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510(k) Data Aggregation

    K Number
    K173911
    Date Cleared
    2018-07-19

    (209 days)

    Product Code
    Regulation Number
    N/A
    Reference & Predicate Devices
    Predicate For
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Medline Burn and Wound Dressing is intended to cleanse and moisten the wound bed and for the management of ulcers (including diabetic foot and leg ulcers), 1st and 2nd degree burns, partial and full thickness wounds, and surgical incisions. It can be used to provide a moist environment that supports autolytic debridement of necrotic tissue.

    Device Description

    Medline Burn and Wound Dressing is a translucent, biocompatible, odorless, semisolid gel intended to cleanse and moisten the wound bed. The dressing maintains moisture in the wound and protects the wound from dessication to provide an optimal moist wound environment conducive to wound healing. Medline Burn and Wound Dressing contains a gentle surfactant and is water soluble to aid in the removal of wound debris in between dressing changes. Medline Burn and Wound Dressing is provided non-sterile for single patient use. Polyhexanide (PHMB) acts as a preservative to inhibit the growth of microorganisms within the product.

    AI/ML Overview

    The provided document is a 510(k) summary for the Medline Burn and Wound Dressing, which is a medical device. This type of regulatory submission establishes substantial equivalence to a predicate device and typically does not involve a clinical study to prove device performance against acceptance criteria in the manner that AI/ML devices do.

    Therefore, the requested information regarding acceptance criteria, study details, sample sizes, expert ground truth, adjudication methods, MRMC studies, standalone performance, and training set details for proving device performance cannot be extracted from this document because the device is a wound dressing, not an AI/ML device.

    The document primarily focuses on demonstrating substantial equivalence to existing predicate devices (Prontosan Wound Gel and Manuka Fill) through a comparison of technological characteristics and non-clinical testing.

    Here's a breakdown of what can be extracted, and why the other requested points are not applicable:

    1. Table of acceptance criteria and reported device performance: Not applicable. This document performs a comparison for substantial equivalence, not a direct performance study against criteria for an AI/ML output. Instead, it compares characteristics and non-clinical test results to predicate devices.

      DEVICE CHARACTERISTICPROPOSED DEVICE PERFORMANCE / CHARACTERISTICSPREDICATE DEVICE PERFORMANCE / CHARACTERISTICSCOMPARISON ANALYSIS
      Product CodeFROFRO (Primary & Secondary Predicates)Same as Predicates
      Intended UseCleanses and moistens wound bed; manages ulcers, 1st & 2nd degree burns, partial & full thickness wounds, surgical incisions; supports autolytic debridement.Cleanses & moistens wound bed; manages ulcers, 1st & 2nd degree burns, partial & full thickness wounds, surgical incisions; softens encrusted dressings (Primary); manages leg/pressure/diabetic foot ulcers, 1st & 2nd degree burns, surgical/trauma wounds; provides moist environment for autolytic debridement (Secondary).Same as Primary Predicate; Same as Secondary Predicate
      Regulation NumberUnclassifiedUnclassified (Primary & Secondary Predicates)Same as Predicates
      Configurations1.75 oz tube30 ml tube (Primary); Individual tubes in a variety of sizes (Secondary)Similar to Predicates
      Design FeaturesClear to translucent, water soluble, virtually odorless, amorphous wound gel with a surfactant and PHMB as a preservative.Clear, colorless, virtually odorless aqueous wound gel with a surfactant and PHMB as a preservative (Primary); Wound gel with honey, helps maintain a moist wound environment (Secondary)Similar to Predicates
      MaterialsPoloxamer, Purified Water, Glycerin, Sucrose, Sodium Phosphate Dibasic, Citric Acid, PHMBPurified Water, Glycerol, Hydroxyethylcellulose, Undecylenamidopropyl Betaine, PHMB (Primary); 100% Leptospermum scoparium honey from New Zealand (Secondary)Similar to Primary Predicate
      Non-Clinical Testing Conducted- Biocompatibility in accordance to ISO 10993-1- Shelf Life- USP <51> Antimicrobial Effectiveness- Wound Healing Study (GLP)- Biocompatibility in accordance to ISO 10993-1- Shelf Life- USP <51> Antimicrobial Effectiveness- USP <85> Bacterial Endotoxin Testing (Primary); - Biocompatibility in accordance to ISO 10993-1- Sterilization Validation- Packaging Validation- Shelf Life- Wound Healing Study (Secondary)Similar to Predicates
      Sterile vs. Non-SterileNon-sterileSterile by aseptic filtration until first opened (Primary); Sterile by gamma irradiation (Secondary)Different than Predicates
      Reusable vs. Single UseSingle patient, multiple useSingle patient, multiple use (Primary); Single use (Secondary)Same as Primary Predicate; Similar to Secondary Predicate
    2. Sample size used for the test set and the data provenance: Not applicable. The document refers to "non-clinical testing" including a "Wound Healing Study" (animal study, conducted under GLP - 21 CFR 58), but does not specify a "test set" in the context of an AI/ML algorithm or provide sample sizes for such. Data provenance (country, retrospective/prospective) is also not relevant here for an AI/ML "test set."

    3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable. This concept applies to AI/ML devices where human experts label data. For a wound dressing, "ground truth" would relate to the outcome of biological or chemical tests, or healing observed in the animal study, not expert consensus on image interpretation or similar.

    4. Adjudication method: Not applicable. No "adjudication" of expert opinions for a test set is required for this type of device.

    5. If a Multi-Reader Multi-Case (MRMC) comparative effectiveness study was done: Not applicable. MRMC studies are specific to imaging and AI/ML devices where the performance of human readers, with and without AI assistance, is evaluated. This is not relevant for a wound dressing.

    6. If a standalone performance (i.e. algorithm only without human-in-the loop performance) was done: Not applicable. This device is not an algorithm.

    7. The type of ground truth used: For the non-clinical "Wound Healing Study," the ground truth would be the observed biological outcome of wound healing in the animal model. For biocompatibility and antimicrobial effectiveness, the ground truth would be the results of standard laboratory tests against established criteria (e.g., ISO 10993-1, USP <51>).

    8. The sample size for the training set: Not applicable. There is no AI/ML algorithm, and therefore no "training set."

    9. How the ground truth for the training set was established: Not applicable. No training set exists.

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