K Number
K112683
Device Name
SMI CARDIOVASCULAR PACH
Date Cleared
2011-12-14

(90 days)

Product Code
Regulation Number
870.3470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Solinas Medical, Inc. SMI Cardiovascular Patch is indicated for cardiovascular patching.
Device Description
The SMI Cardiovascular Patch is designed for cardiovascular patching. The SMI Cardiovascular Patch is comprised of a knitted polyethylene terephthalate (polyester) fabric covered silicone sheet reinforced with a thin sheet of polyester embedded in the silicone and optionally with a thin nickel-titanium (nitinol) alloy mesh. It is provided in various sizes and as flat and curved sheets.
More Information

Not Found

No
The device description and performance studies focus on the material properties and mechanical performance of a physical patch, with no mention of software, algorithms, or data processing that would indicate AI/ML.

No.
The device is a patch used for cardiovascular patching, which is a structural component for repair rather than a device that directly administers therapy or performs a therapeutic function.

No
The device is described as a "cardiovascular patch" and its intended use is "cardiovascular patching." This indicates it is a therapeutic or reconstructive device, not one used for diagnosis.

No

The device description clearly states it is comprised of physical materials like knitted polyethylene terephthalate, silicone, polyester, and optionally nickel-titanium alloy mesh, indicating it is a hardware device.

Based on the provided information, the Solinas Medical, Inc. SMI Cardiovascular Patch is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "for cardiovascular patching." This describes a surgical implant used in vivo (within the body) to repair or reinforce cardiovascular structures.
  • Device Description: The description details a physical patch made of materials like polyester, silicone, and potentially nitinol. This is a medical device designed for direct surgical application.
  • Lack of IVD Characteristics: IVD devices are used in vitro (outside the body) to examine specimens (like blood, urine, or tissue) to provide information for diagnosis, monitoring, or screening. The provided information does not mention any such function or interaction with biological specimens outside the body.

Therefore, the SMI Cardiovascular Patch is a surgical implant, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The SMI Cardiovascular Patch is intended for cardiovascular patching.

The Solinas Medical, Inc. SMI Cardiovascular Patch is indicated for cardiovascular patching.

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

DXZ

Device Description

The SMI Cardiovascular Patch is designed for cardiovascular patching. The SMI Cardiovascular Patch is comprised of a knitted polyethylene terephthalate (polyester) fabric covered silicone sheet reinforced with a thin sheet of polyester embedded in the silicone and optionally with a thin nickel-titanium (nitinol) alloy mesh. It is provided in various sizes and as flat and curved sheets.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Cardiovascular

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)

Mechanical testing, including: Tensile Strength, Burst Strength, Suture Pullout, and Water Permeability Tests, demonstrates the applicant device has strength values that are substantially equivalent to the predicate devices.

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.

K984526, K962342, K021019

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

§ 870.3470 Intracardiac patch or pledget made of polypropylene, polyethylene terephthalate, or polytetrafluoroethylene.

(a)
Identification. An intracardiac patch or pledget made of polypropylene, polyethylene terephthalate, or polytetrafluoroethylene is a fabric device placed in the heart that is used to repair septal defects, for patch grafting, to repair tissue, and to buttress sutures.(b)
Classification. Class II (performance standards).

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DEC 1 4 2011

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510(k) for the Solinas Medical, Inc SMI Cardiovascular Patch

K112683

510(k) Summary (per 21CFR807.92)

General Company Information
Name:Solinas Medical, Inc.
Contact:James Hong
President and CEO
Address:443 Costa Mesa Terrace, Unit A
Sunnyvale, CA 94085
Telephone:650-793-5015
Fax:408-720-9466
Date Prepared:September 13, 2011
General Device Information
Product Name:SMI Cardiovascular Patch
Common Name:Cardiovascular patch
Classification:21CFR870.3470
Device Class:The SMI Cardiovascular Patch has not yet been
classified. Based on FDA's classification of this
type of device, the SMI Cardiovascular Patch
should be classified as a class II device.
Product Code:DXZ
Predicate Devices
ManufacturerDevice Name510(k) Number
W.L. Gore & Associates, Inc.ACUSEALK984526
Cardiovascular Patch
Meadox Medicals, Inc.Hemashield FinesseK962342
Ultra-thin Knitted
Cardiovascular Patch
C.R. BardDeBakey Elastic KnitPre-amendment
Fabricdevice
Teleflex, Inc.Cottony Silky II Polydeck
TevdekK021019
Description
The SMI Cardiovascular Patch is designed for cardiovascular patching. The SMI
Cardiovascular Patch is comprised of a knitted polyethylene terephthalate
(polyester) fabric covered silicone sheet reinforced with a thin sheet of polyester
embedded in the silicone and optionally with a thin nickel-titanium (nitinol) alloy
mesh. It is provided in various sizes and as flat and curved sheets.
Intended Use (Indications)
The SMI Cardiovascular Patch is intended for cardiovascular patching.
Substantial Equivalence
The SMI Cardiovascular Patch is substantially equivalent to currently marketed
cardiovascular patch devices. Mechanical testing, including: Tensile Strength,
Burst Strength, Suture Pullout, and Water Permeability Tests, demonstrates the

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applicant device has strength values that are substantially equivalent to the predicate devices.

Conclusions & Conclusions

Solinas Medical, Inc. believes that the information provided demonstrates that the proposed device is substantially equivalent to the predicate devices and does not raise any new issues of safety or efficacy. Based on the indications for use, technological characteristics, and comparison to predicate devices the SMI Cardiovascular Patch has been shown to be substantially equivalent to predicate devices as described under the Federal Food, Drug and Cosmetic Act.

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

DEC 1 4 2011

Solinas Medical, Inc. c/o Michael Kolbe 443 Costa Mesa Terrace Sunnyvale, CA 94085

Re: K112683

Trade/Device Name: SMI Cardiovascular Patch Regulation Number: 21 CFR 870.3470 Regulation Name: Intracardiac patch or pledget made of polypropylene, polvethylene terephthalate, or polytetrafluoroethylene Regulatory Class: Class II Product Code: DXZ Dated: September 13, 2011 Received: September 15, 2011

Dear Mr. Kolbe:

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.

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Page 2 – Mr. Michael Kolbe

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.

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 Pat 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 tollifilife (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

M. G. Hillemann

Bram D. Zuckerman, M.D. Director Division of Cardiovascular Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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ﺔ ﺍﻟﻤﺘﺤﺪﺓ

Indications for Use

510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: Solinas Medical, Inc. SMI Cardiovascular Patch

Indications for Use: The Solinas Medical, Inc. SMI Cardiovascular Patch is indicated for cardiovascular patching.

Prescription Use × Over-The-Counter Use AND/OR (Part 21 CFR 801 Subpart D) (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)

(Division Sign-Off) Division of Cardiovascular Devices

510(k) Number_k 112683