K Number
K173043
Device Name
Holycon Synthetic Absorbable Sutures
Date Cleared
2017-12-14

(77 days)

Product Code
Regulation Number
878.4493
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The Holycon Synthetic Absorbable Sutures is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular or neural tissue.
Device Description
The Holycon Synthetic Absorbable Sutures are multifilament (braided), synthetic absorbable suture indicated for use in soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular or neural tissue. The Holycon Synthetic Absorbable Sutures are composed of PGLA suture and needle. The Holycon Synthetic Absorbable Sutures are composed of a copolymer made from 90% glycolide and 10% L-lactide (PGLA); they are coated with copolymer of 30% glycolide and 70% lactide and calcium stearate. The PGLA suture is dyed suture. The needles are available in four types: Taper, Cutting, Spatula and Blunt. The material of needles is stainless steel. The performance of this absorbable suture complies with United States Pharmacopeia (U.S.P.) monograph requirements for Absorbable Surgical Suture, USP 40<861>, USP 40<871> and USP 40 <881>. The Synthetic Absorbable Suture is provided EO sterilized as a single use device.
More Information

Not Found

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

No
The device is a surgical suture used for approximation and ligation of tissues, which are mechanical functions, not therapeutic ones that treat disease or disorder.

No

Explanation: The device is a synthetic absorbable suture used for general soft tissue approximation and/or ligation. It is a surgical tool, not a diagnostic device.

No

The device description clearly states it is a physical suture made of PGLA and stainless steel needles, and describes physical testing and sterilization methods.

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

Here's why:

  • Intended Use: The intended use is for "general soft tissue approximation and/or ligation," which are surgical procedures performed directly on the body.
  • Device Description: The device is a "Synthetic Absorbable Suture," which is a physical material used to close wounds or tie off blood vessels during surgery.
  • Lack of IVD Characteristics: There is no mention of the device being used to examine specimens derived from the human body (like blood, urine, tissue samples) to provide information for diagnosis, monitoring, or treatment.

IVD devices are used in vitro (outside the body) to analyze biological samples. This device is used in vivo (inside the body) during a surgical procedure.

N/A

Intended Use / Indications for Use

The Holycon Synthetic Absorbable Sutures is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular or neural tissue.

Product codes

GAM

Device Description

The Holycon Synthetic Absorbable Sutures are multifilament (braided), synthetic absorbable suture indicated for use in soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular or neural tissue.

The Holycon Synthetic Absorbable Sutures are composed of PGLA suture and needle.

The Holycon Synthetic Absorbable Sutures are composed of a copolymer made from 90% glycolide and 10% L-lactide (PGLA); they are coated with copolymer of 30% glycolide and 70% lactide and calcium stearate. The PGLA suture is dyed suture.

The needles are available in four types: Taper, Cutting, Spatula and Blunt. The material of needles is stainless steel.

The performance of this absorbable suture complies with United States Pharmacopeia (U.S.P.) monograph requirements for Absorbable Surgical Suture, USP 40, USP 40 and USP 40 .

The Synthetic Absorbable Suture is provided EO sterilized as a single use device.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

general soft tissue, ophthalmic

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)

Non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:

  • USP 40-NF 35:2017 Sutures - Diameter;
  • USP 40-NF 35:2017 Sutures - Needle Attachment;
  • USP 40-NF 35:2017 Tensile Strength;
  • ISO 10993-3:2014 Biological Evaluation of Medical Devices, Part 3: Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity;
  • ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicity;
  • ISO 10993-6:2007 Biological evaluation of medical devices -- Part 6: Tests for local effects after implantation;
  • ISO 10993-10: 2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitization:
  • ISO 10993-11:2006 Biological evaluation of medical devices -- Part 11: Tests for systemic toxicity;
  • USP 40-NF 35:2017 Bacterial Endotoxins Test;
  • ASTM F88/F88M-09 Standard Test Method for Seal Strength of Flexible Barrier Materials:
  • ASTM F1929-12 Standard Test Method for Detecting Seal Leaks in Porous Medical Package by Dye Penetration;
  • ISO 10993-7:2008 Biological evaluation of medical devices -- Part 7: Ethylene oxide sterilization residuals;
  • A USP Pyrogen Test

The in vivo tensile strength testing, which is to determine the in vivo breaking strength retention study, was conducted in subcutaneous implantation study, and the testing was conducted with the predicate device as a control.

The 3-year real-time aging tests were conducted to support that the proposed device to mitigate the risk of time-dependent degradation of the suture material. The real-aging testing includes package integrity, stability and physical test.

No clinical study is included in this submission.

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

Not Found

Predicate Device(s)

K130735

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 878.4493 Absorbable poly(glycolide/l-lactide) surgical suture.

(a)
Identification. An absorbable poly(glycolide/l-lactide) surgical suture (PGL suture) is an absorbable sterile, flexible strand as prepared and synthesized from homopolymers of glycolide and copolymers made from 90 percent glycolide and 10 percent l-lactide, and is indicated for use in soft tissue approximation. A PGL suture meets United States Pharmacopeia (U.S.P.) requirements as described in the U.S.P. “Monograph for Absorbable Surgical Sutures;” it may be monofilament or multifilament (braided) in form; it may be uncoated or coated; and it may be undyed or dyed with an FDA-approved color additive. Also, the suture may be provided with or without a standard needle attached.(b)
Classification. Class II (special controls). The special control for this 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/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 14, 2017

Nantong Holycon Medical Devices Co., Ltd. % Ms. Diana Hong General Manager Mid-Link Consulting Co., Ltd. P.O. Box 120-119 Shanghai, 200120 China

Re: K173043

Trade/Device Name: Holycon Synthetic Absorbable Sutures Regulation Number: 21 CFR 878.4493 Regulation Name: Absorbable Poly(Glycolide/L-Lactide) Surgical Suture Regulatory Class: Class II Product Code: GAM Dated: September 26, 2017 Received: September 28, 2017

Dear Ms. Hong:

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 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);

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and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

David Krause -S

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

2

Indications for Use

510(k) Number (if known)

K173043

Device Name Holycon Synthetic Absorbable Sutures

Indications for Use (Describe)

The Holycon Synthetic Absorbable Sutures is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular or neural tissue.

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)

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510(k) Summary

This 510(k) Summary of 510(k) safety and effectiveness information is being submitted in accordance with requirements of SMDA 1990 and Title 21, CFR Section 807.92.

The assigned 510(k) Number: K173043

    1. Date of Preparation: 12/12/2017
    1. Sponsor Identification

Nantong Holycon Medical Devices Co., Ltd. No.66, Zhongyang Road, Economic Technology Development Area, Nantong, Jiangsu, 226009, China

Establishment Registration Number: Not yet registered

Contact Person: Feng Lu Position: Quality Manager Tel: +86-513-80979102 Fax: +86-513-83599100 Email: fengl@holycom.com

    1. Designated Submission Correspondent
      Ms. Diana Hong (Primary Contact Person) Ms. Jing Cheng (Alternative Contact Person)

Mid-Link Consulting Co., Ltd P.O. Box 120-119, Shanghai, 200120, China

Tel: +86-21-22815850, Fax: 360-925-3199 Email: info@mid-link.net

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Identification of Proposed Device 4.

Trade Name: Holycon Synthetic Absorbable Sutures Common Name: PGLA Synthetic Absorbable Suture Size: USP 6-0, USP 5-0, USP 4-0, USP 3-0, USP 2-0, USP 0 and USP 1

Regulatory Information Regulation Description: Absorbable poly (glycolide/l-lactide) surgical suture Classification: II Product Code: GAM Regulation Number: 21 CFR 878.4493 Review Panel: General & Plastic Surgery

Indications for Use:

The Holycon Synthetic Absorbable Sutures is indicated for use in general soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular or neural tissue.

Device Description

The Holycon Synthetic Absorbable Sutures are multifilament (braided), synthetic absorbable suture indicated for use in soft tissue approximation and/or ligation, including use in ophthalmic procedures, but not for use in cardiovascular or neural tissue.

The Holycon Synthetic Absorbable Sutures are composed of PGLA suture and needle.

The Holycon Synthetic Absorbable Sutures are composed of a copolymer made from 90% glycolide and 10% L-lactide (PGLA); they are coated with copolymer of 30% glycolide and 70% lactide and calcium stearate. The PGLA suture is dyed suture.

The needles are available in four types: Taper, Cutting, Spatula and Blunt. The material of needles is stainless steel.

The performance of this absorbable suture complies with United States Pharmacopeia (U.S.P.) monograph requirements for Absorbable Surgical Suture, USP 40, USP 40 and USP 40 .

The Synthetic Absorbable Suture is provided EO sterilized as a single use device.

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    1. Identification of Predicate Device
      510(k) Number: K130735 Product Name: WEGO-PGLA Absorbable Surgical Suture Manufacturer: Foosin Medical Supplies Inc., Ltd
    1. Non-Clinical Testing
      Non-clinical tests were conducted to verify that the proposed device met all design specifications as was Substantially Equivalent (SE) to the predicate device. The test results demonstrated that the proposed device complies with the following standards:
  • USP 40-NF 35:2017 Sutures - Diameter;

  • USP 40-NF 35:2017 Sutures - Needle Attachment;

  • USP 40-NF 35:2017 Tensile Strength;

  • ISO 10993-3:2014 Biological Evaluation of Medical Devices, Part 3: Tests for Genotoxicity, Carcinogenicity and Reproductive Toxicity;

  • ISO 10993-5:2009 Biological evaluation of medical devices -- Part 5: Tests for in vitro cytotoxicity;

  • ISO 10993-6:2007 Biological evaluation of medical devices -- Part 6: Tests for local effects after implantation;

  • ISO 10993-10: 2010 Biological evaluation of medical devices -- Part 10: Tests for irritation and skin sensitization:

  • ISO 10993-11:2006 Biological evaluation of medical devices -- Part 11: Tests for systemic toxicity;

  • USP 40-NF 35:2017 Bacterial Endotoxins Test;

  • ASTM F88/F88M-09 Standard Test Method for Seal Strength of Flexible Barrier Materials:

  • ASTM F1929-12 Standard Test Method for Detecting Seal Leaks in Porous Medical Package by Dye Penetration;

  • ISO 10993-7:2008 Biological evaluation of medical devices -- Part 7: Ethylene oxide sterilization residuals;

  • A USP Pyrogen Test

The in vivo tensile strength testing, which is to determine the in vivo breaking strength retention study, was conducted in subcutaneous implantation study, and the testing was conducted with the predicate device as a control.

The 3-year real-time aging tests were conducted to support that the proposed device to mitigate the risk

6

of time-dependent degradation of the suture material. The real-aging testing includes package integrity, stability and physical test.

    1. Clinical Test Conclusion
      No clinical study is included in this submission.

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8. Substantially Equivalent (SE) Comparison

Proposed DevicePredicate Device
ItemHolycon Synthetic AbsorbableWEGO-PGLA Absorbable
SuturesSurgical Suture, K130735
Product CodeGAMGAM
Regulation Number21 CFR 878.449321 CFR 878.4493
ClassIIII
Intended UseThe Holycon Synthetic
Absorbable Sutures is indicated
for use in general soft tissue
approximation and/or ligation,
including use in ophthalmic
procedures, but not for use in
cardiovascular or neural tissue.The WEGO-PGLA Absorbable
Surgical Suture is indicated for use in
general soft tissue approximation
and/or ligation, including use in
ophthalmic procedures, but not for
use in cardiovascular or neural tissue.
Material90% glycolide and 10% L-lactide
(PGLA)90% glycolide and 10% L-lactide
(PGLA)
ColorDyedDyed and Undyed
Absorbable /
Non-absorbableAbsorbableAbsorbable
Braided /
MonofilamentBraidedBraided
SterilityEO SterilizedEO Sterilized
Suture SizeUSP 6-0, USP 5-0, USP 4-0, USP
3-0, USP 2-0, USP 0 and USP 1USP 6-0, USP 5-0, USP 4-0, USP
3-0, USP 2-0, USP 0 and USP 1
Length of Suture45cm, 75cm, 90cm and 150cm30cm, 45cm, 60cm, 75cm,
90cm,100cm, 120cm, 150cm, 180cm,
200cm, 250cm, 280cm, 300cm,
320cm, 360cm and 390cm
Single UseYesYes
PerformanceComply with:
USP
USP
USPComply with:
USP
USP
USP
BiocompatibilityConforms to the requirements of
ISO 10993 series StandardsConforms to the requirements of ISO
10993 series Standards

Table 1 Comparison of Proposed Device and Predicated Device (K072076)

The main differences between proposed device and predicate device are color and length of suture. There is only dyed suture available for proposed device, and the suture length range of proposed

8

device is smaller than that of the predicate device, the dyed suture length range of proposed device are included in predicate device.

  • Substantially Equivalent (SE) Conclusion 9.
    Based on the comparison and analysis above, the proposed device is determined to be Substantially Equivalent (SE) to the predicate devices.