K Number
K092538
Device Name
REFINE SUPPORT SYSTEM, MODEL 100.0100
Manufacturer
Date Cleared
2010-03-05

(198 days)

Product Code
Regulation Number
878.3300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Refine™ Support System is indicated for reinforcement of soft tissue in plastic or reconstructive procedures.
Device Description
The Refine™ Support System consists of a non-absorbable implant and a delivery system. The implant is comprised of a section of mesh with suture tails containing suture barbs for tissue securement. The device and the delivery system are delivered sterile and are for single use only.
More Information

Not Found

No
The summary describes a physical implant and delivery system, with no mention of software, algorithms, or data processing that would indicate AI/ML. The "Mentions AI, DNN, or ML" and "Mentions image processing" sections are explicitly marked as "Not Found".

No
The device is indicated for reinforcement of soft tissue, which is a structural support function rather than a direct therapeutic intervention for a disease or condition.

No
The device is described as a "Refine™ Support System" which is an "implant" used for "reinforcement of soft tissue in plastic or reconstructive procedures." This description indicates a therapeutic or supportive function rather than a diagnostic one (identifying a disease or condition).

No

The device description explicitly states it consists of a non-absorbable implant and a delivery system, which are physical components, 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 "reinforcement of soft tissue in plastic or reconstructive procedures." This describes a surgical implant used directly on a patient's body, not a test performed on samples taken from the body (like blood, urine, or tissue).
  • Device Description: The description details a "non-absorbable implant and a delivery system" consisting of mesh and sutures. This is consistent with a surgical device, not an IVD.
  • Lack of IVD Characteristics: There is no mention of analyzing samples, detecting substances, or providing diagnostic information based on in vitro testing.

IVDs are used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening. This device is a surgical implant used for structural support within the body.

N/A

Intended Use / Indications for Use

The Refine™ Support System is indicated for reinforcement of soft tissue in plastic or reconstructive procedures.

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

FTL

Device Description

The Refine™ Support System consists of a non-absorbable implant and a delivery system. The implant is comprised of a section of mesh with suture tails containing suture barbs for tissue securement. The device and the delivery system are delivered sterile and are for single use only.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

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)

Bench studies and cadaver evaluations substantiate that the Refine™ Support System meets user needs and requirements for performance.

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.

K083102

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

lure

CONFIDENTIAL

May not be reproduced, transmitted or disseminated in any form or by ar without the written permission of an authorized representative of Alure Medical

510(k) Summary

MAR - 5 2010

General Information Submitters Name/Address:

Establishment Registration Number:

Alure Medical, Inc. 3637 Westwind Boulevard Suite B Santa Rosa, CA 95403 3007699483 Joseph R. Tamayo (707) 526-4400 main (707) 526-4466 fax (707) 239-1272 cell 18 August 2009

Date Prepared:

Contact Person: Phone Number:

Device Description Trade Name: Generic/Common Name: Classification Name:

Refine™ Support System Surgical Mesh Mesh, Surgical, Polymeric, (21 CFR 878.3300, Product Code FTL)

Predicate Device Information

RefineTM Support System, K083102

Product Description

The Refine™ Support System consists of a non-absorbable implant and a delivery system. The implant is comprised of a section of mesh with suture tails containing suture barbs for tissue securement. The device and the delivery system are delivered sterile and are for single use only.

Intended Use

The Refine™ Support System is indicated for reinforcement of soft tissue in plastic or reconstructive procedures.

Substantial Equivalence

Indications

Indications for use of the Refine™ Support System are the same as the predicate device and have been substantiated by performance evaluations and comparison studies.

Technological Characteristics

In establishing substantial equivalence to the predicate device, Alure Medical evaluated the materials, technology, and specifications of the subject and predicate device. The technological characteristics are substantially equivalent.

Performance

The Refine™ Support System is considered substantially equivalent in performance to the predicate device. The device conforms to specifications and meets clinical user needs and intended uses. Bench studies and cadaver evaluations substantiate that the Refine™ Support System meets user needs and requirements for performance.

Summary of Safety and Effectiveness

Indications for use, technological characteristics, and performance evaluations of the Refine™ Support System show that the device is substantially equivalent to the predicate device. There are no new risks and concerns regarding safety or effectiveness of the device.

1

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services - USA. The seal is circular, with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. In the center of the seal is an abstract symbol that resembles an eagle or bird-like figure.

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

MAR - 5 2010

Alure Medical, Inc. % Mr. Joseph R. Tamayo VP of RAQACA 3637 Westwind Boulevard, Suite B Santa Rosa, California 95403

Re: K092538

Trade/Device Name: Refine™ Support System Regulation Number: 21 CFR 878.3300 Regulation Name: Surgical mesh Regulatory Class: II Product Code: FTL Dated: February 4, 2010 Received: February 12, 2010

Dear Mr. Tamayo:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

2

Page 2 - Mr. Joseph R. Tamayo

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/ReportalProblem/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,

Sincerely yours,

Mark N. Melkerson

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

Enclosure

3

Indications for Use

510(k) Number:

Refine™ Support System Device Name:

Indications for use:

The Refine™ Support System is indicated for reinforcement of soft tissue in plastic or reconstructive procedures.

Prescription Use X (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)

David Krome for MXM
(Division Sign 08)

(Division Sign-Of Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K042536 Page 1 of __