K Number
K990368
Device Name
DUODERM HYDROACTIVE GEL WOUND DRESSING
Date Cleared
1999-03-26

(46 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
For Over-The Counter Use, DuoDERM Hydroactive Gel Wound Dressing may be used for abrasions, lacerations, minor cuts, minor scalds and burns, and skin tears. Under the supervision of a healthcare professional, DuoDERM Hydroactive Gel may be used for the hydration and management of partial and full-thickness wounds, such as pressure sores, leg ulcers, diabetic ulcers and skin conditions resulting from radiation dermatitis.
Device Description
DuoDERM Hydroactive Gel Wound Dressing is substantially equivalent to Carrasyn Hydrogel Wound Dressing. The products are equivalent in intended use and function. Both products provide a moist wound healing environment. DuoDERM Hydroactive Gel Wound Dressing is also capable of absorbing exudate.
More Information

No
The 510(k) summary describes a wound dressing gel and does not mention any AI or ML capabilities. The device description focuses on its physical properties and intended use for wound healing.

Yes
The device is used for the hydration and management of wounds, including various types of ulcers and burns, which are therapeutic applications.

No
The device is a wound dressing designed for healing and hydration of wounds, not for diagnosing medical conditions.

No

The device description clearly identifies the product as a "Wound Dressing," which is a physical, hardware-based medical device (a gel). There is no mention of software as the primary or sole component.

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

Here's why:

  • Intended Use: The intended use describes the device as a wound dressing for various types of wounds (abrasions, cuts, burns, ulcers, etc.). This is a topical application for wound management, not a test performed on biological samples in vitro (outside the body) to diagnose a condition.
  • Device Description: The description confirms it's a wound dressing that provides a moist healing environment and absorbs exudate. This aligns with a wound care product, not an IVD.
  • Lack of IVD Characteristics: The document does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring specific substances (analytes)
    • Providing diagnostic information about a disease or condition

Therefore, the DuoDERM Hydroactive Gel Wound Dressing is a medical device used for wound care, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

For Over-The Counter Use, DuoDERM Hydroactive Gel Wound Dressing may be used for abrasions, lacerations, minor cuts, minor scalds and burns, and skin tears. Under the supervision of a healthcare professional, DuoDERM Hydroactive Gel may be used for the hydration and management of partial and full-thickness wounds, such as pressure sores, leg ulcers, diabetic ulcers and skin conditions resulting from radiation dermatitis.

Product codes

MGQ

Device Description

DuoDERM Hydroactive Gel Wound Dressing

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

For Over-The Counter Use... Under the supervision of a healthcare professional

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)

Data/information supporting the safety of DuoDERM Hydroactive Gel Wound Dressing was presented in Premarket Notification K931618. All testing was performed in accordance with Good Laboratory Practice Regulations.

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

Not Found

Predicate Device(s)

Carrasyn Hydrogel Wound Dressing

Reference Device(s)

K931618

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

N/A

0

3/26/99

K990368

510(k) Premarket Notification DuoDERM® Hydroactive® Gel Wound Dressing

SUMMARY OF SAFETY AND EFFECTIVENESS

| Applicant: | ConvaTec, A Division of E.R. Squibb and Sons, Inc.
100 Headquarters Park Drive, Skillman, NJ 08558 |
|---------------------------------------|-------------------------------------------------------------------------------------------------------|
| Contact: | Adrienne McNally, Director, Regulatory Affairs
(908) 904-2630 |
| Device: | DuoDERM® Hydroactive Gel Wound Dressing |
| • Substantially
Equivalent Device: | Carrasyn® Hydrogel Wound Dressing |

For Over-The Counter Use, DuoDERM Hydroactive Gel Wound Dressing may be used for abrasions, lacerations, minor cuts, minor scalds and burns, and skin tears. Under the supervision of a healthcare professional, DuoDERM Hydroactive Gel may be used for the hydration and management of partial and full-thickness wounds, such as pressure sores, leg ulcers, diabetic ulcers and skin conditions resulting from radiation dermatitis.

· DuoDERM Hydroactive Gel Wound Dressing should not be used on individuals who are sensitive to or who have had an allergic reaction to the gel or its components.

DuoDERM Hydroactive Gel Wound Dressing is substantially equivalent to Carrasyn Hydrogel Wound Dressing. The products are equivalent in intended use and function. Both products provide a moist wound healing environment. DuoDERM Hydroactive Gel Wound Dressing is also capable of absorbing exudate.

Data/information supporting the safety of DuoDERM Hydroactive Gel Wound Dressing was presented in Premarket Notification K931618. All testing was performed in accordance with Good Laboratory Practice Regulations.

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 image of three human profiles facing to the right, with flowing lines representing hair or clothing.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR 2 6 1999

Ms. Adrienne McNally Director, Regulatory Affairs ConvaTec A Division of E.R. Squibb & Sons, Inc. 100 Headquarters Park Drive Skillman, New Jersey 08558

Re: K990368

Trade Name: DuoDERM® Hydroactive® Gel Wound Dressing Regulatory Class: Unclassifed Product Code: MGQ Dated: February 3, 1999 Received: February 8, 1999

Dear Ms. McNally:

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:

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

2

Page 2 - Ms. Adrienne McNally

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

Enclosure

3

K990368

510(k) Premarket Notification DuoDERM® Hydroactive® Gel Wound Dressing

INDICATIONS FOR USE STATEMENT

510(k) Number (if known): Not Known

Device Name: DuoDERM Hydroactive Gel Wound Dressing

Indications for Use:

For Over-The Counter Use, DuoDERM Hydroactive Gel Wound Dressing may be used for abrasions, I of Over The Counter Coo, a scalds and burns, and skin tears. Under the supervision of a healthcare laccrations, inmor edus, minor boards mic bund, be used for the hydration and management provider, DaoDDANI 11, arounds such as pressure sores, leg ulcers, diabetic ulcers and skin conditions resulting from radiation dermatitis.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per 21 CFR 801.109) OR

Over the Counter Use
(Optimal Format 1-2-96)

neral Restorative Devices 990368