K Number
K021043
Device Name
GRAMS ABSORBABLE SURGICAL GUT SUTURE PLAIN & CHROMIC
Manufacturer
Date Cleared
2002-06-21

(81 days)

Product Code
Regulation Number
878.4830
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Grams Absorbable Surgical Gut Suture (Plain and Chromic) is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological procedures.
Device Description
Grams Surgical gut suture (Plain and Chromic) is an absorbable sterile surgical suture composed of purified connective tissue (mostly collagen) derived from either the serosal layer of beef (bovine) or the submucosal fibrous layer of sheep (ovine) intestines.
More Information

Not Found

No
The 510(k) summary describes a traditional surgical suture made from animal tissue. There is no mention of AI, ML, image processing, or any other technology that would suggest the use of AI/ML. The performance studies focus on standard physical properties of sutures.

Yes.
The device is a surgical suture, which is used for soft tissue approximation and/or ligation, thereby providing a therapeutic effect by closing wounds and assisting healing.

No

The device description and intended use clearly state that it is a surgical suture used for tissue approximation and ligation, which are therapeutic rather than diagnostic purposes.

No

The device description clearly states it is a physical surgical suture made of biological material, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "general soft tissue approximation and/or ligation," which is a surgical procedure performed on the body.
  • Device Description: The device is a "surgical suture," a physical material used to close wounds or tie off blood vessels within the body.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or screening.

IVD devices are used outside the body to analyze samples, while this device is used inside the body during surgery.

N/A

Intended Use / Indications for Use

"Grams Absorbable Surgical Gut Suture (Plain and Chromic) is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological procedures".

Product codes

GAL

Device Description

Grams Surgical gut suture (Plain and Chromic) is an absorbable sterile surgical suture composed of purified connective tissue (mostly collagen) derived from either the serosal layer of beef (bovine) or the submucosal fibrous layer of sheep (ovine) intestines.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

general soft tissue

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The results of the performance testing data presented demonstrate the substantial equivalence of Grams American Absorbable Gut Suture (Plain & Chromic) to that of the predicated devices.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K991223, K994002, K001299

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4830 Absorbable surgical gut suture.

(a)
Identification. An absorbable surgical gut suture, both plain and chromic, is an absorbable, sterile, flexible thread prepared from either the serosal connective tissue layer of beef (bovine) or the submucosal fibrous tissue of sheep (ovine) intestine, and is intended for use in soft tissue approximation.(b)
Classification. Class II (special controls). The special control for this device is FDA's “Class II Special Controls Guidance Document: Surgical Sutures; Guidance for Industry and FDA.” See § 878.1(e) for the availability of this guidance document.

0

JUN 2 1 2002

Image /page/0/Picture/1 description: The image shows the logo for GRAMS American Suture, Inc. The word "GRAMS" is written in large, bold, black letters with a curved line underneath it. Below the word "GRAMS" is the text "American Suture, Inc." in a smaller font. The logo is simple and professional, and it is likely used on the company's products and marketing materials.

Summary of Safety & Effectiveness Absorbable Surgical Gut Suture (Plain and Chromic)

KO21043

This summary is submitted in accordance with the Safe Medical Device Act (SMDA) of 1990 and Title 21 CFR § 807.92. This summary demonstrates the equivalence of Grams American Sutures to those of the legally marked devices listed.

  • A. Applicant:
    Grams American Suture, Inc. 2225 Dakota Drive Grafton, Wisconsin 53024 USA

  • B. Contact Person: A. J. Dimercurio

  • C. Date Prepared: March 25, 2002

  • D. Device Name:

    • Grams Absorbable Surgical Gut Suture o Trade Name: Plain & Chromic Common Name: Plain & Chromic Cat Gut Absorbable Suture O Classification Name: Absorbable Surgical Gut Suture O
  • E. Predicate Devices: Grams Absorbable Surgical Gut Suture is substantially equivalent to these predicate devices:

    • AESCULAP Absorbable Surgical Gut Suture, Plain & Chromic & Softcat Gut Suture, O 510K Number K991223, AESCULAP, San Diego California.
    • o T. Cad International, Plain/Chromic Catgut Suture, Trading Consultants& Distributors International Inc. 510K Number K994002, Chicago IL.
    • CP Medical, Plain and Chromic Absorbable Surgical Gut Suture, o 510K Number K001299, CP Medical Portland Oregon.
  • F. Device Description:

Grams Surgical gut suture (Plain and Chromic) is an absorbable sterile surgical suture composed of purified connective tissue (mostly collagen) derived from either the serosal layer of beef (bovine) or the submucosal fibrous layer of sheep (ovine) intestines.

1

Image /page/1/Picture/0 description: The image shows the logo for GRAMS American Suture, Inc. The word "GRAMS" is written in large, bold, black letters with a curved line above it. Below the word "GRAMS" is the text "American Suture, Inc." in a smaller font. The logo is simple and professional, and it is likely used on the company's products and marketing materials.

G. Intended Use:

"Grams Absorbable Surgical Gut Suture (Plain and Chromic) is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological procedures".

H. Technological Comparison to Predicate Devices:

COMPARISON TABLE GRAMS TO PREDICATE DEVICES
Comparison ItemsGrams
American
Suture
Inc.T. Cad
InternationalCP
MedicalAESCULAP
Absorbable Surgical Gut Suture (Plain & Chromic) is
an absorbable, sterile, flexible thread prepared from
either the serosal connective tissue layer of beef
(bovine) or the submucosal fibrous tissue of sheep
(ovine) intestine.SameSameSameSame
Absorbable Surgical Gut Suture (Plain & Chromic) is
"Intended for Use" in soft tissue approximation and
/or ligation, including use in ophthalmic procedures,
but not for use in cardiovascular and neurological
procedures.SameSameSameSame
Absorbable Surgical Gut Suture (Plain & Chromic)
supplied for single use only, with or without needles
attached, uncoated or coated with a glycerol solution.SameSameSimilarSame
Absorbable Surgical Gut Suture (Plain & Chromic) is
packed with a packet fill solution of 90% Isopropyl
Alcohol, 0.5% Diethylethanolamine 0.5% Sodium
Benzoate and water q.s ad 100%SameSimilarSameSimilar
Absorbable Surgical Gut Suture (Plain & Chromic)
packaged in the same or equivalent manner, and has
the same or equivalent labeling claims as the predicate
devices including indications, contraindications,
warnings, cautions, and precautions.SameSameSameSame
Finished suture material meets or exceeds the
performance requirements for "Absorbable Surgical
Suture" as defined in the Official Monograph of the
United States Pharmacopeia 23 and the current edition
USP 24.SameSameSameSame
Comparison ItemsGrams
American
Suture Inc.T. Cad
InternationalCP
MedicalAESCULAP
Finished suture material meets the performance
requirements defined in the United States
Pharmacopeia 23 and the current edition USP
24 for "Diameter" $$SameSameSameSame
Finished suture material meets or exceeds the
performance requirements defined in the United
States Pharmacopeia 23 and the current edition
USP 24 for "Tensile Strength" $$SameSameSameSame
Finish suture material meets or exceeds the
performance requirements defined in the United
States Pharmacopeia 23 and the current edition
USP 24 for "Needle Attachment" $$SameSameSameSame
Finished suture material meets the performance
requirements defined in the United States
Pharmacopeia 23 and the current edition USP
24 for "Finish suture Length Requirement"
(95% of stated label length)SameSameSameSame
Finished suture material packaged in a same or
equivalent manner with sterile single or double
package having labeling conforming to 21 CFR
and USP XXIV.SameSameSameSame

2

Image /page/2/Picture/0 description: The image shows the logo for GRAMS American Suture, Inc. The word "GRAMS" is written in a bold, sans-serif font, with a curved line above and below the word. Below the word "GRAMS" is the text "American Suture, Inc." in a smaller, serif font. The logo is simple and professional, and it effectively communicates the company's name and industry.

Technological Comparison to Predicate Devices Continued:

I. Conclusion:

Grams Absorbable Gut Suture (Plain & Chromic) is composed of the same material, as are the predicated devices and the same design, being a sterile, flexible, monofilament like threads meeting all the requirements of the United States Pharmacopeia. Grams American Absorbable Gut Suture (Plain & Chromic) is manufactured in the same manner as the predicate devices, being produced from either the serosal connective tissue layer of beef (bovine) or the submucosal fibrous tissue of sheep (ovine) intestine, and produced in operations considered standard in the industry to form the finished suture strand. The raw suture material manufacturer supplies to Grams American Suture the same suture materials as it does to other suture manufacturers, which may include some of them listed above.

The results of the performance testing data presented demonstrate the substantial equivalence of Grams American Absorbable Gut Suture (Plain & Chromic) to that of the predicated devices.

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States of America. The seal is circular, with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the top half of the circle. In the center of the seal is an emblem that resembles a stylized eagle or bird-like figure, with three curved lines representing its wings or feathers. The emblem is positioned in the center of the circle, and the overall design is simple and monochromatic.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Anthony J. Demercurio Grams American Suture, Inc. 2225 Dakota Drive Grafton, WI 53024

JUN 2 1 2002

Re: K021043

Trade/Device Name: Grams Absorbable Surgical Gut Suture Plain and Chromic Regulation Number: 878.4830 Regulation Name: Absorbable surgical gut suture Regulatory Class: II Product Code: GAL Dated: March 29, 2002 Received: April 1, 2002

Dear Mr. Demercurio:

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. 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 (PMA), 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 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 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

4

Page 2 -- Mr. Anthony J. Demercurio

:

This letter will allow you to begin marketing your device as described in your Section 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4659. 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" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours.

O. Mark A. Millerson

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Image /page/5/Picture/0 description: The image shows the logo for GRAMS American Suture, Inc. The word "GRAMS" is in large, bold, black letters with a curved line underneath. Below the word "GRAMS" is the text "American Suture, Inc." in a smaller font. The logo is simple and professional.

Intended Use Statement

FDA Document Number K021043

Addendum Information

Device Name per 21CFR 878.4830 "Absorbable Surgical Gut Suture"

Indication for Use:

"Grams Absorbable Surgical Gut Suture (Plain and Chromic) is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular and neurological procedures".

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE

for Mark M
(Division Sign-Off)
Division of General, Restorative
and Neurological Devices
510(k) Number. K021043

Prescription Use
(Per 21CFR 801.109)
Or
Over-The Counter Use __

(Optional Format 1-2-96)