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510(k) Data Aggregation

    K Number
    K141721
    Manufacturer
    Date Cleared
    2014-12-22

    (180 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Predicate For
    N/A
    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    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.

    AI/ML Overview

    Here's an analysis of the provided text, focusing on the acceptance criteria and the study that proves the device meets those criteria:

    The document is a 510(k) summary for the Bovine Pericardium Patch, aiming to demonstrate substantial equivalence to a predicate device. The "acceptance criteria" here are implicitly linked to the substantial equivalence requirements, meaning the Bovine Pericardium Patch must perform comparably to the predicate device across various aspects.

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria are not explicitly stated as numerical thresholds for specific performance metrics. Instead, the document demonstrates substantial equivalence by comparing the Bovine Pericardium Patch to a predicate device (Veritas® Collagen Matrix, K062915). The implicit acceptance criteria are that the Bovine Pericardium Patch's performance and characteristics are "comparable" or "substantially equivalent" to the predicate device.

    CategoryAcceptance Criteria (Implicit: Comparable to Predicate)Reported Device Performance (Bovine Pericardium Patch)Predicate Device Performance (Veritas® Collagen Matrix)
    BiocompatibilityComparable safety profileShowed comparable safety profile(Implied safe based on predicate's clearance)
    In Vitro CytotoxicityComparableTested(Not specified for predicate, but assumed comparable)
    Skin SensitizationComparableTested(Not specified for predicate, but assumed comparable)
    Intracutaneous ReactivityComparableTested(Not specified for predicate, but assumed comparable)
    Acute Systemic ToxicityComparableTested(Not specified for predicate, but assumed comparable)
    GenotoxicityComparableTested(Not specified for predicate, but assumed comparable)
    Muscle ImplantationComparableTested(Not specified for predicate, but assumed comparable)
    In Vitro HemolysisComparableTested(Not specified for predicate, but assumed comparable)
    PyrogenicityComparableTested(Not specified for predicate, but assumed comparable)
    Subchronic Systemic ToxicityComparableTested(Not specified for predicate, but assumed comparable)
    Bench/Laboratory TestingComparable mechanical propertiesDemonstrated substantially equivalent(Implied appropriate for reinforcing soft tissue)
    Tensile StrengthComparableTested(Not specified for predicate, but assumed comparable)
    Suture Retention StrengthComparableTested(Not specified for predicate, but assumed comparable)
    Burst ForceComparableTested(Not specified for predicate, but assumed comparable)
    Tear ResistanceComparableTested(Not specified for predicate, but assumed comparable)
    DNA ResidualsTested and comparable to predicateTested(Not specified for predicate, but assumed comparable)
    Collagen AnalysisTested and comparable to predicateTested(Not specified for predicate, but assumed comparable)
    Viral InactivationTested and comparable to predicateTested(Not specified for predicate, but assumed comparable)
    StabilityTested and comparable to predicateTested(Not specified for predicate, but assumed comparable)
    Device CharacteristicsIdentical or comparableAs listed in tableAs listed in table
    Classification Regulation21 CFR 878.3300, Class II21 CFR 878.3300, Class II21 CFR 878.3300, Class II
    Product CodeFTM, OXE, OXB, PAJFTM, OXE, OXB, PAJFTM, OXE, OXB, PAJ
    IndicationIdentical (with predicate's additional feature noted)ListedListed
    Rx/OTCRxRxRx
    Physical ShapeRectangular PatchRectangular PatchRectangular Patch
    Available SizesVarious (2x8cm to 12x25cm)Various (2x8cm to 12x25cm)Various (2x8cm to 12x25cm)
    Product DescriptionType I Bovine CollagenType I Bovine CollagenType I Bovine Collagen
    Animal TissueBovine PericardiumBovine PericardiumBovine Pericardium
    SterileYes (E-Beam)Yes (E-Beam)Yes (E-Beam)
    Pore Size (SEM)Comparable (1-3 μm vs 1-4 μm)1-3 μm1-4 μm
    Average Device ThicknessComparable (0.55mm vs 0.67mm)0.55mm0.67mm
    Storage20-25°C20-25°C20-25°C
    Handling characteristicsFlexibleFlexibleFlexible

    2. Sample Size Used for the Test Set and Data Provenance

    The document does not specify a "test set" in the context of clinical trials or AI model validation. The studies described are primarily bench testing and biocompatibility testing.

    • Bench/Laboratory Testing: No specific sample sizes (e.g., number of patches tested for tensile strength) are provided for each mechanical test. Data provenance is implied to be from laboratory testing conducted by the manufacturer or a contracted lab.
    • Biocompatibility Testing: The specific sample sizes for animal tests (e.g., muscle implantation, subchronic systemic toxicity) are not provided. These are standard pre-clinical tests; the provenance would be from laboratory studies, likely animal models.

    The data is retrospective in the sense that it's pre-market data collected to support the 510(k) submission, not an ongoing prospective clinical trial. The country of origin of the data is not explicitly stated but assumed to be from the US or a compliant lab, given the FDA submission.

    3. Number of Experts Used to Establish the Ground Truth for the Test Set and Qualifications of Those Experts

    This information is not applicable to this type of device submission. There is no mention of "ground truth" established by human experts in the context of image interpretation or diagnostic accuracy for this device, which is a surgical mesh. The "truth" for this device's performance is derived from standardized physical and biological tests.

    4. Adjudication Method for the Test Set

    This information is not applicable for the same reasons as above. There is no expert review or adjudication process described for the bench and biocompatibility tests.

    5. If a Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

    This information is not applicable. This is a physical medical device (surgical mesh), not an AI-powered diagnostic tool. Therefore, a MRMC comparative effectiveness study involving human readers and AI assistance is entirely irrelevant to this submission.

    6. If a Standalone (i.e. algorithm only without human-in-the-loop performance) was done

    This information is not applicable. As stated above, this is a physical medical device, not an algorithm or AI system.

    7. The Type of Ground Truth Used (expert consensus, pathology, outcomes data, etc)

    For the bench/laboratory testing, the "ground truth" is established by standardized measurement techniques and accepted engineering principles for material properties. For biocompatibility, the "ground truth" is based on biological responses observed in validated in vitro and in vivo (animal) models, interpreted against established safety standards (e.g., ISO 10993 series). There is no "expert consensus" or "pathology" in the sense of diagnosing human conditions within this context.

    8. The Sample Size for the Training Set

    This information is not applicable. This is a physical medical device, not an AI model, so there is no "training set."

    9. How the Ground Truth for the Training Set was Established

    This information is not applicable for the same reason.

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