Section 884.5200 - Hemorrhoid prevention pressure wedge(a)Identification. A hemorrhoid prevention pressure wedge provides mechanical support to the perianal region during the labor and delivery process. External mechanical support of the perianal region is intended to help prevent the occurrence of external hemorrhoids associated with vaginal childbirth.(b)Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9 . The special controls for this device are:(1) The sale, distribution, and use of this device are restricted to prescription use in accordance with § 801.109 of this chapter.(2) The labeling must include specific instructions regarding the proper placement and use of the device.(3) The device must be demonstrated to be biocompatible.(4) Mechanical bench testing of material strength must demonstrate that the device will withstand forces encountered during use.(5) Safety and effectiveness data must demonstrate that the device prevents hemorrhoids in women undergoing spontaneous vaginal delivery, in addition to general controls. 76 FR 21238 , Apr. 15, 2011, as amended at 84 FR 71816 , Dec. 30, 2019 As amended at 84 FR 71816, 12/30/2019