K Number
K071065
Date Cleared
2007-05-04

(18 days)

Product Code
Regulation Number
878.3300
Reference & Predicate Devices
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The OrthADAPT® Bioimplant (Surgical Mesh) is intended to be used for implantation to reinforce soft tissue including but not limited to: defects of the abdominal and thoracic wall, muscle flap reinforcement, hernias, suture-line reinforcement, and other reconstructive procedures.

The device is also intended for the reinforcement of soft tissues repaired by sutures or suture anchors during tendon repair surgery including reinforcement of rotator cuff, patellar, Achilles, biceps, quadriceps, or other tendons.

OrthADAPT® is not intended to replace normal body structure or provide the full mechanical strength to support tendon repair of the rotator cuff, patellar, Achilles, biceps, quadriceps or other tendons. Sutures, used to repair the tear, and sutures or bone anchors, used to attach the tissue to the bone, provide biomechanical strength for the tendon repair,

OrthADAPT® is intended for one-time use only.

Device Description

The OrthADAPT Bioimplant is a decellularized, equine pericardium. The OrthADAPT Bioimplant has been crosslinked and exposed to a liquid chemical sterilant. The product has passed the USP sterility test and satisfies FDA requirements for LAL endotoxin limit for a medical device. The product must be rinsed prior to use.

AI/ML Overview

The provided text is a 510(k) summary for the OrthADAPT® Bioimplant, a surgical mesh. This document focuses on demonstrating substantial equivalence to a predicate device rather than presenting a performance study with acceptance criteria.

Therefore, the requested information regarding acceptance criteria, study details, sample sizes, expert involvement, adjudication, MRMC studies, standalone performance, and ground truth establishment is not available in the provided text.

The 510(k) summary clearly states:
"Supplier qualification activities, receiving controls, and design verification testing demonstrate that the modified OrthADAPT Bioimplant device is equivalent to the predicate device in terms of design, performance and intended use."

This indicates that the device was deemed "substantially equivalent" based on a comparison to an already cleared device (K043388), rather than through a new clinical or performance study with defined acceptance criteria for a novel device.

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K07 1065 Page 1/2

Synovis Orthopedic and Woundcare, Inc.

1

OrthADAPT® Bioimplant K071065

510(k) Summary

A.Company Name:Synovis Orthopedic and Woundcare, Inc.
B.Company Address:6 Jenner, Suite 150Irvine, CA 92618
C.Company Phone:(949) 502-3240
D.Company Facsimile:(949) 502-3241
E.Contact Person:Amy BouclyManager, Regulatory Affairs/QualityAssurance
F.Date:06/25/12

Device Identification 2

A.Device Trade Name:OrthADAPT® Bioimplant
B.Common Name:Surgical Mesh
C.Classification Name(s):Surgical Mesh
D.Classification Regulation:21 CFR 878.3300
E.Device Class:Class II
F.Device Code(s):OWY, FTM, OXE, OXB
G.Advisory Panel:General and Plastic Surgery

3 Identification of Predicate Devices

The OrthADAPT® Bioimplant is substantially equivalent to the OrthADAPT® Bioimplant (Surgical Mesh) manufactured by Synovis Orthopedic and Woundcare, Inc. and cleared for commercial distribution under 510(k) K043388.

Device Description 4

The OrthADAPT Bioimplant is a decellularized, equine pericardium. The OrthADAPT Bioimplant has been crosslinked and exposed to a liquid chemical sterilant. The product has passed the USP sterility test and satisfies FDA requirements for LAL endotoxin limit for a medical device. The product must be rinsed prior to use.

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K071065

Synovis Orthopedic and Woundcare, Inc.

OrthADAPT® Bioimplant K071065

5 Indications for Use

The OrthADAPT Bioimplant (Surgical Mesh) is intended to be used for implantation to reinforce soft tissue including but not limited to: defects of the abdominal and thoracic wall, muscle flap reinforcement, hernias, suture-line reinforcement, and other reconstructive procedures.

The device is also intended for the reinforcement of soft tissues repaired by sufures or suture anchors during tendon repair surgery including reinforcement of rotator cuff, patellar, Achilles, biceps, quadriceps, or other tendons.

OrthADAPT is not intended to replace normal body structure or provide the full mechanical strength to support tendon repair of the rotator cuff, patellar, Achilles, biceps, quadriceps or other tendons. Sutures, used to repair the tear, and sutures or bone anchors, used to attach the tissue to the bone, provide biomechanical strength for the tendon repair.

OrthADAPT is intended for one-time use only.

Substantial Equivalence 6

Supplier qualification activities, receiving controls, and design verification testing demonstrate that the modified OrthADAPT Bioimplant device is equivalent to the predicate device in terms of design, performance and intended use.

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Public Health Service

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

Pegasus Biologics, Incorporated % Ms. Pamela Misajon Vice President, Regulatory Affairs, Clinical Affairs 6 Jenner. Suite 150 Irvine, California 92618

Re: K071065

Trade/Device Name: OrthADAPT® Bioimplant Regulation Number: 21 CFR 878.3300 Regulation Name: Surgical Mesh Regulatory Class: Class II Product Code: FTM. OXB. OXE. OWY Dated: April 10, 2007 Received: April 18, 2007

AUG 2 9 2012

Dear Ms. Misajon:

This letter corrects our substantially equivalent letter of May 4, 2007.

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 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.

Image /page/2/Picture/12 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, rendered in blue. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" are arranged in a circular fashion around the eagle. The logo is simple and clean, with a focus on the eagle as a symbol of the department.

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Page 2-Ms. Pamela Misajon

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/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Mark A. Melloan

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

Enclosure

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Indications for Use

510(k) Number (if known): K071065

Device Name:

OrthADAPT® Bioimplant

Indications For Use:

The OrthADAPT® Bioimplant (Surgical Mesh) is intended to be used for implantation to reinforce soft tissue including but not limited to: defects of the abdominal and thoracic wall, muscle flap reinforcement, hernias, suture-line reinforcement, and other reconstructive procedures.

The device is also intended for the reinforcement of soft tissues repaired by sutures or suture anchors during tendon repair surgery including reinforcement of rotator cuff, patellar, Achilles, biceps, quadriceps, or other tendons.

OrthADAPT® is not intended to replace normal body structure or provide the full mechanical strength to support tendon repair of the rotator cuff, patellar, Achilles, biceps, quadriceps or other tendons. Sutures, used to repair the tear, and sutures or bone anchors, used to attach the tissue to the bone, provide biomechanical strength for the tendon repair,

OrthADAPT® is intended for one-time use only.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Danil Kurefor, MM
(Division Sign-Off)

Division of Surgical, Orthopedic. and Restorative Devices

510(k) Number K071065

Page 1 of 1

§ 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.