MONODEK SYNTHETIC ABSORBABLE SURGICAL SUTURE

K030212 · Genzyme Biosurgery · NEW · Mar 27, 2003 · General, Plastic Surgery

Device Facts

• Record ID: K030212
• Device Name: MONODEK SYNTHETIC ABSORBABLE SURGICAL SUTURE
• Applicant: Genzyme Biosurgery
• Product Code: NEW · General, Plastic Surgery
• Decision Date: Mar 27, 2003
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4840
• Device Class: Class 2
• Attributes: Therapeutic, Pediatric

Intended Use

Monodek™ Synthetic Absorbable Surgical Sutures are indicated for use in all types of soft tissue approximation, including use in pediatric cardiovascular tissue where growth is expected to occur and opthalmic surgery. Monodek suture is not indicated in adult cardiovascular tissue, microsurgery and neural tissue. These sutures are particularly useful where the combination of an absorbable suture and extended wound support (up to six weeks) is desirable.

Device Story

Monodek is a sterile, monofilament, synthetic absorbable surgical suture composed of polydioxanone. It provides extended wound support for up to six weeks. Available in sizes 6-0 through 0, undyed or violet-dyed, with or without needles, or on ligating reels. Used by surgeons in clinical settings for soft tissue approximation. The device functions as a mechanical support for tissue healing; it is absorbed by the body over time. It is intended for prescription use only.

Clinical Evidence

Bench testing only. Conformance to USP Section XXV for absorbable surgical sutures and ANSI/AAMI/ISO 10993-1 for biological evaluation.

Technological Characteristics

Material: Polydioxanone (synthetic absorbable). Form: Sterile monofilament. Sizes: 6-0 to 0 (metric 0.7 to 3.5). Standards: USP Section XXV, ANSI/AAMI/ISO 10993-1. Mechanical function only.

Indications for Use

Indicated for soft tissue approximation in patients, including pediatric cardiovascular tissue (where growth is expected) and ophthalmic surgery. Contraindicated for adult cardiovascular tissue, microsurgery, and neural tissue.

Regulatory Classification

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.

Special Controls

*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.

Predicate Devices

• CP Medical Mono-Dox Absorbable Surgical Sutures (K013274)
• Ethicon PDS II Absorbable Surgical Suture (PMA N18331)

Submission Summary (Full Text)

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K0 30 212

MAR 2 7 2003

## EXHIBIT A 510(k) Summary

#### Substantial Equivalence

In accordance with the requirements of 21 CFR § 807, this summary is formatted with the Agency's final rule ".... 510(k) Summaries and 510(k) Statements ... " and can be used to provide equivalence summary to anyone requesting it from the Agency.

| Manufacturer | Genzyme Biosurgery<br>A Division of Genzyme Corporation<br>600 Airport Road<br>Fall River, MA 02720-4740 |
|--------------------|----------------------------------------------------------------------------------------------------------|
| Contact Person | Stephen Page<br>Phone: [phone]<br>Fax: [phone]<br>e-mail: [e-mail] |
| Date Prepared | March 21, 2003 |
| Device Information | |

| Trade Name: | Monodek™ Synthetic Absorbable Surgical Suture. |
|----------------------|------------------------------------------------|
| Common Name: | Polydioxanone Absorbable Surgical Sutures. |
| Classification Name: | Absorbable Polydioxanone Surgical Sutures |

#### Indications for Use

Monodek™ Synthetic Absorbable Surgical Sutures are indicated for use in all types of soft tissue approximation, including use in pediatric cardiovascular tissue where growth is expected to occur and opthalmic surgery. Monodek suture is not indicated in adult cardiovascular tissue, microsurgery and neural tissue. These sutures are particularly useful where the combination of an absorbable suture and extended wound support (up to six weeks) is desirable.

#### Device Description

Monodek Absorbable Surgical Suture meets all USP requirements except for oversized diameter. Monodek is available in sizes 6-0 through 0 (metric sizes 0.7 through 3.5), undyed and dyed (violet). The suture is a sterile, monofilament and is provided in a variety of lengths, with or without needles and may be supplied in a variety of cut lengths or on ligating reels.

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# EXHIBIT A

### 510(k) Summary

#### Substantial Equivalence

The device is similar in intended use, materials, design, and performance characteristics to the currently cleared CP Medical Mono-Dox Absorbable Surgical Sutures (#K013274) and the currently approved Ethicon PDS II Absorbable Surgical Suture (PMA N18331).

The determination of substantial equivalence for this device was based on a detailed device description, performance testing and conformance with voluntary performance standards, e.g. ANSI/AAMI/ISO 10993-1 Biological Evaluation of Medical Devices, USP Section XXV - Absorbable Surgical Sutures, Guidance Document "Guidance for Surgical Suture 510(k) s" issued on August 10, 2000 and the FDA "Class II Special Controls Guidance Document: Surgical Sutures; Guidance for Industry and FDA", December 19, 2002

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Image /page/2/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features the department's name in a circular arrangement around a symbol. The symbol consists of three stylized human profiles facing to the right, with a ribbon-like element flowing beneath them.

MAR 2 7 2003

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Stephen Page Director of Regulatory Affairs Genzyme Biosurgery 600 Airport Road Fall River, Massachusetts 02720-4740

Re: K030212

Monodek™ Synthetic Absorbable Surgical Suture Regulation Number: 878.4840 Regulation Name: Polydioxanone Suture Regulatory Class: II Product Code: NEW Dated: January 16, 2003 Received: January 21, 2003

Dear Mr. Page:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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); 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. This letter will allow you to begin marketing your device as described in your Section 510(k)

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Page 2 - Mr. Stephen Page

premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Muriam C. Provost

Celia M. Witten, Ph.D., M.D. Director Division of General, Restorative, and Neurological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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510(k) Number (if known) K0302/2 Device Name

Monodek Polydioxanone Absorbable Surgical Suture

Indications for Use

Monodek™ Synthetic Absorbable Surgical Sutures are indicated for use in all types of soft tissue approximation, including use in pediatric cardiovascular tissue where growth is expected to occur and opthalmic surgery. Monodek suture is not indicated in adult cardiovascular tissue, microsurgery and neural tissue. These sutures are particularly useful where the combination of an absorbable suture and extended wound support (up to six weeks) is desirable.

(Please do not write below this line - Continue on another page if necessary) Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use _ X (Per 21 CFR § 801.109)

OR

Over-the-Counter Use

(Optional Format 1-2-96)

Meriam C. Provost

Division Sign-Off) Division of General, Restorative and Neurological Devices

510(k) Number K030212