Antibacterial Bandage

K201324 · Jiangsu Excellence Medical Supplies Co., Ltd. · FRO · Feb 5, 2021 · SU

Device Facts

• Record ID: K201324
• Device Name: Antibacterial Bandage
• Applicant: Jiangsu Excellence Medical Supplies Co., Ltd.
• Product Code: FRO · SU
• Decision Date: Feb 5, 2021
• Decision: SESE
• Submission Type: Traditional
• Device Class: Class U
• Attributes: Therapeutic

Intended Use

Antibacterial bandage is to be applied topically to the skin for management of minor scrapes and minor burns.

Device Story

Antibacterial bandage for topical application to minor cuts, scrapes, and burns. Device consists of fabric or plastic backing, absorbent pad (polyester, viscose, PE mesh, 0.08% benzalkonium chloride), and release paper. Benzalkonium chloride provides antimicrobial efficacy against various pathogens for up to 24 hours. Intended for over-the-counter use by patients. Device adheres to skin to protect wound site. Effectiveness verified via in vitro antimicrobial testing and biocompatibility assessments.

Clinical Evidence

No clinical data. Bench testing only. Antimicrobial efficacy (ASTM AATCC-100) demonstrated 4 log reduction. Peel adhesion (ASTM D3330) > 1.0 N/cm. Biocompatibility testing (cytotoxicity, sensitization, intracutaneous reactivity, systemic toxicity, material-mediated pyrogenicity) passed per ISO 10993-1. Sterile barrier integrity (ASTM F88) and shelf-life stability confirmed.

Technological Characteristics

Backing (fabric/plastic), absorbent pad (polyester, viscose, PE mesh), release paper. Contains 0.08% benzalkonium chloride. Sterilization via EtO (SAL 10^-6). Complies with ISO 10993-7 (EO/ECH residues), USP 42-NF 37 <85> (endotoxins), ASTM D3330 (adhesion), and ASTM F88 (seal strength).

Indications for Use

Indicated for management of minor cuts, minor scrapes, and minor burns on the skin.

Predicate Devices

• Curad Antibacterial bandage (K113583)

Submission Summary (Full Text)

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February 5, 2021

Jiangsu Excellence Medical Supplies Co., Ltd % Diana Hong General Manager Mid-Link Consulting Co., Ltd P.O.box 120-119 Shanghai. 200120 China

Re: K201324

Trade/Device Name: Antibacterial Bandage Regulatory Class: Unclassified Product Code: FRO Dated: January 4, 2021 Received: January 5, 2021

## Dear Diana Hong:

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. 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 located 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.

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

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801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 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-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/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-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Lixin Liu, PhD Assistant Director (Acting) DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

# Indications for Use

510(k) Number (if known) K201324

Device Name Antibacterial Bandage

Indications for Use (Describe)

Antibacterial bandage is to be applied topically to the skin for management of minor scrapes and minor burns.

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

_ Prescription Use (Part 21 CFR 801 Subpart D)

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

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# 510(k) Summary

This 510(k) Summary is being submitted in accordance with requirements of Title 21, CFR Section 807.92.

The assigned 510(k) Number: _ K201324

- 1. Date of Preparation: February 5, 2021
- 2. Sponsor Identification

### Jiangsu Excellence Medical Supplies Co., Ltd.

No.65 Huiling West Road, Zouqu Town, Zhonglou District, Changzhou City, Jiangsu Province, 203144, China

Establishment Registration Number: 3010138147

Contact Person: Yanhua Li Position: Deputy General Manager Tel: [phone] Fax: [phone] Email:[e-mail]

- 3. Designated Submission Correspondent
Ms. Diana Hong (Primary Contact Person) Ms. Tingting Su (Alternative Contact Person)

Mid-Link Consulting Co., Ltd P.O. Box 120-119, Shanghai, 200120, China

Tel: [phone], Fax: [phone] Email: [e-mail]

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#### 4. Identification of Proposed Device

Trade Name: Antibacterial Bandage Common Name: Wound dressing

### Regulatory Information

Classification Name: Dressing, Wound, Drug; Classification: Unclassified; Product Code: FRO; Review Panel: General & Plastic Surgery;

### Indication for Use:

Antibacterial bandage is to be applied topically to the skin for management of minor cuts, minor scrapes and minor burns.

### Device Description

The device, Antibacterial bandage, is to be applied topically to the skin for management of minor cuts, minor scrapes and minor burns. The proposed devices are available in fabric backing and plastic backing. All of devices consist of (1) backing (fabric or plastic), (2) absorbent pad (composed of Polyester fiber, viscose fiber, PE mesh, Benzalkonium chloride) and (3) release paper (composed of cellulose pulp, water, kaolin, starch, ethanol and ethylene copolymer). Each device type is available in several models. The difference between each model is the device size. This dressing contains 0.08% benzalkonium chloride which has shown effectiveness against (Staphylococcus Aureus, Pseudomonas Aeruginosa, Escherlchia coli, Enterococcus Faecalis, Klebsiella Pneumoniae, Streptococcus Pyogenes, Candida Albicans and Aspergillus Niger) for up to 24 hours, as demonstrated via in vitro testing.

- 5. Identification of Predicate Device
510(k) Number: K113583 Product Name: Curad Antibacterial bandage

#### 6. Non-Clinical Test Conclusion

Non clinical tests were conducted to verify that the proposed device met all design specifications and is Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

The proposed device was tested for the peel adhesion per ASTM D3330/D3330M. The test results show that the peel strength of the product is greater than 1.0 N/cm.

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The proposed device was tested for the antimicrobial efficacy study and minimum effective concentration (MEC) study per ASTM AATCC-100, the test results meet the requirement of 4 log reduction.

Sterile barrier packaging testing were performed on the proposed device, which include seal strength (ASTM F88/F88-15). The test result showed that the device package can maintain its integrity.

Sterilization and shelf life testing listed in following table were performed on the proposed device. EO ECH residue did not exceed the limit of ISO 10993-7. Endotoxin limit did not exceed 20EU/device. Shelf life test result showed that the device can maintain its performance during the claimed shelf life.

| EO residue | ISO 10993-7:2008 |
|--------------------------|-------------------------------------------------------------------------------------------------------------------|
| ECH residue | ISO 10993-7:2008 |
| Bacteria Endotoxin Limit | USP 42-NF 37 <85> |
| Shelf Life Evaluation | Peel Adhesion, Package Tests were performed on<br>aging samples to verify the claimed shelf life of<br>the device |

Biocompatibility testing

The contact level of the proposed device is breached or compromised surfaces, and the contact duration is limited contact (<24 hours). The proposed device was evaluated for the following tests. The results for the biocompatibility testing showed that the proposed device is biocompatible.

- > Cytotoxicity,
- > Sensitization,
- > Intracutaneous reactivity,
- > Systemic Toxicity,
- > Material-mediated Pyrogenicity
- 7. Clinical Test Conclusion

No clinical study is included in this submission.

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#### 8. Substantially Equivalent (SE) Comparison

| Item | Device | Predicate Device | Remark |
|--------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------|------------|
| Device | K201324 | K113583 | |
| Product Code | FRO | FRO | Same |
| Regulation Number | Unclassified | Unclassified | Same |
| Class | Unclassified | Unclassified | Same |
| Indication for Use | Antibacterial bandage is to be applied topically to the skin for management of minor cuts, minor scrapes and minor burns. | Antibacterial bandages are to be applied topically to the skin to help prevent infection in minor cuts, scrapes and burns. | Similar |
| Configuration | Backing (fabric or plastic),<br>Absorbent pad<br>Release paper | Backing<br>Wound pad | Difference |
| Single Use | Yes | Yes | Same |
| Size | Fabric(mm): 25×25, 30×30,<br>38×16, 38×19, 38×38, 50×40,<br>50×50, 55×19, 55×30, 55×40,<br>56×22, 56×29, 57×16, 60×19,<br>60×30, 60×40, 63×25, 65×19,<br>65×30, 65×40, 70×18, 70×50,<br>70×60, 72×19, 72×25, 72×30,<br>72×50, 76×19, 76×25, 76×38,<br>76×50, 76×57, 80×50, 80×60,<br>80×65, 82×19, 83×60, 84×25,<br>88×38, 90×60, 95×50, 100×60,<br>100×80, 100×100, 101×44,<br>101×50<br><br>Plastic(mm): 25×25, 30×30,<br>38×16, 38×19, 38×38, 50×40,<br>50×50, 55×19, 55×30, 55×40,<br>56×22, 56×29, 57×16, 60×19,<br>60×30, 60×40, 63×25, 65×19,<br>65×30, 65×40, 70×18, 70×50,<br>70×60, 72×19, 72×25, 72×30,<br>72×50, 76×19, 76×25, 76×38, | 3/4"×3" | Difference |
| | | | |
| | 80×65, 82×19, 83×60, 84×25,<br>88×38, 90×60, 95×50, 100×60,<br>100×80, 100×100, 101×44,<br>101×50, 101×76 | | |
| Antimicrobial | 0.08-0.14% Benzalkonium<br>chloride | 0.1% Benzalkonium<br>chloride | Similar |
| Material | Benzalkonium chloride<br>Non-woven fabric<br>Polyethylene omentum<br>Hot melt adhesive<br>Acrylic adhesive | Benzalkonium chloride | Similar |
| Biocompatibility | Complies with ISO 10993-1 for<br>limited contact duration on<br>breached/compromised skin | Comply with ISO 10993 | Same |
| Sterilization | EtO Sterilization | EtO Sterilization | Same |
| SAL | 10-6 | 10-6 | Same |

# Table 1 Comparison of Technology Characteristics

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#### 9. Summary of Technological Characteristics

The Antibacterial Bandage is compared to the predicate device with respect to indications for use, size, materials, antimicrobial agent, BZK concentration, etc. According to the comparison information, most of the characteristics of the subject device are the same as the predicate device, some of the characteristics are similar, one is different, but none of them will cause different safety or effectiveness issues.

### Similar-Indication for Use

The indication for use of proposed bandage and predicate bandage are very similar. The slight difference between them is expression form of indication for use, however, both of the two devices can be applied topically to the skin for management of minor cuts, minor scrapes and minor burns. In addition, the antibacterial effect study was conducted on the proposed device, and the test results meet the requirement of 4 log reduction. Therefore, this difference does not affect the safety and effectiveness of the device.

### Difference- Configuration

The configuration of proposed bandage and the predicate bandage are not exactly the same. However, the proposed device and predicate device are bandages that can be adhered to the patient's skin and both of them are indicated for management of minor cuts, minor scrapes and minor burns. Therefore, this difference does not affect the safety and effectiveness of the device.

Difference- Size

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The size of proposed bandage and predicate bandage is different. The size will not affect the device performance of the bandage. User can select appropriate size physical requirement. Therefore, this difference is considered not to affect the safety and effectiveness of the proposed device.

### Similar- Antimicrobial (BZK concentration)

The BZK concentration of proposed bandage and predicate bandage are very similar. The BZK concentration of proposed bandage is more than 0.08%, and the BZK concentration of predicate bandage is 0.1%. Although there was a small difference in BZK concentration, antibacterial effect study was conducted on the sample with minimum BZK concentration and the test results meet the requirement of 4 log reduction. Therefore, this difference does not affect the safety and effectiveness of the device.

### Similar - Material

The patient contact material of proposed bandage and predicate bandage are different. However, the biocompatibility test for proposed device has been conducted and the proposed device passed all the tests. Therefore, this difference is not considered to affect the safety and effectiveness of the device.

### 10. Substantially Equivalent (SE) Conclusion

Based on the comparison of the indications for use and device technological characteristics to the predicate above, the proposed devices are determined to be Substantially Equivalent (SE) to the predicate device.