K Number
K033671
Device Name
GORE BIOABSORBABLE MESH
Date Cleared
2003-12-31

(37 days)

Product Code
Regulation Number
878.3300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The GORE BIOABSORBABLE MESH is intended for use in the reinforcement of soft tissue. Examples of applications where the GORE BIOABSORBABLE MESH may be used include, but are not limited to: Hernia repair (inguinal, femoral, umbilical, abdominal, diaphragmatic, incisional, epigastric, gastroesophageal, hiatal, intermuscular). Muscle flap reinforcement Perforated tissue repair General tissue reconstruction's (periosteum, thoracic wall, reinforcement of the bladder wall, suture line reinforcement, tissue deficit, etc.)
Device Description
The GORE BIOABSORBABLE MESH is used to reinforce soft tissue during the phases of wound healing by filling or bridging soft-tissue void spaces or defects. The GORE BIOABSORBABLE MESH elicits a physiological tissue response, which fills the defect with native tissue and gradually absorbs the device. GORE® BIOABSORBABLE MESH is comprised of a microporous structure of synthetic bioabsorbable poly (67% glycolide: 33% trimethylene carbonate by weight) (PGA: TMC) copolymer fiber. As packaged, the GORE BIOABSORBABLE MESH is a tailorable, bioabsorbable material intended to be a temporary bridge of defects until the absorptive nature of the device stimulates the body to fill the defect with native tissue. The device is available in sheets and preformed, three-dimensional shapes. The GORE BIOABSORBABLE MESH is provided STERILE for single use only. Due to the absorptive nature of the GORE BIOABSORBABLE MESH, an overlay patch should be used in corrections requiring high strength (e.g., groin hernia repair)
More Information

Not Found

No
The description focuses on the material properties and intended use of a bioabsorbable mesh for tissue reinforcement. There is no mention of AI or ML in the device description, intended use, or performance studies.

Yes
The device is intended for soft tissue reinforcement and repair, which directly impacts the structure or function of the body, classifying it as a therapeutic device.

No

The GORE BIOABSORBABLE MESH is used for the reinforcement of soft tissue, filling or bridging soft-tissue void spaces or defects, not for diagnosing medical conditions. Its purpose is therapeutic and reconstructive, not diagnostic.

No

The device description clearly states it is a physical mesh comprised of a bioabsorbable copolymer fiber, intended for surgical implantation. This is a hardware device, 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 the "reinforcement of soft tissue" in various surgical procedures. This is a therapeutic or structural function within the body.
  • Device Description: The description details a physical mesh material used to bridge defects and stimulate tissue growth. It is implanted into the body.
  • Lack of Diagnostic Function: There is no mention of the device being used to test samples from the body (like blood, urine, or tissue) to diagnose a condition, monitor a disease, or screen for health issues.

IVD devices are used in vitro (outside the body) to examine specimens from the human body to provide information for diagnostic purposes. This device is used in vivo (inside the body) for structural support and tissue regeneration.

N/A

Intended Use / Indications for Use

The GORE BIOABSORBABLE MESH is intended for use in the reinforcement of soft tissue. Examples of applications where the GORE BIOABSORBABLE MESH may be used include, but are not limited to: Hernia repair (inguinal, femoral, umbilical, abdominal, diaphragmatic, incisional, epigastric, gastroesophageal, hiatal, intermuscular). Muscle flap reinforcement Perforated tissue repair General tissue reconstruction's (periosteum, thoracic wall, reinforcement of the bladder wall, suture line reinforcement, tissue deficit, etc.)

Product codes (comma separated list FDA assigned to the subject device)

OWT, BWZ, OXC

Device Description

The GORE BIOABSORBABLE MESH is used to reinforce soft tissue during the phases of wound healing by filling or bridging soft-tissue void spaces or defects. The GORE BIOABSORBABLE MESH elicits a physiological tissue response, which fills the defect with native tissue and gradually absorbs the device. GORE® BIOABSORBABLE MESH is comprised of a microporous structure of synthetic bioabsorbable poly (67% glycolide: 33% trimethylene carbonate by weight) (PGA: TMC) copolymer fiber. This is the same material used in the predicate device (GORE DRAPEABLE ST Regenerative Membrane, K013346, cleared December 19, 2001 and SEAMGUARD, K030782 cleared April 21, 2003). As packaged, the GORE BIOABSORBABLE MESH is a tailorable, bioabsorbable material intended to be a temporary bridge of defects until the absorptive nature of the device stimulates the body to fill the defect with native tissue. The device is available in sheets and preformed, three-dimensional shapes. The GORE BIOABSORBABLE MESH is provided STERILE for single use only. Due to the absorptive nature of the GORE BIOABSORBABLE MESH, an overlay patch should be used in corrections requiring high strength (e.g., groin hernia repair)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

soft tissue, inguinal, femoral, umbilical, abdominal, diaphragmatic, incisional, epigastric, gastroesophageal, hiatal, intermuscular (for hernia repair), muscle flap, perforated tissue, periosteum, thoracic wall, bladder wall

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)

W. L. Gore & Associates, Inc. performed device integrity testing to support that the GORE BIOABSORBABLE MESH is equivalent to the predicate devices. All device integrity test results for the GORE BIOABSORBABLE MESH met specified requirements.

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

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K030782, K013346, K810428, K001738, K021105

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 878.3300 Surgical mesh.

(a)
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.(b)
Classification. Class II.

0

K033671 Page 1/3

GORE BIOABSORBABLE MESH

December 31, 2003

510(k) SUMMARY OF SUBSTANTIAL EQUIVALENCE

Proprietary Name:GORE BIOABSORBABLE MESH
Common Name:Bioabsorbable Mesh
Classification Name:Mesh, surgical, polymeric
Device Classification:Class II
Product Classification and Code:878.3300, OWT, BWZ, OXC
Classification Panel:General and Plastic Surgery Devices
Establishment Registration Number:3003910212
Contact Person:Michael J. Titus
Regulatory Affairs
Medical Products Division
W. L. Gore & Associates, Inc.
301 Airport Road
Elkton, Maryland 21922-1408
Telephone: (410) 506-8316
Facsimile: (410) 506-8221
E-mail: mtitus@wlgore.com

Performance Standards

Performance standards do not currently exist for these devices. None established under Section 514.

1

K033671 Page 2/3

510(k) Premarket Notification 510(k) Summary of Substantial Equivalence RE BIOABSORBABLE MESH

Device Description

The GORE BIOABSORBABLE MESH is used to reinforce soft tissue during the phases of wound healing by filling or bridging soft-tissue void spaces or defects. The GORE BIOABSORBABLE MESH elicits a physiological tissue response, which fills the defect with native tissue and gradually absorbs the device.

GORE® BIOABSORBABLE MESH is comprised of a microporous structure of synthetic bioabsorbable poly (67% glycolide: 33% trimethylene carbonate by weight) (PGA: TMC) copolymer fiber. This is the same material used in the predicate device (GORE DRAPEABLE ST Regenerative Membrane, K013346, cleared December 19, 2001 and SEAMGUARD, K030782 cleared April 21, 2003).

As packaged, the GORE BIOABSORBABLE MESH is a tailorable, bioabsorbable material intended to be a temporary bridge of defects until the absorptive nature of the device stimulates the body to fill the defect with native tissue. The device is available in sheets and preformed, three-dimensional shapes. The GORE BIOABSORBABLE MESH is provided STERILE for single use only.

Due to the absorptive nature of the GORE BIOABSORBABLE MESH, an overlay patch should be used in corrections requiring high strength (e.g., groin hernia repair)

Indication for Use

The GORE BIOABSORBABLE MESH is intended for use in the reinforcement of soft tissue. Examples of applications where the GORE BIOABSORBABLE MESH may be used include, but are not limited to:

The GORE BIOABSORBABLE MESH is intended for use in the reinforcement of soft tissue. Examples of applications where the GORE BIOABSORBABLE MESH may be used include, but are not limited to:

Hernia repair (inguinal, femoral, umbilical, abdominal, diaphragmatic, incisional, epigastric, gastroesophageal, hiatal, intermuscular).

Muscle flap reinforcement

Perforated tissue repair

General tissue reconstruction's (periosteum, thoracic wall, reinforcement of the bladder wall, suture line reinforcement, tissue deficit, etc.)

2

K033671 Page 3/3

GORE BIOABSORBABLE MESH

In W. L. Gore & Associates, Inc.'s opinion, the GORE BIOABSORBABLE MESH is believed to be substantially equivalent to the following predicate devices currently in interstate commerce with respect to comparable features, materials of construction and intended use.

  • . SEAMGUARD Bioabsorbable Staple Line Reinforcement Material (W. L. Gore & Associates, Inc., Flagstaff, AZ) - K030782
  • . GORE DRAPEABLE ST Regenerative Membrane (W.L. Gore & Associates, Inc., Flagstaff, AZ) - K013346
  • . Vicryl (Ethicon Inc., Somerville, NJ) - K810428
  • DePuy Restore® Orthobiologic Soft Tissue Implant (DePuy, Inc., . Warsaw, IN) - K001738
  • . FortaGen (Organogenesis Inc., Canton, MA) - K021105

Summary of Studies

W. L. Gore & Associates, Inc. performed device integrity testing to support that the GORE BIOABSORBABLE MESH is equivalent to the predicate devices. All device integrity test results for the GORE BIOABSORBABLE MESH met specified requirements.

Conclusion (Statement of Equivalence)

Through data and information presented, numerous similarities support a determination of substantial equivalence, and therefore market clearance of the W. L. Gore & Associates, Inc. GORE BIOABSORBABLE MESH through this 510(k) Premarket Notification.

3

Image /page/3/Picture/1 description: The image contains the logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a stylized emblem. The emblem consists of a series of blue lines that form a human figure, with the lines representing different aspects of health and well-being. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA".

Food and Drug Administration 10903 New Hampshire Avenue Document Control Room -WO66-G609 Silver Spring, MD 20993-0002

W.L. Gore & Associates, Inc. Medical Products Division % Mr. Brandon Hansen, Regulatory Affairs 3450 West Kiltie Lane Flagstaff, Arizona 86002-0500

JUL - 2 2012

Re: K033671

Trade/Device Name: GORE Bioabsorbable Mesh Regulation Number: 878.3300 Regulation Name: Surgical Mesh Regulatory Class: II Product Code: OWT. OWZ. OXC Dated: November 21, 2003 Received: November 24, 2003

Dear Mr. Hansen:

This letter corrects our substantially equivalent letter of December 31, 2003.

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 (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 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

4

2-Mr. Brandon Hansen

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to

http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Mark N. Mello

Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Indications for Use

510(k) Number (if known): K033671

GORE® Bioabsorbable Mesh Device Name:

Indications For Use:

The GORE BIOABSORBABLE MESH is intended for use in the reinforcement of soft tissue. Examples of applications where the GORE BIOABSORBABLE MESH may be used include, but are not limited to:

Hernia repair (inguinal, femoral, umbilical, abdominal, diaphragmatic, incisional, epigastric, gastroesophageal, hiatal, intermuscular).

Muscle flap reinforcement

Perforated tissue repair

General tissue reconstruction's (periosteum, thoracic wall, reinforcement of the bladder wall, suture line reinforcement, tissue deficit, etc.)

Prescription Use × (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daniel Krene for MMM
(Division Sign-Off)

(Division Sign-Off) Division of Surgical. Orthopedic. and Restorative Devices

510(k) Number K033671

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