← Product Code [KMF](/submissions/HO/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/KMF) · K964016

# TIELLE HYDROPOLYMER FOAM DRESSING (K964016)

_Johnson & Johnson Medical, Inc. · KMF · Dec 31, 1996 · General Hospital · SN_

**Canonical URL:** https://fda.innolitics.com/submissions/SU/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/KMF/K964016

## Device Facts

- **Applicant:** Johnson & Johnson Medical, Inc.
- **Product Code:** [KMF](/submissions/HO/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/KMF.md)
- **Decision Date:** Dec 31, 1996
- **Decision:** SN
- **Submission Type:** Traditional
- **Regulation:** 21 CFR 880.5090
- **Device Class:** Class 1
- **Review Panel:** General Hospital
- **Attributes:** Therapeutic

## Indications for Use

TIELLE Dressing is indicated for the management of both chronic and superficial, moderate to heavily exudating wounds, including the following: - Pressure sores (all stages) - Venous ulcers - Skin tears - Second degree burns - Donor and graft sites - Acute wounds healing by secondary or primary intention - Surgically debrided wounds

## Device Story

TIELLE Hydropolymer Foam Dressing; hydrophilic polyurethane polymer wound dressing; manages moderate to heavily exudating chronic and superficial wounds; applied topically to wound site; absorbs exudate; maintains moist wound environment; used in clinical or home settings; applied by healthcare professionals or patients; facilitates healing of pressure sores, venous ulcers, burns, and surgical wounds.

## Clinical Evidence

Bench testing only. Biocompatibility testing confirms device is non-sensitizing and non-irritating.

## Technological Characteristics

Hydrophilic polyurethane polymer foam dressing. Material properties support exudate absorption and moisture management. No electronic, software, or energy-based components.

## Regulatory Identification

A liquid bandage is a sterile device that is a liquid, semiliquid, or powder and liquid combination used to cover an opening in the skin or as a dressing for burns. The device is also used as a topical skin protectant.

## Predicate Devices

- Allevyn Hydrophilic Polyurethane Dressing (Smith & Nephew)

## Submission Summary (Full Text)

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{0}

DEC 24. 1996 10:00AM

K964016

# 510(k) SUMMARY

## TIELLE* Hydropolymer Foam Dressing

DEC 31 1996

1. **DATE PREPARED**

December 24, 1996

2. **SUBMITTER**

Johnson &amp; Johnson Medical, Inc.
2500 Arbrook Boulevard, P.O. Box 90130
Arlington, Texas 76004-3130

3. **CONTACT**

Ralph H. Larsen, (817)784-4993
Sr. Project Manager, Regulatory Affairs

4. **NAME OF THE MEDICAL DEVICE**

Classification name: Dressing, wound
Common/usual name: Topical wound dressing
Proprietary name: TIELLE* Hydropolymer Foam Dressing

5. **DEVICE CLASSIFICATION**

Classification for topical wound dressings has not yet been finalized by the Division of Surgical and Rehabilitation Devices. These devices are classified into Class I (General Controls).

6. **STATEMENT OF SUBSTANTIAL EQUIVALENCE**

TIELLE* Hydropolymer Foam Dressing is substantially equivalent and identical in function to Allevyn Hydrophilic Polyurethane Dressing marketed by Smith &amp; Nephew.

7. **INDICATIONS FOR USE**

TIELLE Dressing is indicated for the management of both chronic and superficial, moderate to heavily exudating wounds, including the following:

- Pressure sores (all stages)
- Venous ulcers
- Skin tears
- Second degree burns
- Donor and graft sites
- Acute wounds healing by secondary or primary intention
- Surgically debrided wounds

8. **PHYSICAL DESCRIPTION**

TIELLE* Hydropolymer Foam Dressing is made from a hydrophilic polyurethane polymer.

9. **BIOCOMPATIBILITY**

{1}

DEC. 24. 1990 10.03AM

K464016

Safety tests demonstrate that TIELLE* Hydropolymer Foam Dressing is non-sensitizing, and non-irritating and suitable for its intended use.

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**Source:** [https://fda.innolitics.com/submissions/SU/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/KMF/K964016](https://fda.innolitics.com/submissions/SU/subpart-f%E2%80%94general-hospital-and-personal-use-therapeutic-devices/KMF/K964016)

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