← Product Code FRO · K993969

# SALJET SINGLE DOSE STERILE SALINE TOPICAL SOLUTION (K993969)

_Winchester Laboratories, LLC · FRO · Dec 30, 1999 · SU · SESE_

**Canonical URL:** https://fda.innolitics.com/device/K993969

## Device Facts

- **Applicant:** Winchester Laboratories, LLC
- **Product Code:** FRO
- **Decision Date:** Dec 30, 1999
- **Decision:** SESE
- **Submission Type:** Traditional
- **Device Class:** Class U
- **Review Panel:** SU
- **Attributes:** Therapeutic

## Intended Use

For use in moistening and lubricating absorbent wound dressings for traumatic wounds, cuts, bruises and minor burns prior to removal from the wound area.

## Device Story

Saljet is a single-use, 30-ml polyethylene vial containing 0.9% w/v sterile sodium chloride topical solution. It is intended for use in clinical or home settings to moisten and lubricate absorbent wound dressings, facilitating their removal from traumatic wounds, cuts, bruises, and minor burns. The device provides a sterile, pre-measured volume of saline to assist healthcare providers or patients in wound care management, reducing potential trauma to the wound bed during dressing changes.

## Clinical Evidence

No clinical data; bench testing only.

## Technological Characteristics

30-ml polyethylene vial; 0.9% w/v sodium chloride topical solution; single-use; sterile.

## Predicate Devices

- Steripak Limited 20 ml. Normal Saline Topical Solution 0.9% w/v Sodium Chloride

## Submission Summary (Full Text)

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>
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Dec-22-99 01:03P

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P.08

Image /page/0/Picture/3 description: The image shows a sequence of numbers and a symbol. The sequence starts with a symbol that looks like a multiplication sign or the letter 'K'. Following this symbol are the numbers 993969. The numbers and symbol are written in a bold, handwritten style, giving them a distinct and somewhat artistic appearance.

DEC 3 0 1999

Revしし、12・リゾ

| Section 15   |
|--------------|
| S10K Summary |
| Page 1 of 1  |

| Submitter:               | Winchester Laboratories LL<br>Mr. Howard Rose<br>President and CEO                                                                                                                                                                            |
|--------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Address                  | 325 North Water Street<br>Batavia, IL 60510                                                                                                                                                                                                   |
| Telephone                | 630-406-8680                                                                                                                                                                                                                                  |
| Contact Person.          | Philip Totton<br>Authorized Regulatory Agent<br>210 Silver Creek Road<br>Greer, South Carolina 29650<br>Telephone: 864-292-0756<br>Fax: 864-244-9049                                                                                          |
| Date Prepared:           | November 19, 1999                                                                                                                                                                                                                             |
| Trade Name.              | Saljet Single Dose Sterile Saline Topical Solution, 0.9% w/v<br>Sodium Chloride                                                                                                                                                               |
| Common Name:             | Normal Saline Topical Solution, 0.9% w/v Sodium Chloride                                                                                                                                                                                      |
| Classification Name      | Solution, Wound Dressing                                                                                                                                                                                                                      |
| Predicate Device.        | Steripak Limited<br>20 ml. Normal Saline Topical Solution<br>0.9% w/v Sodium Chloride                                                                                                                                                         |
| Description              | 30-ml. polyethylene vial containing Saline Topical Solution, 0.9%<br>w/v Sodium Chloride Solution. Single-use.                                                                                                                                |
| Indications for Use      | For use in moistening and lubricating absorbent wound dressings<br>for traumatic wounds, cuts, bruises and minor burns prior to<br>removal from the wound area.                                                                               |
| Substantial Equivalence. | The product is similar in function and intended use to Steripak 20<br>ml. Normal Saline Topical Solution manufactured by Steripak<br>Limited and includes among it's labeled uses for moistening and<br>lubricating absorbent wound dressing. |

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Image /page/1/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is often associated with healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the caduceus symbol. The logo is simple and professional, and it is easily recognizable.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAY - 1 2007

Mr. Howard Rose President and Chief Executive Officer Winchester Laboratories, LLC 325 North Water Street Batavia, Illinois 60510

K993969 Re:

Trade Name: Saljet Single Dose Sterile Saline Topical Solution Regulatory Class: Unclassified Product Code: FRO Dated: November 19, 1999 Received: November 23, 1999

Dear Mr. Rose:

This letter corrects our substantially equivalent letter of December 30, 1999.

We have reviewed your Section 510(k) premarket notification of intent to market the we nave reviewed your Doctor of t(-) == == == == == == == == == == == == == == == == == == == == == == == == == == == == == == = = = = = = = = = = = = = = = = = = = = = = = = device referenced above and readers) to legally marketed predicate devices marketed Indications for ass stated in the May 28, 1976, the enactment date of the Medical Device In interstate commerce proof to may 20, 27 rolassified in accordance with the provisions of Amendinents of to dev, and Cosmetic Act (Act) that do not require approval of a the Federal Pood, Drug, and Cobinette, revy (1978). Market the device, subject to the general promarket approvisions of the Act. The general controls provisions of the Act include controls provisions of the rion ation of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III If your device is classified (occ aso ro) into cols. Existing major regulations affecting your (FMA), it may be subject to adements of Federal Regulations, Title 21, Parts 800 to 898. In device can be found in the Code of Features concerning your device in the Federal Register.

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Page 2 - Mr. Howard Rose

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 moun that I Dr Frass mad regulations and regulations administered by other requirements of the Novels comply with all the Act's requirements, including, but not I card to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); 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.

This letter will allow you to continue marketing your device as described in your Section This lector will and w you to really 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), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 1807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Mark N. Melkerson

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

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Image /page/3/Picture/1 description: The image shows a sequence of numbers and letters written in a bold, handwritten style. The sequence appears to be "K993969". The characters are thick and slightly irregular, giving them a distinct, hand-drawn appearance. The overall impression is that of a quickly written or stylized numerical code.

Rev 01, 12/99

## Section 3 Intended Use of Device Page I of I

| Device Name:        | Saljet Single Dose Sterile Saline Topical Solution<br>0.9% w/v Sodium Chloride                                                                                 |
|---------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for Use | For use in moistening and lubricating absorbent wound dressings for<br>traumatic wounds, cuts, bruises and minor burns prior to removal from the<br>wound area |

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

Concurrence of CDRH. Office of Device Evaluation (ODE)

Prescription Usc (Per 21 (FR 801 1/00)

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Over - the - Counter Use

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(Division Sign-l Division of Gen 510(k) Number

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**Source:** [https://fda.innolitics.com/device/K993969](https://fda.innolitics.com/device/K993969)

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