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510(k) Data Aggregation

    K Number
    K081327
    Device Name
    RELIMESH
    Manufacturer
    Date Cleared
    2008-06-19

    (38 days)

    Product Code
    Regulation Number
    878.3300
    Reference & Predicate Devices
    Predicate For
    N/A
    Why did this record match?
    Reference Devices :

    K971745, K070625

    AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
    Intended Use

    Relimesh prostheses are intended for use in the reconstruction of soft tissue deficiencies, such as but not limited to the repair of hernias and chest wall defects

    Device Description

    Relimesh prostheses are dual component meshes made of non-absorbable monofilament polypropylene mesh on one side and a layer of ePTFE on the other side.
    Relimesh is warp knitted in such a way that the mesh may be cut into preshaped designs without unraveling and will maintain excellent isotropic properties because of its knitted construction. The ePTFE layer is heat sealed to the polypropylene layer
    These meshes have the necessary strength, flexibility, and durability for the various stresses which may be encountered in the body.
    The devices are supplied as sterile, single-use surgical meshes.

    AI/ML Overview

    This document describes the premarket notification (510(k)) for the Herniamesh Relimesh, a surgical mesh intended for the reconstruction of soft tissue deficiencies. The device's acceptance criteria and the study proving it meets these criteria are established through a comparison to legally marketed predicate devices, Composite Mesh (C.R. Bard Inc.) and Hermesh 7 (Herniamesh Srl).

    1. Table of Acceptance Criteria and Reported Device Performance

    The acceptance criteria for the Relimesh device are based on demonstrating substantial equivalence to predicate devices through functional and material characteristic comparisons. The specific acceptance criteria are that the Relimesh device's performance characteristics (suture retention, burst strength, tensile strength) are comparable to or better than the predicate devices, and that its material properties and intended use are similar. The reported device performance is shown in the table below:

    CharacteristicAcceptance Criteria (inferred by predicate)Relimesh PerformancePredicate 1: Hermesh 7 (K070625) PerformancePredicate 2: Composite Mesh (K971745) Performance
    Material/DesignMonofilament Polypropylene & ePTFEPolypropylene & ePTFE100% PolypropylenePolypropylene & ePTFE
    Mesh Weight (g/sq. m)Within historical range of predicates78 ± 6%19214
    Filament Diameter (μ)Within historical range of predicates12080160
    Thickness Mesh (mm)Within historical range of predicates0.5 ± 10%0.27 mm1.5 mm
    % PorosityWithin historical range of predicates86.891.983
    Suture Retention (N)Comparable to or better than predicates24.608.7526 ± 7.56
    Burst Strength (Kpa)Comparable to or better than predicates3783591316 ± 3.8
    Tensile Strength (N/cm)Comparable to or better than predicates24 ± 617.7N/A
    BiocompatibilityCompliant with ISO 10993Compliant--
    SterilitySAL 10^-6, EtO Residual <1 ppmCompliant--

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

    The document does not explicitly state a "test set" in the context of clinical studies for acceptance criteria. The evaluation is based on pre-clinical bench testing and material characterization. The provided data originates from Herniamesh SRL (Italy) and C.R. Bard Inc. for their respective predicate devices. The studies are by nature prospective as they are specifically conducted to support the 510(k) submission. No human biological samples are mentioned.

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

    Not applicable. The ground truth for this medical device submission is established through objective engineering and material science standards and biocompatibility testing, rather than expert medical interpretation of images or clinical outcomes from a test set.

    4. Adjudication Method for the Test Set

    Not applicable. There is no mention of a test set requiring adjudication in the context of clinical data or expert interpretation. The evaluation relies on direct measurement and compliance with established standards.

    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

    Not applicable. This submission is for a physical surgical mesh, not an AI-powered diagnostic or assistive tool. Therefore, an MRMC study is irrelevant.

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

    Not applicable. This is not an algorithm or software device. Performance is evaluated based on the physical and material properties of the mesh itself.

    7. The Type of Ground Truth Used

    The ground truth used for this submission is:

    • Bench Testing Data: Objective measurements of physical properties like suture retention, burst strength, and tensile strength.
    • Material Characterization: Analysis of material composition (Polypropylene, ePTFE), mesh weight, filament diameter, thickness, and porosity.
    • Biocompatibility Standards: Compliance with ISO 10993 for biological evaluation of medical devices.
    • Sterilization Standards: Compliance with Ethylene Oxide Residual (<1 ppm), Sterility Assurance Level 10^-6, and Ethylene Chlorohydrin Level (<2ppm).
    • Predicate Device Data: Performance characteristics of legally marketed predicate devices serve as the benchmark for substantial equivalence.

    8. The Sample Size for the Training Set

    Not applicable. This is not a machine learning or AI-based device, so there is no "training set."

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

    Not applicable, as there is no training set for this type of medical device. The "ground truth" for demonstrating substantial equivalence is established through the comprehensive testing and characterization of the Relimesh device in comparison to established predicate devices and recognized industry standards (e.g., ISO 10993).

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