← Product Code FRO · K133279

# MEDIHONEY WOUND DRESSINGS (K133279)

_Derma Sciences, Inc. · FRO · Jun 25, 2015 · SU · SESE_

**Canonical URL:** https://fda.innolitics.com/device/K133279

## Device Facts

- **Applicant:** Derma Sciences, Inc.
- **Product Code:** FRO
- **Decision Date:** Jun 25, 2015
- **Decision:** SESE
- **Submission Type:** Traditional
- **Device Class:** Class U
- **Review Panel:** SU
- **Attributes:** Therapeutic

## Intended Use

Medihoney Calcium Alginate Dressing with Active Leptospermum Honey are indicated for the management of moderate to heavily exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following: Diabetic foot ulcers Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) Pressure ulcers/sores (partial and full thickness) 1st and 2nd degree partial thickness burns donor sites traumatic and surgical wounds Medihoney Adhesive and Non-Adhesive Honeycolloid Dressings with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the following: Diabetic foot ulcers Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) Pressure ulcers/sores (partial and full thickness) 1st and 2nd degree partial thickness burns donor sites traumatic and surgical wounds Medihoney Dressings with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following: Diabetic foot ulcers Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) Pressure ulcers/sores (partial and full thickness) 1st and 2nd degree partial thickness burns donor sites traumatic and surgical wounds Medihoney Gel Dressing with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following: Diabetic foot ulcers Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) Pressure ulcers/sores (partial and full thickness) 1st and 2nd degree partial thickness burns donor sites traumatic and surgical wounds The Medihoney Adhesive and Non-Adhesive Hydrogel Colloidal Sheet with Leptospermum Honey are indicated for the management of non-draining to lightly exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the following: Diabetic foot ulcers Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) Pressure ulcers/sores (partial and full thickness) 1st and 2nd degree partial thickness burns donor sites traumatic and surgical wounds

## Device Story

Medihoney family of dressings; primary component Active Leptospermum Honey; various formulations including calcium alginate, hydrocolloid, and hydrogel sheets. Applied topically to wounds by clinicians; provides moist environment; supports autolytic debridement. Absorbs wound exudate; forms gel; maintains moisture. Used for diabetic foot ulcers, leg ulcers, pressure sores, burns, donor sites, and surgical wounds. Benefits patient by facilitating healing and autolytic debridement. No changes to design or function from previously cleared versions; submission specifically adds autolytic debridement indication.

## Clinical Evidence

No new clinical trials conducted. Evidence consists of published literature and case studies supporting the safety and efficacy of Medihoney dressings for autolytic debridement and wound management. Literature represents hundreds of cases demonstrating safe and effective use consistent with predicate devices.

## Technological Characteristics

Sterile honey-based substrates. Formulations: Calcium Alginate (95% honey, 5% calcium alginate); Honeycolloid (80% honey, 20% sodium alginate); Gel (80% honey, 15% myristyl myristate, 5% Plantacare 810); Hydrogel Colloidal Sheet (63% honey, hydrogel). Function: Moist wound environment via gel formation upon exudate absorption. No electronic components or software.

## Predicate Devices

- Derma Sciences Medihoney Dressings with Active Manuka Honey ([K080315](/device/K080315.md))

## Reference Devices

- XYLOS XCell Antimicrobial Dressing ([K024054](/device/K024054.md))
- BAGTech's BioAquaCare ([K072068](/device/K072068.md))

## Submission Summary (Full Text)

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Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

June 25, 2015

Derma Sciences Incorporated Ms. Nancy Angus Associate Director of Regulatory Affairs 214 Carnegie Center, Suite 300 Princeton, New Jersey 08540

Re: K133279

Trade/Device Name: Calcium Alginate Dressing with Active Leptospermum Honey; Adhesive/Non-Adhesive Honeycolloid Dressing with Active Leptospermum Honey; Dressing with Active Leptospermum Honey; Gel Dressing with Active Leptospermum Honey; Adhesive/Non-Adhesive Hydrogel Colloidal Sheet with Leptospermum Honey

Regulatory Class: Unclassified Product Code: FRO Dated: May 22, 2015 Received: May 26, 2015

Dear Ms. Angus:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate 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) that do not require approval of a premarket approval application (PMA). 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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you; however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must

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comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours.

# David Krause -S

- for
- Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Indications for Use

### 510(k) Number (if known) K133279

### Device Name

Calcium Alginate Dressing with Active Leptospermum Honey; Adhesive Honeycolloid Dressing with Active Leptospermum Honey; Dressing with Active Leptospermum Honey; Gel Dressing with Active Leptospermum Honey; Adhesive/Non-Adhesive Hydrogel Colloidal Sheet with Leptospermum Honey

### Indications for Use (Describe)

Medihoney Calcium Alginate Dressing with Active Leptospermum Honey are indicated for the management of moderate to heavily exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following:

- · Diabetic foot ulcers
- · Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology)
- · Pressure ulcers/sores (partial and full thickness)
- · 1st and 2nd degree partial thickness burns
- donor sites
- · traumatic and surgical wounds

Medihoney Adhesive and Non-Adhesive Honeycolloid Dressings with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the following:

- · Diabetic foot ulcers
- · Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology)
- · Pressure ulcers/sores (partial and full thickness)
- · 1st and 2nd degree partial thickness burns
- donor sites
- · traumatic and surgical wounds

Medihoney Dressings with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following:

- · Diabetic foot ulcers
- · Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology)
- · Pressure ulcers/sores (partial and full thickness)
- · 1st and 2nd degree partial thickness burns
- donor sites
- · traumatic and surgical wounds

Medihoney Gel Dressing with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following:

- Diabetic foot ulcers
- · Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology)
- · Pressure ulcers/sores (partial and full thickness)
- · 1st and 2nd degree partial thickness burns
- donor sites
- traumatic and surgical wounds

The Medihoney Adhesive and Non-Adhesive Hydrogel Colloidal Sheet with Leptospermum Honey are indicated for the management of non-draining to lightly exuding wounds by providing a moist environment, which is conducive to wound 

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healing, and supports and aids autolytic debridement. These dressings are intended for the following:

- Diabetic foot ulcers
- · Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology)
- · Pressure ulcers/sores (partial and full thickness)
- · 1st and 2nd degree partial thickness burns
- donor sites
- traumatic and surgical wounds

Type of Use (Select one or both, as applicable)

X Prescription Use (Part 21 CFR 801 Subpart D)

| Over-The-Counter Use (21 CFR 801 Subpart C)

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# 510(k) Summary For the Derma Sciences, Inc. Medihoney Dressings

## Date Prepared: June 23, 2015

## 1. SUBMITTER/510(K) HOLDER/CONTACT PERSON

Sharmini Atheray Derma Sciences, Inc. 104 Shorting Road, Toronto, Ontario M1S 3S4 416-299-4003 x245 satheray@dermasciences.com

Nancy Angus Derma Sciences, Inc. 214 Carnegie Center, Suite 300 Princeton, NJ 08540 609-514-4744 X1133 nangus @ dermasciences.com

## 2. DEVICE NAME

Proprietary Name: Medihoney Wound Dressings including the following

- Calcium Alginate Dressing with Active Leptospermum Honey
- Adhesive/Non-Adhesive Honeycolloid Dressing with Active Leptospermum Honey ●
- Dressing with Active Leptospermum Honey
- Gel Dressing with Active Leptospermum Honey ●
- Adhesive/Non-Adhesive Hydrogel Colloidal Sheet with Leptospermum Honey

Common/Usual Name: Wound Dressing Classification Name: Wound Dressing

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## 3. PREDICATE DEVICES

Derma Sciences believes the primary Medihoney Dressing predicate is the following based on general to specific use.

Derma Sciences Medihoney Dressings with Active Manuka Honey (Dressing with K080315 Active Leptospermum Honey)

Reference predicates are as follows:

Autolytic Debridement: K024054 XYLOS XCell Antimicrobial Dressing K072068 BAGTech's BioAquaCare

## 4. DEVICE DESCRIPTION

The primary component of the Medihoney Family of Dressings is Active Manuka Honey. The composition, formulation and materials of the Medihoney Dressings are described below. The Medihoney Family of Dressings are provided sterile to the user and are NOT required to be sterilized.

Calcium Alginate Dressing with Active Leptospermum Honey: comprised of 95% Active Manuka Honey and 5% Calcium Alginate. As wound exudate is absorbed, the alginate forms a gel, which assists in maintaining a moist environment that aids and supports the autolytic debridement. Sizes: ¾"x 12"/2"x2"/4"x5"

Adhesive/Non-Adhesive Honevcolloid Dressing with Active Leptospermum Honey: comprised of 80% Active Manuka Honey and 20% Sodium Alginate Powder (hydrocolloid sheet) As wound exudate is absorbed, the alginate forms a gel, which assists in maintaining a moist environment that aids and supports the autolytic debridement. Sizes: 2"x2,"/4"x5" (non-adhesive)/2"x2"/4.5"x4.5" (adhesive)

Dressing with Active Leptospermum Honey: comprised of 100% Active Manuka Honey and are sterile wound dressings for use in moist wound management. The Medihoney Dressing comprised of 100% Active Manuka Honey helps to maintain a moist environment. The Medihoney Dressing with Active Manuka Honey is offered in several sizes including 0.5, 1, and 1.5 oz. tube sizes.

Gel Dressing with Active Leptospermum Honey: comprised of 80% Active Manuka Honey, 15% Myristyl Myristate and 5% Plantacare 810. As wound exudate is absorbed, the

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dressing forms a gel, which assists in maintaining a moist environment that aids and supports autolytic debridement. The Medihoney Gel Dressings are offered in 0.5 and 1.5 oz sizes

Adhesive/Non-Adhesive Hydrogel Colloidal Sheet with Leptospermum Honey: comprised of 63% Leptospermum Honey and hydrogel both with and without an adhesive border. As wound exudate is absorbed, the dressing forms a gel, which assists in maintaining a moist environment that aids and supports autolytic debridement. The Medihoney Hydrogel Sheet Dressings are offered in 1.8'x1.8"/2.4"x2.4"/4.3"x4.3"/8"x12" (adhesive) 2.8"x2.8"/4.5"x4.5" (non-adhesive)

There are NO new instructions or operational differences for the Medihoney Dressings with new indications. The instructions for use are identical to the original dressings cleared in K053095, K072956, K080315, K101793, K110546.

## 5. INTENDED USE

The mechanism of action, intended environment and functionality are all identical to the original Medihoney dressings. The new indications are consistent with standard wound care practices and intended uses and is in line with the predicate device indications for use.

Medihoney Calcium Alginate Dressing with Active Leptospermum Honey are indicated for the management of moderate to heavily exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following:

- Diabetic foot ulcers
- Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) ●
- Pressure ulcers/sores (partial and full thickness) ●
- 1st and 2nd degree partial thickness burns
- donor sites ●
- . traumatic and surgical wounds

Medihoney Adhesive and Non-Adhesive Honeycolloid Dressings with Active Leptospermum Honev are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following:

- . Diabetic foot ulcers
- . Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology)
- Pressure ulcers/sores (partial and full thickness) ●
- 1st and 2nd degree partial thickness burns ●
- . donor sites
- traumatic and surgical wounds .

Medihoney Dressings with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the 

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management of the following:

- Diabetic foot ulcers
- Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) .
- Pressure ulcers/sores (partial and full thickness) ●
- 1st and 2nd degree partial thickness burns .
- donor sites
- traumatic and surgical wounds

Medihoney Gel Dressing with Active Leptospermum Honey are indicated for the management of light to moderately exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following:

- . Diabetic foot ulcers
- Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) ●
- Pressure ulcers/sores (partial and full thickness) .
- 1st and 2nd degree partial thickness burns
- donor sites ●
- traumatic and surgical wounds ●

The Medihoney Adhesive and Non-Adhesive Hydrogel Colloidal Sheet with Leptospermum Honey are indicated for the management of non-draining to lightly exuding wounds by providing a moist environment, which is conducive to wound healing, and supports and aids autolytic debridement. These dressings are intended for the management of the following:

- . Diabetic foot ulcers
- Leg ulcers (venous stasis ulcers, arterial ulcers and leg ulcers of mixed etiology) ●
- Pressure ulcers/sores (partial and full thickness) ●
- 1st and 2nd degree partial thickness burns .
- donor sites .
- traumatic and surgical wounds

## 6. TECHNOLOGICAL CHARACTERISTICS AND SUBSTANTIAL EQUIVALENCE

The indication for use is slightly different than the original 510(k)'s for all of the Medihoney Family of dressings, but are similar to those described in the predicates. Section 20 includes a large amount of clinical data from literature to support the new indications. In addition, the proposed indication is included in previously cleared predicate devices. Utilizing the FDA guidance document, the addition of autolytic debridement to the indications represents a general to specific indication. By specifying autolytic debridement, the labeling will simply be more specific in that the proposed indication was covered previously in the general indications.

NO changes have been made to the design or technological characteristics of the Medihoney Family of Dressings since they are identical in configuration and function to those previously cleared. The technological characteristics of the Medihoney Family of Dressings are identical to 

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the predicates since they are all comprised of sterile honey based substrates, intended to function as coverings for various wound types. As stated above, the only change that is the subject of this bundled 510(k) submission, is the additional indication of aiding autolytic debridement.

The proposed Medihoney Family of Dressings and the predicate device are identical in that they are all composed of a dressing that contains a component in the formulation that contributes to a moist wound environment. The proposed and predicate device are identical in the functional and technological characteristics since they are the same device.

The operational characteristics of the proposed Medihoney Family of Dressings are identical to the predicate devices in that they are all intended to be used as primary or secondary coverings for the management of a variety of wounds. They provide a moist wound environment conducive to wound healing and autolytic debridement.

The technological characteristics of the proposed Medihoney Family of Wound Dressings and the predicate devices are identical in that they are dressings that include a moist gel like component and are suitable for the management of a variety of wounds.

NO changes have been to the design or technological characteristics of the Medihoney Family of Dressings since they are identical in configuration and function to those previously cleared. The technological characteristics of the Medihoney Family of Dressings are identical to the predicates since they are all comprised of sterile honey based substrates, intended to function as coverings for various wound types. As stated above, the only change that is the subject of this bundled 510(k) submission is the additional indication consisting of autolytic debridement.

Section 21 includes clinical data from literature to support the autolytic debridement indication. In addition, all of the proposed indications are included in previously cleared predicate devices described above.

The proposed Medihoney Family of Dressings and the predicate devices are identical in that they are all composed of a dressing that contains a component in the formulation that contributes to a moist wound environment. The proposed and predicate devices are identical in functional and technological characteristics since they are the same device.

The technological characteristics of the proposed Medihoney Family of Wound Dressings and the predicate devices are identical in that they are dressings that include a moist gel like component and are suitable for the management of a variety of wounds.

The general to specific indications rationale described above demonstrates that autolytic debridement represents a more specific indication which falls under the general wound care 

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indications previously cleared in the Derma Sciences Medihoney 510k submissions. The labeling for Medihoney Family of Wound Dressings is essentially identical to the labeling cleared for the predicate devices. Derma Sciences believes that the above rationale, the clinical data from literature included in Section 21 and the comparison table demonstrate substantial equivalence of the proposed Medihoney Family of Wound Dressings to the predicate devices.

The labeling for Medihoney Family of Wound Dressings is essentially identical to the labeling cleared for the predicate devices. Derma Sciences believes that the above rationale, the clinical data from literature included in Section 21, and the comparison table demonstrate substantial equivalence of the proposed Medihoney Family of Wound Dressings to the predicate devices.

In conclusion, the Derma Sciences Medihoney Family of dressings is substantially equivalent to the predicate devices with respect to material composition, device characteristics and intended use. There have been no configuration or material changes since the FDA cleared the original 510k submissions. Therefore, the technological characteristics support the substantial equivalence to the original Medihoney dressings and to the predicate devices listed above that have similar indications for use.

## 7. PERFORMANCE TESTING

The Medihoney Family of Dressings have been subjected to extensive testing to assess the biocompatibility and the performance of the device as described in each of their respective 510(k) submissions.

The case studies described support the proposed indications for the Medihoney The clinical data from published literature represents hundreds of cases that Dressings. demonstrate safe and effective use of the Medihoney Dressings. Derma Sciences believes this clinical data plus the predicate device indications for use support the substantial equivalence of the Medihoney Dressings to the predicate devices. The Medihoney Family of Dressings was shown to be safe and effective as a wound dressing as shown in the published clinical studies that utilized the proposed indications.

The extensive safety and effectiveness evidence demonstrated in both the non-clinical and published clinical testing support the safe use for the proposed indication. The conclusions drawn from the non-clinical and published clinical tests demonstrate that the Medihoney Family of Dressings are safe, effective, and perform as well as the predicate devices as evidenced by the clinical studies in literature. The clinical data presented in this submission supports the use of the Medihoney Family of Dressings for the autolytic debridement indication.

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**Source:** [https://fda.innolitics.com/device/K133279](https://fda.innolitics.com/device/K133279)

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