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510(k) Data Aggregation

    K Number
    K200413
    Device Name
    Symphony
    Date Cleared
    2020-07-29

    (161 days)

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

    K171231

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

    Symphony™ is indicated for use in the management of the following wounds:

    • · partial and full-thickness wounds
    • · pressure ulcers
    • venous ulcers
    • · diabetic ulcers
    • chronic vascular ulcers
    • · tunnelled / undermined wounds
    • · surgical wounds (donor sites/grafts, post-Moh's surgery, post-laser surgery, podiatric, wound dehiscence)
    • · trauma wounds (abrasions, lacerations, second-degree burns, and skin tears)
    • draining wounds
    Device Description

    Symphony™ is a sterile, single use wound dressing manufactured by incorporating a layer of glycosaminoglycans between sheets of ovine forestomach-derived extracellular collagen matrix. The 4-ply rectangular devices are available in sizes up to 200 cm².

    AI/ML Overview

    The provided text is a 510(k) summary for the device "Symphony™," a wound dressing. This document primarily focuses on demonstrating substantial equivalence to a predicate device based on material, manufacturing, and performance characteristics, rather than evaluating an AI/ML medical device. Therefore, much of the requested information about acceptance criteria, ground truth, expert adjudication, MRMC studies, and training/test set details for AI/ML models is not present in this document.

    However, I can extract the information related to the device's performance and the non-clinical testing performed to establish its substantial equivalence.

    Here's an analysis of the provided text, addressing the points where information is available and noting where it is not:

    1. A table of acceptance criteria and the reported device performance

    The document presents a comparison table between the Symphony™ device (Subject Device) and the predicate device (Endoform® Topical Matrix). This table implicitly shows the acceptance criteria by listing the parameters and the expected range/value for both the subject and predicate devices.

    ParameterAcceptance Criteria (Predicate / Subject Device)Reported Device Performance (Symphony™ - Subject Device)
    Indications for UseSame as predicateSame as predicate
    Animal OriginOvineOvine
    Tissue TypeForestomachForestomach
    Presentation - ply'sPredicate: 2-, 3-, 4-, 5-layers of OFM; Subject: 4 layers (OFM, OFM, GAG Foam, OFM)Device are lugged and comprised of 4 layers as follows: OFM, OFM, GAG Foam, OFM
    Presentation - sizesPredicate: 1 cm² to 400 cm²; Subject: 2.5x2.5, 5x5, 10x10, 10x20 cm²2.5 cm x 2.5 cm, 5 cm x 5 cm, 10 cm x 10 cm, 10 cm x 20 cm
    ThicknessPredicate: 1-ply ≥ 0.05mm, 2-ply ≥ 0.20mm, 3-ply ≥ 0.35mm, 4-ply ≥ 0.50mm, 5-ply ≥ 0.65mm; Subject: ≥ 0.35 mm≥ 0.35 mm
    OFM Content (% total mass)Predicate: 100% w/w; Subject: 55% - 80% w/w55% - 80% w/w
    Final device moisture content (%w/w)≤30% w/w total mass≤30% w/w total mass
    Collagen concentration of OFM (% total mass)≥70% w/w≥70% w/w
    Onset Melt Temperature of OFM (°C)55-70 °C55-70 °C
    Moisture content of OFM (% total mass)0.05 mg/g>0.05 mg/g
    OFM Basement membrane remnants (laminin)PresentPresent
    OFM FibronectinPresentPresent
    DNA concentration of OFM (mg/g)0PI>0
    Suture Retention≥1.5 N≥1.5 N
    Endotoxin
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