K Number
K150553
Device Name
Filbloc
Manufacturer
Date Cleared
2016-05-19

(442 days)

Product Code
Regulation Number
878.4840
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Filbloc sutures are indicated for use in general soft tissue approximation where use of an absorbable suture is appropriate.
Device Description
Filbloc (polydioxanone) monofilament synthetic absorbable sutures are prepared from the polyester, poly(p-dioxanone). The empirical molecular formula of the polymer is: -(0-CH2-CH2-O-CH2-CO-CH2-CO)n- Filbloc sutures are undyed or dyed with D&C Violet No. 2 (21CFR§ 74.3602). The device is designed with unidirectional or bidirectional barbs, or with unidirectional barbs and final block in PDO. The barbs and the block design allow for tissue approximation, without need to tie surgical knot. The device is available in various lengths and diameter sizes 2 through 4/0 with various needles attached at one end or to both ends.
More Information

K141776, N18331

No reference devices were used in this submission.

No
The device description and performance studies focus on the physical properties and biocompatibility of the suture material and design, with no mention of AI or ML.

No
The device is a surgical suture used for tissue approximation, which is a structural support device rather than a therapeutic one that treats disease or medical conditions.

No

The device description clearly states it is a "monofilament synthetic absorbable suture" used for "general soft tissue approximation," and the "Intended Use / Indications for Use" section confirms its purpose is structural tissue approximation, not diagnosis.

No

The device description clearly describes a physical suture made of polydioxanone with barbs and a block design, indicating it is a hardware medical device.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is "general soft tissue approximation where use of an absorbable suture is appropriate." This describes a surgical procedure performed directly on the patient's body.
  • Device Description: The device is a surgical suture, designed to physically hold tissue together.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens (like blood, urine, or tissue samples) in vitro (outside the body) to provide information about a patient's health status. IVDs are typically used for diagnosis, monitoring, or screening.

Therefore, the Filbloc sutures are a surgical device, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Filbloc sutures are indicated for use in general soft tissue approximation where use of an absorbable suture is appropriate.

Product codes

NEW

Device Description

Filbloc (polydioxanone) monofilament synthetic absorbable sutures are prepared from the polyester, poly(p-dioxanone). The empirical molecular formula of the polymer is: -(0-CH2-CH2-O-CH2-CO-CH2-CO)n- Filbloc sutures are undyed or dyed with D&C Violet No. 2 (21CFR§ 74.3602). The device is designed with unidirectional or bidirectional barbs, or with unidirectional barbs and final block in PDO. The barbs and the block design allow for tissue approximation, without need to tie surgical knot. The device is available in various lengths and diameter sizes 2 through 4/0 with various needles attached at one end or to both ends.

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)

Physical testing was performed on poly(p-dioxanone) synthetic absorbable suture, to USP 29, including suture diameter, suture attachment, tensile strength. Animal testing was performed for conformance to ISO 10993 for Biocompatibility. Rabbit Implantation Tests in accordance with ISO 10993-6: 2007 were conducted with determinations of tensile strength.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

K141776, N18331

Reference Device(s)

No reference devices were used in this submission.

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4840 Absorbable polydioxanone surgical suture.

(a)
Identification. An absorbable polydioxanone surgical suture is an absorbable, flexible, sterile, monofilament thread prepared from polyester polymer poly (p-dioxanone) and is intended for use in soft tissue approximation, including pediatric cardiovascular tissue where growth is expected to occur, and ophthalmic surgery. It may be coated or uncoated, undyed or dyed, and with or without a standard needle attached.(b)
Classification. Class II (special controls). The special control for the device is FDA's “Class II Special Controls Guidance Document: Surgical Sutures; Guidance for Industry and FDA.” See § 878.1(e) for the availability of this guidance document.

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Image /page/0/Picture/1 description: The image is a black and white logo for the U.S. Department of Health and Human Services. The logo features a stylized design of three human profiles facing right, with flowing lines suggesting hair or clothing. The profiles are stacked slightly offset from each other. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the design.

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

May 19, 2016

Assut Europe Ms. Rhonda Alexander, M.S., M.P.A. Registrar Corp. 144 Research Drive Hampton, VA 23666

Re: K150553

Trade/Device Name: Filbloc Regulation Number: 21 CFR 878.4840 Regulation Name: Absorbable polydioxanone surgical suture Regulatory Class: Class II Product Code: NEW Dated: April 12, 2016 Received: April 14, 2016

Dear Ms. Alexander:

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

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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,

Jennifer R. Stevenson -A

For 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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Page 17

| DEPARTMENT OF HEALTH AND HUMAN SERVICES
Food and Drug Administration | Form Approved: OMB No. 0910-0120
Expiration Date: January 31, 2017
See PRA Statement below. |

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Indications for Use

510(k) Number (If known)K150553
Device NameFilbloc
Indications for Use (Describe)Filbloc sutures are indicated for use in general soft tissue approximation where use of an absorbable suture is appropriate.
Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D)☐ Over-The-Counter Use (21 CFR 801 Subpart C)

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON A SEPARATE PAGE IF NEEDED.

FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)
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DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.
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and review the collection of Information. Send comments regarding this burden estimate or any other aspect
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K150553, pg. 1 of 3

510(k) Summary

I. SUBMITTER

Assut Europe SpA
------------------

| Registered office: | Via G.Gregoraci, 12
00173 Roma - Italy |
|----------------------|-----------------------------------------------------------|
| Manufacturing plant: | Zona Industriale
67062 Magliano dei Marsi (AQ) - Italy |
| Telephone: | +39-06-72677348 |
| Fax Number: | +39-06-72675380 |
| Contact Person: | Gloria Aggio |
| Date Prepared: | May 17, 2016 |

II. DEVICE

Name of Device:Filbloc
Common or Usual Name:Suture, Surgical, Absorbable, Polydioxanone
Classification Name:Absorbable Polydioxanone Surgical Suture
Regulatory Class:II
Product Code:NEW
Regulation Number:21 CFR 878.4840

III. PREDICATE DEVICE

Name:Stratafix Symmetric PDS Plus Knotless Tissue Control
Manufacturer:Ethicon, Inc.
K Number:K141776
Name:PDS II
Manufacturer:Ethicon, Inc.
K Number:N18331

This predicate has not been subject to a design-related recall. No reference devices were used in this submission.

IV. DEVICE DESCRIPTION

Filbloc (polydioxanone) monofilament synthetic absorbable sutures are prepared from the polyester, poly(p-dioxanone). The empirical molecular formula of the polymer is:

-(0-CH2-CH2-O-CH2-CO-CH2-CO)n-

Filbloc sutures are undyed or dyed with D&C Violet No. 2 (21CFR§ 74.3602).

The device is designed with unidirectional or bidirectional barbs, or with unidirectional barbs and final block in PDO. The barbs and the block design allow for tissue approximation, without need to tie surgical knot.

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The device is available in various lengths and diameter sizes 2 through 4/0 with various needles attached at one end or to both ends.

V. INDICATIONS FOR USE

Filbloc sutures are indicated for general soft tissue approximation where use of an absorbable suture is appropriate.

VI. COMPARISON WITH THE PREDICATE DEVICE - SUMMARY

TECHNOLOGICAL CHARACTERISTICS a.

New devicePredicate device
ParameterFilBloc smooth or barbedStratafix Symmetric
PDS Plus Knotless
Tissue Control
ChemicalPoly(p-dioxanone)Poly(p-dioxanone)
USP sizes4-0 to 23-0 to 1
Approx. Tensile
Strength Residual at
Time:4 weeks 71.7%
8 weeks 16.5%2 weeks ~75%
4 weeks ~65%
6 weeks ~ 55%
Absorption~ 180-210 days
post-implantation~ 120-180 days
post-implantation

b. INTENDED USE

New devicePredicate device
Filbloc smooth or barbedStratafix Symmetric PDS Plus
Knotless Tissue Control
Indication for useFilbloc is indicated for use in soft
tissue approximation where the use
of absorbable suture is appropriateStratafix device is indicated for use in soft
tissue approximation where the use of
absorbable suture is appropriate
Precaution or
controindicationIt is therefore recommended that
the surgeon will consider the
possible use of non absorbable
sutures for the closure of tissues
which may undergo distension or
stretching or requiring additional
support. This suture kind may be
inappropriate in elderly,
malnourished or weakened patients
or in patients suffering from
conditions which may delay wound
healing processThe Stratafix device is not to be used where
prolonged (beyond six weeks)
approximation of tissues under stress is
required and is not to be used in conjunction
with or for fixation of prosthetic devices
that are nonabsorbable
SterilityEthylene Oxide gasEthylene Oxide gas

The new device, Filbloc, has similar technological characteristics as the predicate device; it conforms to the USP Monograph for absorbable surgical sutures, and has the same intended use as the predicate device.

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Differences between Filbloc and the predicate device are:

  • Stratafix device is available in four USP sizes (USP 3-0, USP 2-0, USP 0, USP 1), whereas 1. Filbloc device is available in six USP sizes (USP 4-0, USP 3-0, USP 2-0, USP 0, USP 1, USP 2)
    1. Stratafix device is available only barbed, whereas Filbloc device is available barbed or smooth

VII. PERFORMANCE DATA

Physical testing was performed on poly(p-dioxanone) synthetic absorbable suture, to USP 29, including suture diameter, suture attachment, tensile strength. Animal testing was performed for conformance to ISO 10993 for Biocompatibility.

Rabbit Implantation Tests in accordance with ISO 10993-6: 2007 were conducted with determinations of tensile strength.

Biocompatibility Testing

  • Test for in vitro cytotoxicity (ISO 10993-5:2009) -
  • Irritation tests animal intracutaneous (intradermal) reactivity test (ISO 10993-10:2010) -
  • Skin sensitization tests guinea pig maximization test (GPMT), extracted in sesame oil -(ISO 10993-10:2010)
  • -Skin sensitization tests - guinea pig maximization test (GPMT), extracted in sterile solution of sodium chloride (ISO 10993-10:2010)
  • -Acute systemic toxicity (ISO 10993-11:2006)
  • Rabbit subchronic systemic toxicity (ISO 10993-11:2006) -
  • -Test of local effects after implantation (ISO 10993-6:2007)
  • Genotoxicity Test Mouse Lymphoma Assay, extracted in Modified Eagle Medium without serum (ISO 10993-3:2003)
  • Genotoxicity Test Mouse Lymphoma Assay, extracted in ethanol/water solution (ISO -10993-3:2003)

The subject device is considered an implant device with contact duration of over 30 days.

VII. CONCLUSION

Filbloc in PDO sutures have the same intended use and same indication for use as the predicate devices "Stratafix". The nonclinical and clinical data support a finding of substantial equivalence, since they demonstrate that the device is as safe, as effective, and performs as well as or better than the legally marketed device.

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