K Number
K050148
Device Name
MENTOR ARIS TRANS-OBTURATOR TAPE AND SURGICAL KIT
Manufacturer
Date Cleared
2005-03-09

(44 days)

Product Code
Regulation Number
878.3300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Mentor Aris Trans-obturator Surgical Kit consists of the Mentor Aris Trans-obturator Tape, an implantable, suburethral, support tape, plus introducers. The Tape and the Surgical Kit are indicated for the surgical treatment of all types of stress urinary incontinence resulting from urethral hypermobility and/or intrinsic sphincter deficiency.
Device Description
The Mentor Aris Trans-obturator Kit consists of two components: the Mentor Aris Transobturator Tape and a set of introducer needles. The Mentor Aris Trans-obturator Tape is an implantable, suburethral, support tape made from knitted monofilament polypropylene fibers. This structure gives the Aris Tape resistance to traction, allows tissue colonization and facilitates positioning during surgery. A set of sterile, disposable Introducer Needles (one flat curved introducer and a pair of helical introducers) necessary for implantation of the tape are also included in the Surgical Kit.
More Information

Not Found

No
The device description and intended use focus on a surgical kit with a physical implant and introducer needles. There is no mention of software, algorithms, or data processing that would suggest the use of AI/ML.

Yes
The device is indicated for the surgical treatment of stress urinary incontinence, which qualifies it as a therapeutic device.

No
The device is described as an implantable surgical tape and introducers used for the treatment of stress urinary incontinence, not for diagnosing a condition.

No

The device description clearly states it includes an implantable tape made of polypropylene fibers and introducer needles, which are physical hardware components.

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 surgical treatment of stress urinary incontinence by providing suburethral support. This is a surgical procedure performed on a patient's body, not a test performed on a sample of bodily fluid or tissue in vitro (outside the body).
  • Device Description: The device is an implantable tape and introducer needles used for surgical implantation. This is a physical device used for treatment, not a reagent, instrument, or system intended for the examination of specimens from the human body.
  • Lack of IVD Characteristics: There is no mention of analyzing samples, detecting substances, or providing diagnostic information based on laboratory testing.

IVD devices are used to perform tests on samples (like blood, urine, tissue) to diagnose, monitor, or screen for diseases or conditions. This device is a surgical implant used for treatment.

N/A

Intended Use / Indications for Use

The Mentor Aris Trans-obturator Surgical Kit consists of the Mentor Aris Trans-obturator Tape, an implantable, suburethral, support tape, plus introducers. The Tape and the Surgical Kit are indicated for the surgical treatment of all types of stress urinary incontinence (SUI), and for stress urinary incontinence resulting from urethral hypermobility and/or intrinsic sphincter deficiency.

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

OTN

Device Description

The Mentor Aris Trans-obturator Kit consists of two components: the Mentor Aris Transobturator Tape and a set of introducer needles.
The Mentor Aris Trans-obturator Tape is an implantable, suburethral, support tape made from knitted monofilament polypropylene fibers. This structure gives the Aris Tape resistance to traction, allows tissue colonization and facilitates positioning during surgery.
A set of sterile, disposable Introducer Needles (one flat curved introducer and a pair of helical introducers) necessary for implantation of the tape are also included in the Surgical Kit.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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)

All mechanical, biological, and chemical testing specifications comply with established ISO, USP, EN and/or NF standards.

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.

K031767, K042851

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

This 510(k) summary of safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR § 807.92

The assigned 510(k) number is:K050148
Contact Person:Donna A. Crawford
Director, Corporate Regulatory Affairs
Mentor Corporation
201 Mentor Drive
Santa Barbara, CA 93111
Telephone:805-879-6304
FAX:805-879-6015
Date Prepared:January 21, 2005

Device Name and Classification

Proprietary Name:Mentor Aris Trans-obturator Tape and Surgical Kit
Common Name:Pubourethral Support Tape
Classification Name:Surgical Mesh, polymeric
Class:Class II
Product Code:OTN
CFR #:§878.3300

Device Description

The Mentor Aris Trans-obturator Kit consists of two components: the Mentor Aris Transobturator Tape and a set of introducer needles.

The Mentor Aris Trans-obturator Tape is an implantable, suburethral, support tape made from knitted monofilament polypropylene fibers. This structure gives the Aris Tape resistance to traction, allows tissue colonization and facilitates positioning during surgery.

A set of sterile, disposable Introducer Needles (one flat curved introducer and a pair of helical introducers) necessary for implantation of the tape are also included in the Surgical Kit.

Substantial Equivalence Claim

The Mentor Aris Trans-obturator Tape and the Kit are substantially equivalent in material, function, performance and design to the Mentor ObTape Trans-Obturator Tape

00013:

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K050148 page 2

and Surgical Kit cleared under 510(k)s K031767 and K042851, respectively. It is also and Surgical K.It cleared under 310(KJs K051707 and 160 150 150 150 150 150 100 100 market...
substantially equivalent to other urethral support tape products currently on th

Indications for Use

Mentor Aris Trans-obturator Surgical Kit consists of the Mentor Aris Trans-obturator Tape, an implantable, suburethral, support tape, plus introducers. The Tape and the I apc, an implantable, subdredizal, cappen reatment of all types of stress urinary Surgical Kit are indicated for the bargivary incontinence resulting from urethral hypermobility and/or intrinsic sphincter deficiency.

Summary of Testing

All mechanical, biological, and chemical testing specifications comply with established ISO, USP, EN and/or NF standards.

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Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" arranged around the perimeter. Inside the circle is a stylized design featuring three abstract human profiles facing to the right, with flowing lines suggesting movement or connection.

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

Ms. Donna A. Crawford Director, Corporate Regulatory Affairs Mentor Corporation 201 Mentor Drive SANTA BARBARA CA 93111

SEP 2 8 2012

Re: K050148 Trade/Device Name: Mentor Aris Trans-obturator Tape and Surgical Kit Regulation Number: 21 CFR 878.3300 Regulation Name: Surgical mesh Regulatory Class: II Product Code: OTN Dated: January 21, 2005 Received: January 24, 2005

Dear Ms. Crawford:

This letter corrects our substantially equivalent letter of March 9, 2005.

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 requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must

3

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" (21 CFR 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.

Sincerely yours,

Benjamin R. Perkins

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known): __ K 050148

Device Name: Mentor Aris Trans-obturator Tape and Surgical Kit

Indications for Use:

The Mentor Aris Trans-obturator Surgical Kit consists of the Mentor Aris Trans-obturator Tape, The Mentor Aris Trans-outuralor Surgion Introducers. The Tape and the Surgical Kit are
an implantable, suburethral, support tape, plus introducers. The Tapentinance (SUI), an an implanable, suburetural, support app, prac his stress urinary incontinence (SU), and for indicated for the surgical treatinent of an types or on case and or intrinsic sphincter deficiency.

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

C (PLEASE DO NOT WE LEVER STEDED) NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use (Per CFR 801.109) or

Over the Counter Use ____________

(Optimal Format 1-2-96)

Sin. Off

(Division Sign-Off) Division of General, Restorative, and Neurological Devices

510(k) Number_10050 149 000011