K Number
K141721
Device Name
BOVINE PERICARDIUM PATCH
Manufacturer
Date Cleared
2014-12-22

(180 days)

Product Code
Regulation Number
878.3300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Bovine Pericardium Patch is intended for use as an implant for the surgical repair of soft tissue deficiencies, this includes but is not limited to the following: Buttressing and reinforcing staple lines during lung resection (e.g., wedge resection, blebectomy, lobectomy, bullectomy, bronchial resection, segmentectomy, pneumonectomy / pneumectomy, pneumoreduction) and other incisions and excision of the lung and bronchus. Reinforcement of the gastric staple line during the bariatric surgical procedures of gastric bypass and gastric banding. Abdominal and thoracic wall repair, muscle flap reinforcement, rectal prolapse excluding rectocele, reconstruction of the pelvic floor excluding transvaginal organ prolapse repair, and repair of hernias (e.g., diaphragmatic, femoral, incisional, inguinal, lumbar, paracolostomy, scrotal, umbilical).
Device Description
The Bovine Pericardium Patch is intended for use as an implant to reinforce soft tissue where weakness exists. The Boyine Pericardium Patch is derived from bovine pericardium tissue. The tissue is subjected to decontamination and decellularization processing using non-toxic reagents. The resulting mesh is intended for use as a resorbable implant for soft tissue repair which subsequently remodels and is integrated in the host connective tissue. The Bovine Pericardium Patch is terminally sterilized and is available in sizes ranging from 2cm x10cm to 8cm x16cm.
More Information

Not Found

No
The device description and performance studies focus on the material properties and biological integration of a bovine tissue patch, with no mention of AI/ML technology.

Yes
The device is described as an implant used for the surgical repair and reinforcement of soft tissue deficiencies, which directly addresses medical conditions.

No
The Bovine Pericardium Patch is described as an implant for surgical repair of soft tissue deficiencies, not for diagnosing conditions.

No

The device description clearly states it is a physical patch derived from bovine pericardium tissue, intended for surgical implantation. It 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 clearly states that the Bovine Pericardium Patch is for "surgical repair of soft tissue deficiencies" and is used as an "implant." This describes a device used in vivo (within the body) for structural support and repair.
  • Device Description: The description reinforces this by stating it's an "implant to reinforce soft tissue where weakness exists" and is "resorbable" and "integrated in the host connective tissue."
  • Lack of IVD Characteristics: An IVD device is used in vitro (outside the body) to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. The description of the Bovine Pericardium Patch does not involve any such testing or analysis of bodily specimens.

Therefore, the Bovine Pericardium Patch is a surgical implant, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Bovine Pericardium Patch is intended for use as an implant for the surgical repair of soft tissue deficiencies, this includes but is not limited to the following: Buttressing and reinforcing staple lines during lung resection (e.g., wedge resection, blebectomy, lobectomy, bullectomy, bronchial resection, segmentectomy, pneumonectomy / pneumectomy, pneumoreduction) and other incisions and excision of the lung and bronchus. Reinforcement of the gastric staple line during the bariatric surgical procedures of gastric bypass and gastric banding. Abdominal and thoracic wall repair, muscle flap reinforcement, rectal prolapse excluding rectocele, reconstruction of the pelvic floor excluding transvaginal organ prolapse repair, and repair of hernias (e.g., diaphragmatic, femoral, incisional, inguinal, lumbar, paracolostomy, scrotal, umbilical).

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

FTM, OXE, OXB, PAJ

Device Description

The Bovine Pericardium Patch is intended for use as an implant to reinforce soft tissue where weakness exists. The Boyine Pericardium Patch is derived from bovine pericardium tissue. The tissue is subjected to decontamination and decellularization processing using non-toxic reagents. The resulting mesh is intended for use as a resorbable implant for soft tissue repair which subsequently remodels and is integrated in the host connective tissue. The Bovine Pericardium Patch is terminally sterilized and is available in sizes ranging from 2cm x10cm to 8cm x16cm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Soft tissue deficiencies, lung, bronchus, gastric staple line, abdominal wall, thoracic wall, muscle flap, rectal prolapse, pelvic floor, hernias (diaphragmatic, femoral, incisional, inguinal, lumbar, paracolostomy, scrotal, umbilical).

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, biocompatibility testing and animal testing were conducted per the recommendations in: Guidance for Industry and/or for FDA Reviewers/Staff and/or Compliance – Guidance for the Preparation of a Premarket Notification for a Surgical Mesh, " dated March 2, 1999." The following tests were conducted: Biocompatibility - In Vitro Cytotoxicity, Skin Sensitization, Intracutaneous Reactivity, Acute Systemic Toxicity, Genotoxicity, Muscle Implantation, In Vitro Hemolysis, Pyrogenicity, Subchronic Systemic Toxicity. Bench/Laboratory Testing - Tensile Strength, Suture Retention Strength, Burst Force, Tear Resistance, DNA Residuals, Collagen Analysis, Viral Inactivation, Stability.
The biocompatibility testing showed the comparable safety profile of the Bovine Pericardium Patch and the predicate. Bench testing demonstrated that the mechanical properties of the mesh are substantially equivalent for reinforcing soft tissue.

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.

K062915

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

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health and Human Services. The logo features a stylized representation of three human profiles facing to the right, arranged in a cascading manner. The profiles are black and are set against a white background. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the profile graphic.

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

December 22, 2014

CollaFirm, LLC Dr. Surendra P. Batra Founder and Chief Executive Officer 7 Deer Park Drive, Suite M-7 Monmouth Junction, New Jersey 08852

Re: K141721

Trade/Device Name: Bovine Pericardium Patch Regulation Number: 21 CFR 878.3300 Regulation Name: Surgical mesh Regulatory Class: Class II Product Code: FTM, OXE, OXB, PAJ Dated: November 24, 2014 Received: November 25, 2014

Dear Dr. Batra:

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

1

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 contact the Division of Industry and Consumer Education 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. 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 Industry and Consumer Education 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,

Binita S. Ashar -S

Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known)

Device Name Bovine Pericardium Patch

Indications for Use (Describe)

Bovine Pericardium Patch is intended for use as an implant for the surgical repair of soft tissue deficiencies, this includes but is not limited to the following:

Buttressing and reinforcing staple lines during lung resection, blebectomy, lobectomy, bullectomy, bronchial resection, segmentectomy/pneumectomy/pneumectomy, pneumoreduction) and other incisions and excision of the lung and bronchus.

Reinforcement of the gastric staple line during the bariatric surgical procedures of gastric banding. Abdominal and thoracic wall repair, muscle flap reinforcement, rectal prolapse excluding rectocele, reconstruction of the pelvic floor excluding transvaginal organ prolapse repair of hemias (e.g., diaphragmatic, femoral, incisional, inguinal, lumbar, paracolostomy, scrotal, umbilical).

Type of Use (Select one or both, as applicable)

2 Prescription Use (Part 21 CFR 801 Subpart D)

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

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FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

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510(K) SUMMARY

In accordance with 21 CFR 807.87(h) and (21 CFR 807.92) the 510(k) Summary for the Bovine Pericardium Mesh is provided below.

Device Common Name:Surgical Mesh
Device Proprietary Name:Bovine Pericardium Patch
Submitter:CollaFirm, LLC
7 Deer Park drive, Suite M-7
Monmouth Junction, NJ 08852
Contact:Surendra P. Batra, Ph. D
Founder & CEO, CollaFirm LLC
Phone: (732) 823-1051
surendra@collafirm.com
Prepared By:Stephen P. Rhodes
Biologics Consulting Group, Inc.
Date Prepared:June 25, 2014
Classification Regulation:21 CFR 878.3300, Class II
Panel:79 General & Plastic Surgery
Product Code:FTM, OXE, OXB, PAJ
Predicate Device:Veritas® Collagen Matrix, Synovis Surgical Innovations
K062915

Indication for Use:

Bovine Pericardium Patch is intended for use as an implant for the surgical repair of soft tissue deficiencies, this includes but is not limited to the following:

Buttressing and reinforcing staple lines during lung resection (e.g., wedge resection, blebectomy, lobectomy, bullectomy, bronchial resection, segmentectomy, pneumonectomy / pneumectomy, pneumoreduction) and other incisions and excision of the lung and bronchus.

Reinforcement of the gastric staple line during the bariatric surgical procedures of gastric bypass and gastric banding.

Abdominal and thoracic wall repair, muscle flap reinforcement, rectal prolapse excluding rectocele, reconstruction of the pelvic floor excluding transvaginal organ prolapse repair, and repair of hernias (e.g., diaphragmatic, femoral, incisional, inguinal, lumbar, paracolostomy, scrotal, umbilical).

4

Device Description:

The Bovine Pericardium Patch is intended for use as an implant to reinforce soft tissue where weakness exists. The Boyine Pericardium Patch is derived from bovine pericardium tissue. The tissue is subjected to decontamination and decellularization processing using non-toxic reagents. The resulting mesh is intended for use as a resorbable implant for soft tissue repair which subsequently remodels and is integrated in the host connective tissue. The Bovine Pericardium Patch is terminally sterilized and is available in sizes ranging from 2cm x10cm to 8cm x16cm.

Performance Data:

Mechanical testing, biocompatibility testing and animal testing were conducted per the recommendations in: Guidance for Industry and/or for FDA Reviewers/Staff and/or Compliance – Guidance for the Preparation of a Premarket Notification for a Surgical Mesh, " dated March 2, 1999." The following tests were conducted:

Biocompatibility

  • In Vitro Cytotoxicity ●
  • Skin Sensitization ●
  • Intracutaneous Reactivity
  • Acute Systemic Toxicity ●
  • Genotoxicity
  • Muscle Implantation ●
  • In Vitro Hemolysis ●
  • Pyrogenicity ●
  • Subchronic Systemic Toxicity ●

Bench/Laboratory Testing

  • Tensile Strength ●
  • Suture Retention Strength
  • Burst Force
  • Tear Resistance
  • DNA Residuals
  • Collagen Analysis
  • Viral Inactivation
  • Stability

The biocompatibility testing showed the comparable safety profile of the Bovine Pericardium Patch and the predicate. Bench testing demonstrated that the mechanical properties of the mesh are substantially equivalent for reinforcing soft tissue.

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Substantial Equivalence:

As summarized in Table 1 below, the Bovine Pericardium Patch is substantially equivalent to the predicate device with respect to design, physical shape, characteristics, basic principles of operation and intended use.

Bovine Pericardium PatchVeritas® Collagen Matrix
510(k) NumberTBDK062915
SubmitterCollaFirmSynovis Surgical Innovations
Classification Regulation21 CFR 878.3300, Class II21 CFR 878.3300, Class II
Product CodeFTM, OXE, OXB, PAJFTM, OXE, OXB, PAJ
IndicationBovine Pericardium Patch is
intended for use as an implant for
the surgical repair of soft tissue
deficiencies, this includes but is
not limited to the following:
Buttressing and reinforcing staple
lines during lung resection (e.g.,
wedge resection, blebectomy,
lobectomy, bullectomy, bronchial
resection, segmentectomy,
pneumonectomy / pneumectomy,
pneumoreduction) and other
incisions and excision of the lung
and bronchus.
Reinforcement of the gastric
staple line during the bariatric
surgical procedures of gastric
bypass and gastric banding.
Abdominal and thoracic wall
repair, muscle flap reinforcement,
rectal prolapse excluding
rectocele, reconstruction of the
pelvic floor excluding
transvaginal organ prolapse
repair, and repair of hernias (e.g.,
diaphragmatic, femoral,
incisional, inguinal, lumbar,
paracolostomy, scrotal,
umbilical).Veritas® Collagen Matrix is
intended for use as an implant for
the surgical repair of soft tissue
deficiencies, this includes but is
not limited to the following:
Buttressing and reinforcing staple
lines during lung resection (e.g.,
wedge resection, blebectomy,
lobectomy, bullectomy, bronchial
resection, segmentectomy,
pneumonectomy / pneumectomy,
pneumoreduction) and other
incisions and excision of the lung
and bronchus.
Reinforcement of the gastric
staple line during the bariatric
surgical procedures of gastric
bypass and gastric banding.
Abdominal and thoracic wall
repair, muscle flap reinforcement,
rectal prolapse excluding
rectocele, reconstruction of the
pelvic floor excluding
transvaginal organ prolapse
repair, and repair of hernias (e.g.,
diaphragmatic, femoral,
incisional, inguinal, lumbar,
paracolostomy, scrotal,
umbilical).
Veritas® Collagen Matrix
minimizes tissue attachment to the
device in case of direct contact
Bovine Pericardium PatchVeritas® Collagen Matrix
with viscera.
Rx/OTCRxRx
Physical ShapeRectangular PatchRectangular Patch
Available SizesVarious sizes ranging from
2x8cm to 12x25cmVarious sizes ranging from
2x8cm to 12x25cm
Product DescriptionType I Bovine CollagenType I Bovine Collagen
Animal TissueBovine PericardiumBovine Pericardium
SterileYes (E-Beam)Yes (E-Beam)
Pore Size (SEM)1-3 μm1-4 μm
Average Device Thickness0.55mm0.67mm
Storage20-25°C20-25°C
Handling characteristicsFlexibleFlexible

Table 1: Device Comparison Table

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Conclusion

Based on the indications for use, technological characteristics and performance
test results, the Bovine Pericardium Patch is substantially equivalent to the predicate.