StatSeal Disc

K254073 · Merit Medical Systems, Inc. · FRO · May 13, 2026 · SU

Device Facts

Record IDK254073
Device NameStatSeal Disc
ApplicantMerit Medical Systems, Inc.
Product CodeFRO · SU
Decision DateMay 13, 2026
DecisionSESE
Submission TypeTraditional
Device ClassClass U
AttributesTherapeutic

Indications for Use

StatSeal Disc is intended for use by or on the order of a healthcare professional for external temporary control of bleeding from percutaneous needle access, vascular access sites, and percutaneous catheters.

Device Story

StatSeal Disc is a single-use, compressed topical powder disc composed of hydrophilic polymer, potassium ferrate, and magnesium stearate. It features an attached foam backing for positioning. The device is applied by a healthcare professional to percutaneous needle access, vascular access, or catheter sites. It functions by creating a physical barrier/seal to stop blood flow and exudate. The device is sterile, non-toxic, and non-biologically derived. It is intended for temporary external bleeding control.

Clinical Evidence

No clinical data provided. Evidence consists of non-clinical bench testing, including high-pressure pneumatic testing, vascular access hemostasis properties in swine, and biocompatibility testing (cytotoxicity, sensitization, irritation, implantation, pyrogenicity) per ISO 10993-1.

Technological Characteristics

Materials: Potassium ferrate, hydrophilic polymer, magnesium stearate. Form factor: Compressed powder disc with foam backing. Sterilization: Gamma radiation. Biocompatibility: Meets ISO 10993-1 requirements for surface-contacting devices with breached/compromised skin (prolonged exposure >24hr-30days).

Indications for Use

Indicated for healthcare professional use for external temporary control of bleeding from percutaneous needle access, vascular access sites, and percutaneous catheters.

Predicate Devices

Submission Summary (Full Text)

{0} FDA U.S. FOOD & DRUG ADMINISTRATION May 13, 2026 Alexander Bohorquez Senior Regulatory Affairs Specialist 1600 W. Merit Pkwy. South Jordan, Utah 84095 Re: K254073 Trade/Device Name: StatSeal Disc Regulatory Class: Unclassified Product Code: QSY Dated: April 10, 2026 Received: April 13, 2026 Dear Alexander Bohorquez: 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 (the 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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database available at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download). {1} K254073 - Alexander Bohorquez Page 2 Your device is also subject to, among other requirements, the Quality Management System Regulation (QMSR) (21 CFR Part 820), which includes, but is not limited to, ISO 13485 clause 7.3 (Design controls), ISO 13485 clause 8.3 (Nonconforming product), ISO 13485 clause 8.5.2 (Corrective action), and ISO 13485 clause 8.5.3 (Preventative action). Please note that regardless of whether a change requires premarket review, the QMSR requires device manufacturers to review and approve changes to device design and production (ISO 13485 clause 7.3 and ISO 13485 clause 7.5) and document changes and approvals in the Medical Device File (ISO 13485 clause 4.2.3). 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 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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the Quality Management System Regulation (QMSR) (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050. All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-devices/medical-device-safety/medical-device-reporting-mdr-how-report-medical-device-problems. {2} K254073 - Alexander Bohorquez Page 3 For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, MUSTAFA A. MAZHER -S For Yu-Chieh Chiu, Ph.D. Assistant Director DHT4B: Division of Plastic and Reconstructive Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health Enclosure {3} FORM FDA 3881 (8/23) Page 1 of 1 PSC Publishing Services (301) 443-6740 EF | DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration Indications for Use | Form Approved: OMB No. 0910-0120 Expiration Date: 07/31/2026 See PRA Statement below. | | --- | --- | | 510(k) Number (if known) K254073 | | | Device Name StatSeal Disc | | | Indications for Use (Describe) | | | StatSeal Disc is intended for use by or on the order of a healthcare professional for external temporary control of bleeding from percutaneous needle access, vascular access sites, and percutaneous catheters. | | | Type of Use (Select one or both, as applicable) ☑ Prescription Use (Part 21 CFR 801 Subpart D) ☐ Over-The-Counter Use (21 CFR 801 Subpart C) | | | CONTINUE ON A SEPARATE PAGE IF NEEDED. | | | This section applies only to requirements of the Paperwork Reduction Act of 1995. *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.* | | | The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to: Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov | | | "An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number." | | {4} Page 1 of 5 510(k) SUMMARY K254073 This summary of 510(k) safety and effectiveness information is submitted in accordance with the requirements of 21 CFR §807.92: I. SUBMITTER Merit Medical Systems, Inc. 1600 West Merit Parkway South Jordan, UT 84095, USA +1.801.253.1600 Fax: N/A Contact Person: Alexander Bohorquez Date Prepared: December 19, 2025 II. DEVICE Device Trade Name: StatSeal Disc Classification Name: Unclassified Regulation: Unclassified Regulatory Class: Unclassified Device Panel: General & Plastic Surgery Product Code: QSY III. PREDICATE DEVICE Predicate Manufacturer: Biolife, LLC Predicate Trade Name: StatSeal Disc Predicate 510(k): K130324 IV. DEVICE DESCRIPTION StatSeal Disc is a single use compressed topical powder disc, primarily comprised of a hydrophilic polymer and potassium ferrate. The product achieves its principle intended action (hemostasis) by creating a physical barrier or seal to the blood flow. A foam backing is attached as an ancillary component to hold the disc in place and does not contact the wound. StatSeal Products are packaged in a foil pouch and sterilized with gamma radiation. {5} Page 2 of 5 V. INDICATIONS FOR USE Rx: StatSeal Disc is intended for use by or on the order of a healthcare professional for external temporary control of bleeding from percutaneous needle access, vascular access sites, and percutaneous catheters. VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVCE The following characteristics were compared between the subject device and the predicate device to demonstrate substantial equivalence: | | StatSeal Disc (Subject Device) | StatSeal Disc – K130324 | Justification of Differences | | --- | --- | --- | --- | | Indications for Use | Rx: StatSeal Disc is intended for use by or on the order of a healthcare professional for external temporary control of bleeding from percutaneous needle access, vascular access sites, and percutaneous catheters. | OTC: StatSeal Disc is intended for OTC use as a topical dressing for bleeding control associated with minor wounds, for temporary external control of minor bleeding from minor wounds, minor cuts, minor lacerations and minor burns. Rx: StatSeal Disc is intended under the care of a health care professional for external temporary control of bleeding from percutaneous needle access, vascular access sites and percutaneous catheters. | Same | | Materials | Potassium Ferrate, Hydrophilic Polymer, Magnesium Stearate | Potassium Ferrate, Hydrophilic Polymer | Same; subject device added magnesium stearate for processing aid in manufacturing | {6} | Design | Powder pressed into a Disc | Powder pressed into a Disc | Subject and predicate K130324 are same | | --- | --- | --- | --- | | Sterile | Yes | Yes | Same | | Mechanism of Action | StatSeal Disc stops bleeding & exudate from minor external wounds and procedures. It achieves its principle intended action (hemostasis) by creating a physical barrier or seal to stop the flow of blood. | StatSeal Disc stops bleeding & exudate from minor external wounds and procedures. It achieves its principle intended action (hemostasis) by creating a physical barrier or seal to stop the flow of blood. | Same | Page 3 of 5 {7} Page 4 of 5 | | StatSeal Disc is not biologically derived and is non-toxic. | StatSeal Disc is not biologically derived and is non-toxic. | | | --- | --- | --- | --- | | Shelf-Life | 16 months | 2 years | Subject device currently has 16-month shelf-life | VII. Non-Clinical Testing PERFORMANCE DATA The following performance data were provided in support of the substantial equivalence determination. Sterilization & Shelf-life Testing: StatSeal Discs are sterile devices intended for single use. High Pressure Pneumatic Testing Vascular Access Hemostasis Properties of StatSeal Test Articles in Swine. {8} Page 5 of 5 # BIOCOMPATABILITY TESTING The biocompatibility evaluation for the StatSeal Disc with magnesium stearate was conducted in accordance with the FDA guidance document: Use of International Standard ISO-10993-1, "Biological Evaluation of Medical Devices Part 1: Evaluation and Testing Within a Risk Management Process" and International Standard ISO 10993-1 "Biological Evaluation of Medical Devices – Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA. - Cytotoxicity - Sensitization - Irritation - Implantation - Pyrogenicity - Biological Evaluation and Toxicological Risk Assessment The StatSeal Disc with magnesium stearate met the biocompatibility requirements for a surface contacting device where the disc product contacts breached or compromised skin with prolonged exposure (> 24hr- 30days). # CLINICAL TESTING Clinical testing was not provided. # VIII. CONCLUSIONS StatSeal Disc with magnesium stearate has the same intended use as the predicate StatSeal Disc (K130324) device. StatSeal Disc with magnesium stearate raises no new issues of safety or effectiveness. The conclusions drawn from the non-clinical testing demonstrate that the device is as safe and effective as the legally marketed StatSeal Disc, K130324.
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