SHELHIGH NO-REACT PNEUMOPLEDGETS

K981756 · Shelhigh, Inc. · FTL · Aug 5, 1998 · General, Plastic Surgery

Device Facts

Record IDK981756
Device NameSHELHIGH NO-REACT PNEUMOPLEDGETS
ApplicantShelhigh, Inc.
Product CodeFTL · General, Plastic Surgery
Decision DateAug 5, 1998
DecisionSESE
Submission TypeTraditional
Regulation21 CFR 878.3300
Device ClassClass 2
AttributesTherapeutic

Intended Use

To reinforce the soft tissue of the lung, thereby sealing or reducing air leak that occurs during pulmonary surgery.

Device Story

Shelhigh No-React® PneumoPledgets are glutaraldehyde-fixed bovine pericardial strips designed for use during pulmonary surgery. The device features a unique loop design on the anterior portion to secure the strip to a surgical stapler by inserting the staple's pointed edge into the loop; an "O" ring of pericardial material may secure the posterior portion. The strips are customized to fit various stapler sizes and types. Provided sterile in a 2% benzyl alcohol solution, the material is soft, pliable, and exhibits high tensile strength and suture retention. The device is intended for use by surgeons in an operating room setting to reinforce lung tissue, thereby sealing or reducing air leaks. The No-React® detoxification process is applied to the bovine pericardium to enhance biocompatibility compared to conventional glutaraldehyde-treated patches.

Clinical Evidence

Bench testing and animal studies were conducted. Physical/mechanical testing confirmed equivalent performance to predicates. An animal study compared the Shelhigh No-React® patch to conventional glutaraldehyde-treated patches, demonstrating a higher level of cytocompatibility for the No-React® treated material.

Technological Characteristics

Glutaraldehyde-fixed bovine pericardium membrane; No-React® detoxification process; stored in 2% benzyl alcohol solution; soft and pliable form factor; customized for surgical stapler compatibility; mechanical properties include high tensile strength and suture retention.

Indications for Use

Indicated for patients undergoing pulmonary surgery requiring reinforcement of soft lung tissue to seal or reduce air leaks.

Regulatory Classification

Identification

Surgical mesh is a metallic or polymeric screen intended to be implanted to reinforce soft tissue or bone where weakness exists. Examples of surgical mesh are metallic and polymeric mesh for hernia repair, and acetabular and cement restrictor mesh used during orthopedic surgery.

Predicate Devices

Related Devices

Submission Summary (Full Text)

{0}------------------------------------------------ K981756 2 1608 AUG # Class II 510(K) Summary Shelhigh No-React® Pericardial Patch This summary of the 510(k) information is being submitted as required by section 807.92(a). #### Proprietary and Common Name: 1. Shelhigh No-React® PneumoPledgets Proprietary name: Pledget (pericardial Strips) Common name: ### II. Regulatory Class: Class II device ### III. Intended Use To reinforce the soft tissue of the lung, thereby sealing or reducing air leak that occurs during pulmonary surgery. ### IV. Product Description The Shelhigh No-React® PneumoPledgets strips are glutaraldehyde fixed sheet of bovine pericardium. They are held on the stapler by a unique design of a loop on the anterior part of the PneumoPledgets. It holds the strip by inserting the pointed edge of the staple into the loop. The posterior part (if needed) is held by an "O" ring made of pericardium as well. The PneumoPledgets. strips are customized to fit all sizes and types of staples. The device is provided sterile in a 2% benzyl alcohol solution, packaged in a glass jar. The material exhibits good tensile strength, shrink temperature excellent biocompatibility and suture retention. It is soft and pliable making it convenient to implant. Bovine pericardial material has been used successfully as a tissue patch for pericardial closure. Glutaraldehyde processed bovine pericardium has a long history of success as a permanently implanted material. {1}------------------------------------------------ # V. Substantial Equivalence The Shelhigh No-React® PneumoPledgets. is equivalent to the Peri-Strips® manufactured by Bio-Vascular K940205 and the Shelhigh No-React® pericardial patch K974914 and #K964467 currently manufactured by Shelhigh Inc. ## VI. Comparison with Predicate Device The Shelhigh No-React® PneumoPledgets. like the Shelhigh pericardial patch is a glutaraldehyde cross-linked bovine pericardium membrane which exhibits substantially equivalent physical/mechnical properties as measured by suture retention, tensile strength, and shrink temperature. They both have identical flexibility wall thickness shapes and sizes and both are stored in bezyle alcohol. The only difference is the addition of the detoxification process No-React®. Extensive validation of the effectiveness of the Patch with the detoxification process, No-React® indicates that these differences do not pose new questions of safety and effectiveness. #### Nonclinical / Animal Tests VII. Physical/Mechanical test information is discussed above . An animal study was conducted to evaluate Shelhigh No-React® vs. the conventional glutaraldehyde treated patch, the Shelhigh No-React® patch shows higher level of biocompatibility. #### VIII. Conclusions The non clinical /Animal testing data showed that the Shelhigh No-React® PneumoPledgets. has high level of cytocompatibility when compared with the conventional glutaraldehyde treated and storage. The Shelhigh No-React® performance in a substantially equivalent to the predicate device and there were no significant differences between the two devices which pose new questions of safety and effectiveness. {2}------------------------------------------------ Image /page/2/Picture/1 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features the department's name arranged in a circular fashion around a symbol. The symbol is a stylized representation of a bird or eagle, with three curved lines forming its body and wings. Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850 AUG ર વિવેત્ક Shlomo Gabbay, M.D. Chief Scientific Officer Shelhigh. Inc. 67-71 East Willow Street Millburn, New Jersey 07041 Re: K981756 Trade Name: Shelhigh No-React Pneumopledgets Regulatory Class: II Product Code: FTL Dated: Mav 12, 1998 Received: May 18, 1998 Dear Dr. Gabbay: We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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. If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations. Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirement, as set forth in the Quality System Regulation (OS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (OS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations. This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding 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. {3}------------------------------------------------ Page 2 - Dr. Shlomo Gabbay If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4595. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html". Sincerely yours, Celia M. Witten, Ph.D., M.D. Director Division of General and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health Enclosure {4}------------------------------------------------ Page _1_of __1__ 510(k) Number (if known): K981756 Device Name: Shelhigh No-React® PneumoPledgets. Indications For Usc: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The devicc is intended for use to reinforced the soft tissue of the lung, thereby sealing or reducing air leak that occur during pulmonary surgery. (PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED) | Concurrence of CDRH, Office of Device Evaluation (ODE) | | |--------------------------------------------------------|---------| | (Division Sign-Off) | | | Division of General Restorative Devices | | | 510(k) Number | K981756 | | Prescription Use | X | |----------------------|---| | (Per 21 CFR 801.109) | | OR | Over-The-Counter Use | | |----------------------|--| |----------------------|--| (Optional Format 1-2-96)
Innolitics
510(k) Summary
Decision Summary
Classification Order
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