Prevena Incision Management System with Customizable Dressing, Prevena Customizable Dressing Kit

FDA 510(k) K121883 · Kci USA, Inc. (Kinetic Concepts, Inc.)

Substantially Equivalent

510(k) numberK121883

Submission

Device name
Prevena Incision Management System with Customizable Dressing, Prevena Customizable Dressing Kit
Applicant
Kci USA, Inc. (Kinetic Concepts, Inc.)
San Antonio, TX, US
Received
June 28, 2012
Decision date
October 11, 2012
Decision
Substantially Equivalent (SESE)
Type
Traditional 510(k)
Summary
510(k) summary available from FDA

Official FDA 510(k) record

Device classification

Product code
OMP – Negative Pressure Wound Therapy Powered Suction Pump
Device class
Class II (moderate risk)
Regulation
21 CFR 878.4780
Specialty
General, Plastic Surgery

For wound management via application of continual or intermittent negative pressure to the wound for removal of fluids, including wound exudate, irrigation fluids, and infectious materials. The Device is indicated for management of chronic, acute, traumatic, subacute and dehisced wounds, partial-thickness burns, ulcers (such as diabetic or pressure), flaps and grafts.

Other 510(k)s with product code OMP

510(k)DeviceApplicantDecision
K261338RENASYS DYNAFLOW Kit (66807741)OMP · Traditional Smith & Nephew Medical, Ltd.09/11/2026SE
K253263ConvaVAC™ Negative Pressure Wound Therapy SystemOMP · Traditional Convatec Limited, Gdc Building06/24/2026SE
K253199Curasys 2 (EMDN0003)OMP · Traditional CG Bio Co., Ltd.06/23/2026SE
K260646Renasys Edge (66803126)OMP · Traditional Smith & Nephew Medical, Ltd.05/27/2026SE
K261291Nisus NPWT Canister 500-mL (CPC-500)OMP · Special Cork Medical05/21/2026SE
K254019Wound Geni NPWT SystemOMP · Traditional Bechtel Medical, Inc.05/04/2026SE
K253429Genadyne ASTRA NPWTOMP · Traditional Genadyne Biotechnologies, Inc.03/12/2026SE
K250586Prospera Spectruum Negative Pressure Wound Therapy Black Foam Kits and White Foam…OMP · Traditional Deroyal Industries, Inc.11/21/2025SE
K251646extriCARE® 1000 Negative Pressure Wound Therapy SystemOMP · Traditional Alleva Medical Devices10/03/2025SE
K251826RENASYS WOUND+ Dressing Kit with AIRLOCK TechnologyOMP · Traditional Smith & Nephew Medical, Ltd.09/11/2025SE

More from Smith & Nephew Medical, Ltd.

510(k)DeviceDecision
K162790V.A.C.ULTA Negative Pressure Wound Therapy SystemOMP · Traditional 01/26/2017SE
K161897PREVENA DUO, PREVENA PLUS DUO Incision Management Systems with PEEL & PLACE DressingsOMP · Traditional 10/04/2016SE
K160451V. A.C. VeraFlo Cleanse Choice Dressing System for use with the V.A.C. Ulta ...OMP · Traditional 06/20/2016SE
K141017Prevena Incision Management System with Peel & Dressing, Prevena Incision Management…OMP · Traditional 08/20/2015SE
K133232Prevena Incision Management System with Customizable Dressing, Prevena Incision…OMP · Traditional 03/24/2014SE
K123878Prevena Incision Management System with Customizable DressingOMP · Special 01/15/2013SE
K120499Abthera Open Abdomen Negative Pressure Therapy SystemOMP · Traditional 10/05/2012SE
K103156V.A.C. Veraflo Cleanse Dressing SystemOMP · Special 03/14/2011SE
K102956V.A.C. Granufoam Silver Small Dressing; V.A.C. Granufoam Silver Medium Dressing; V.A.C.…OMP · Special 12/15/2010SE
K100657V.A.C. Ulta Negative Pressure Wound Therapy System (V.A.C. Ulta Therapy System) Model…OMP · Traditional 09/17/2010SE

Questions and answers

When was Prevena Incision Management System with Customizable Dressing, Prevena Customizable Dressing Kit cleared by the FDA?

Prevena Incision Management System with Customizable Dressing, Prevena Customizable Dressing Kit (K121883) received a 510(k) decision of Substantially Equivalent on October 11, 2012, 105 days after the submission was received.

What is the product code of K121883?

The FDA product code is OMP – Negative Pressure Wound Therapy Powered Suction Pump, a Class II (moderate risk) device regulated under 21 CFR 878.4780.