suitable for use under compression bandaging.
Device Description
TIELLE* PLUS Hydropolymer Dressing is an exudate handling system intended for moderate to heavily exuding wounds. The Island dressing maintains a moist wound environment. A moist wound environment supports the wound healing process by encouraging autolytic debridement thus enabling granulation to proceed under optimum conditions. During use the absorbent island gently expands as it takes up exudate.
More Information

Not Found

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

No
Therapeutic devices are for treating a disease or health problem. This device is a dressing for managing wound exudate and maintaining a moist wound environment, which supports the healing process but does not directly treat a disease.

No
The device is a wound dressing designed for managing exudate and supporting wound healing, not for diagnosing medical conditions.

No

The device description clearly indicates it is a physical dressing ("Hydropolymer Dressing") and the performance studies focus on biocompatibility testing, which is relevant to physical materials, 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, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Description: The TIELLE® PLUS Hydropolymer Dressing is a wound dressing applied externally to the body to manage exudate and promote wound healing. It does not involve testing samples taken from the body.
  • Intended Use: The intended use is for the management of various types of wounds, which is a therapeutic application, not a diagnostic one.

The information provided clearly describes a topical wound care product, not a diagnostic test.

N/A

Intended Use / Indications for Use

TIELLE PLUS Hydropolymer Dressing is indicated for the management of chronic and acute, moderate to heavily exuding, partial and full thickness wounds including:

  • Superficial wounds
    • Minor abrasions
    • Skin Tears
    • Second Degree Burns
      TIELLE* PLUS Hydropolymer Dressing should be used under health care professional direction for the following indications:
  • Pressure ulcers
  • Lower extremity ulcers
    • Venous
    • Arterial
    • Mixed etiology
  • Diabetic ulcers
  • Donor sites
    TIELLE® PLUS Hydropolymer Dressing is suitable for use under compression bandaging.

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

Unknown, MGP

Device Description

TIELLE* PLUS Hydropolymer Dressing is an exudate handling system intended for moderate to heavily exuding wounds. The Island dressing maintains a moist wound environment. A moist wound environment supports the wound healing process by encouraging autolytic debridement thus enabling granulation to proceed under optimum conditions. During use the absorbent island gently expands as it takes up exudate. During use the lesion size may initially increase. This is normal and to be expected prior to wound granulation.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Wounds (Superficial, Pressure ulcers, Lower extremity ulcers, Diabetic ulcers, Donor sites)

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Health care professional direction

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)

The safety tests conducted below are in accordance with ISO 10993 Part-1 "Biological Evaluation Of Medical Devices" and demonstrate the TIELLE* PLUS Hydropolymer Adhesive Dressing is acceptable for use as a Topical Wound Dressing.

PRECLINICAL Testing Results - Adhesive Coated Water Resistant Permeable Polyurethane Backing:

  • AMES bacterial mutagenicity: Non-mutagenic
  • Acute eye irritation: Non-irritant
  • Acute dermal irritation: Non-irritant
  • Skin sensitization: Non-sensitizer
  • Cytotoxicity (Agar Overlay): Non-toxic

Safety / Toxicity Testing - Absorbent Polyurethane Wound Contact Layer (Central Island):

  • Hemolysis (Rabbit RBCs): Non-hemolytic
  • Primary Skin Irritation (Rabbits): Non-irritant
  • Acute Oral Toxicity: Non-cytotoxic
  • Intramuscular Injection Test: Non-cytotoxic
  • Kligman Maximization Test: Non-sensitizer
  • Systemic Injection (Mice): Non-cytotoxicity
  • MEM Elution Test: Non-cytotoxic
  • Agar Diffusion Test: Non-Cytotoxic
  • Ames Assay: Non-mutagenic
  • L5178Y TK+/- Mouse Lymphoma Mutagenesis Assay: Non-mutagenic
  • Rat Oral LD50: LD50 > than 40g/kg
  • Rabbit Dermal LD50: LD50 for B-15J found to be > 5/g/kg
  • Rabbit Dermal Irritancy (Draize): Non-irritating
  • Rabbit Eye Irritation: Non-irritating
  • Human Repeat Insult Patch Test: Non-irritating & Non-sensitising
  • Cytotoxicity Test (Agar Overlay): Non-cytotoxic using L929 mammalian cells

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.

K973688

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.

Not Found

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

510 (k) TIELLE® PLUS Hydropolymer Adhesive Dressing

APPENDIX I

NOV 25 1998

510(k) SUMMARY

Image /page/0/Picture/7 description: The image shows a series of bold, black numbers and a letter, seemingly handwritten. The sequence reads 'K983234'. The characters are large and take up most of the frame, with the letter 'K' appearing first, followed by the numbers in succession.

DATE PREPARED 1.

November 14, 1998

2. SUBMITTER

Johnson & Johnson Medical Division of Ethicon Inc. 2500 Arbrook Blvd. P.O. Box 90130 Arlington, TX 76004-3130

CONTACT PERSON 3.

Terry James Dagnon Regulatory Affairs Project Manager Phone: 817-262-4953 817-262-5369 or 817-262-5292 Fax:

NAME OF THE MEDICAL DEVICE 4.

Classification Name: Common/Usual Name: Proprietary Name:

Dressing, Wound Topical wound dressing TIELLE* PLUS Hydropolymer Adhesive Dressing

DEVICE CLASSIFICATION 5.

Regulatory Class: Product Code:

Unclassified Unknown

STATEMENT OF SUBSTANTIAL EQUIVALENCE હે.

TIELLE* PLUS Hydropolymer Adhesive Dressing is substantially equivalent and identical in function to DuoDERM* CGF Control Gel Formula Border Dressing (K973688) manufactured by ConvaTec -- A Division of E.R. Squibb & Sons, Inc.

INDICATIONS FOR USE 7.

Indications for Use:

TIELLE PLUS Hydropolymer Dressing is indicated for the management of chronic and acute, moderate to heavily exuding, partial and full thickness wounds including:

  • . Superficial wounds
      1. Minor abrasions
      1. Skin Tears
    • Second Degree Burns 3.

TIELLE* PLUS Hydropolymer Dressing should be used under health care professional direction for the following indications:

Pressure ulcers

:

Trademark

Image /page/0/Picture/32 description: The image shows the number 10 in bold font. To the right of the number 10 is a dark, blurry shape. The number 10 is the main focus of the image.

1

12983234

1 1 13

510 (k) TIELLE* PLUS Hydropolymer Adhesive Dressing

Lower extremity uicers

    1. Venous
    1. Arterial
  • Mixed etiology 3. Diabetic ulcers Donor sites

TIELLE® PLUS Hydropolymer Dressing is suitable for use under compression bandaging,

PRECAUTIONS

TIELLE PLUS Dressing is not indicated for use on the following:

  • · Third degree burns
  • · Lesions with active vasculitis as this type of ulcer needs more frequent observation by a healthcare professional.

TIELLE PLUS Dressing may be used when visible signs of infection are present in the wound area only when proper medical treatment addresses the underlying cause.

8. PHYSICAL DESCRIPTION

TIELLE* PLUS Hydropolymer Dressing is an exudate handling system intended for moderate to heavily exuding wounds. The Island dressing maintains a moist wound environment. A moist wound environment supports the wound healing process by encouraging autolytic debridement thus enabling granulation to proceed under optimum conditions. During use the absorbent island gently expands as it takes up exudate. During use the lesion size may initially increase. This is normal and to be expected prior to wound granulation.

9. BIOCOMPATIBILITY

...

The safety tests conducted below are in accordance with ISO 10993 Part-1 "Biological Evaluation Of Medical Devices" and demonstrate the TIELLE* PLUS Hydropolymer Adhesive Dressing is acceptable for use as a Topical Wound Dressing.

Adhesive Coated Water Resistant Permeable Polyurethane Backing

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Non-Woven Wicking Layer (Supraabsorbent)

PRECLINICAL Testing Results
AMES bacterial mutagenicityNon-mutagenic
Acute eye irritationNon-irritant
Acute dermal irritationNon-irritant
Skin sensitizationNon-sensitizer
Cytotoxicity (Agar Overlay)Non-toxic

2

8983234

510 (k) TIELLE* PLUS Hydropolymer Adhesive Dressing

Absorbent Polyurethane Wound Contact Layer (Central Island)

Safety / Toxicity Testing
Hemolysis (Rabbit RBCs)Non-hemolytic
Primary Skin Irritation (Rabbits)Non-irritant
Acute Oral ToxicityNon-cytotoxic
Intramuscular Injection TestNon-cytotoxic
Kligman Maximization TestNon-sensitizer
Systemic Injection (Mice)Non-cytotoxicity
MEM Elution TestNon-cytotoxic
Agar Diffusion TestNon-Cytotoxic
Ames AssayNon-mutagenic
L5178Y TK+/- Mouse Lymphoma Mutagenesis
AssayNon-mutagenic
Rat Oral LD50LD50 > than 40g/kg
Rabbit Dermal LD50LD50 for B-15J found to be > 5/g/kg
Rabbit Dermal Irritancy (Draize)Non-irritating
Rabbit Eye IrritationNon-irritating
Human Repeat Insult Patch TestNon-irritating & Non-sensitising
Cytotoxicity Test (Agar Overlay)Non-cytotoxic using L929 mammalian cells

3

Image /page/3/Picture/2 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with three swooping lines representing its wings. The eagle is positioned within a circular border. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" is arranged around the upper portion of the circle.

NOV 25 1998

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Terry J. Dagnon Johnson & Johnson Medical Division 2500 East Arbrook Blvd. Arlington, Texas 76014

Re: K983234 Trade Name: Tielle Plus Hydropolymer Adhesive Dressing Regulatory Class: Unclassifed Product Code: MGP Dated: September 14, 1998 Received: September 15, 1998

Dear Mr. Dagnon:

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 (the Act). You may, therefore, market your device subject to the general controls provisions of the Federal Food, Drug, and Cosmetic Act (Act) and the following limitations:

This device may not be labeled for use on third degree burns. 1.

This device may not be labeled as having any accelerating effect on the rate of 2. wound healing or epithelization.

  1. This device may not be labeled as a long-term, permanent, or no-change dressing, or as an artificial (synthetic) skin.

This device may not be labeled as a treatment or a cure for any type of wound. 4.

The labeling claims listed above would be considered a major modification in the intended use of the device and would require a premarket notification submission (21 CFR 807.81).

The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practices, labeling, and prohibitions against misbranding and adulteration.

4

Page 2 - Terry J. Dagnon

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 (CFR). Title 21. Parts 800 to 895. A substantially equivalent determination assumes compliance with the Good Manufacturing Practices (GMP) for Medical Devices: General GMP regulation (21 CFR Part 820) and that, through periodic GMP 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.

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 tollfree 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. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

5

510 (k) TIELLE* PLUS Hydropolymer Adhesive Dressing Diabetic Ulcer Submission

510(k) Number :

Johnson & Johnson Medical Applicant: Division of Ethicon Inc. 2500 Arbrook Blvd. Arlinaton. TX 76004-3130

Device Name: TIELLE* PLUS Hydropolymer Dressing

Indications for Use:

TIELLE® PLUS Hydropolymer Dressing is an exudate handling system intended for moderate to heavily exuding wounds. The island dressing maintains a moist wound environment. A moist wound environment supports the wound healing process by encouraging autolytic debridement thus enabling granulation to proceed under optimum conditions. During use the absorbent island gently expands as it takes up exudate.

TIELLE* PLUS Hydropolymer Dressing is indicated for the management of chronic and acute, moderate to heavily exuding, partial and full thickness wounds including:

  • Superficial wounds .
      1. Minor abrasions
    • ﻨﺎ Skin Tears
      1. Second Degree Burns

TIELLE* PLUS Hydropolymer Dressing should be used under health care professional direction for the following indications:

  • Pressure ulcers
    Lower extremity ulcers

    1. Venous
    1. Arterial

Mixed etlology 3. Diabetic ulcers Donor sites

TIELLE* PLUS Hydropolymer Dressing is suitable for use under compression bandaging.

PRECAUTIONS

TIELLE PLUS Dressing is not indicated for use on the following:

  • · Third degree burns
  • · Lesions with active vasculitis as this type of ulcer needs more frequent observation by a healthcare professional.

TIELLE PLUS Dressing may be used when visible signs of infection are present in the wound area only when proper medical treatment addresses the underlying cause.

(Please Do Not Write Below This Line-Continue on Another Page if Needed)

Or

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) Over-The-Counter Use

Counter Use

Division Sign-Off

(Division Sign-Off)
Division of General Restorative Devices
510(k) Number K98325

  • Trademark