ARTELON SURGICAL SUTURE
K032160 · Artimplant AB · GAR · Nov 17, 2003 · General, Plastic Surgery
Device Facts
| Record ID | K032160 |
| Device Name | ARTELON SURGICAL SUTURE |
| Applicant | Artimplant AB |
| Product Code | GAR · General, Plastic Surgery |
| Decision Date | Nov 17, 2003 |
| Decision | SESE |
| Submission Type | Traditional |
| Regulation | 21 CFR 878.5020 |
| Device Class | Class 2 |
| Attributes | Therapeutic |
Intended Use
The Artimplant, Artelon™ Surgical Suture is intended for use in general soft tissue approximation and/or ligation.
Device Story
Artelon™ Surgical Suture is a sterile, nonabsorbable, braided multifilament suture composed of polycaprolactone-based poly(urethane urea). It is supplied uncoated, undyed, and without a needle. The device is used by surgeons in clinical settings for general soft tissue approximation and/or ligation. It functions by providing mechanical support to tissues during the healing process; it undergoes progressive degradation via in vivo hydrolysis, resulting in a gradual loss of tensile strength over time. The device is intended to provide a surgical closure alternative to existing nylon-based sutures.
Clinical Evidence
Bench testing only. Performance testing included biocompatibility safety studies, diameter measurements, tensile strength testing, and evaluation of pliability and handling characteristics in accordance with ISO 10993, USP 26, and FDA guidance for surgical sutures.
Technological Characteristics
Material: Polycaprolactone-based poly(urethane urea). Form: Braided, multifilament, uncoated, undyed. Sterilization: Sterile. Standards: Meets U.S.P. 26 requirements for nonabsorbable surgical sutures. Connectivity: None. Energy source: None.
Indications for Use
Indicated for general soft tissue approximation and/or ligation in patients requiring surgical closure.
Regulatory Classification
Identification
Nonabsorbable polyamide surgical suture is a nonabsorbable, sterile, flexible thread prepared from long-chain aliphatic polymers Nylon 6 and Nylon 6,6 and is indicated for use in soft tissue approximation. The polyamide surgical suture meets United States Pharmacopeia (U.S.P.) requirements as described in the U.S.P. monograph for nonabsorbable surgical sutures; it may be monofilament or multifilament in form; it may be provided uncoated or coated; and it may be undyed or dyed with an appropriate FDA listed color additive. Also, the suture may be provided with or without a standard needle attached.
Special Controls
*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.
Predicate Devices
- T.CAD International - Nylon (K993998)
- Sherwood-Davis & Geck - Surgilon®, Ophtalon® and Dermalon® Non-absorbable Surgical Suture (K981582)
- Grams American Suture, Inc. - Grams Nylon Nonabsorbable Suture (K003000)
- C.P. Medical - Nylon Nonabsorbable Surgical Sutures (K001173)
Related Devices
- K052482 — ARTELON SURGICAL SUTURE · Artimplant AB · Oct 17, 2005
- K974299 — PANACRYL · ETHICON, Inc. · Feb 13, 1998
- K030177 — ORLON NONABSORABLE SURGICAL SUTURE USP · Sri Orion Pharmaceuticals & Sutures · Jul 21, 2003
- K964345 — ETHICON ABSORBABLE POLY (L-LACTIDE/GLYCOLIDE) SURGICAL SUTURE, UNDYED · ETHICON, Inc. · Dec 16, 1996
- K993998 — NYLON · Trading Consultants and Distributors Intl., Inc. · Feb 4, 2000
Submission Summary (Full Text)
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NOV 1 7 2003
KO32160
page 1 of 3
# SECTION 2. SUMMARY AND CERTIFICATION
## A. 510(K) SUMMARY
### Summary of Safety and Effectiveness
In accordance with 21 CFR 807.92, the following information constitutes the Artimplant AB's summary for the Artelon™ Surgical Suture
| SUBMITTER'S NAME: | Artimplant AB |
|---------------------|--------------------------------------------------------------|
| ADDRESS: | Hulda Mellgrens gata 5, SE-421 32 Västra Frölunda,<br>Sweden |
| CONTACT PERSON: | Britt Novén |
| TELEPHONE NUMBER: | +46 31 7465600 or +46 705 280255 |
| FAX NUMBER: | +46 31 7465660 |
| DATE OF SUBMISSION: | July 11, 2003 |
#### 1. Identification of device
Proprietary Name: Artelon™ Surgical Suture Common Name: Nonabsorbable Nylon Surgical Suture Classification Status: Class II per regulations §878.5020 Product Codes: GAR- Surgical, Nonabsorbable, Synthetic, Polyamide
#### 2. Equivalent devices
Artimplant AB believes the Artelon™ Surgical Suture is substantially equivalent to:
| K993998 | T.CAD International - Nylon |
|---------|-----------------------------------------------------------------------------------------------|
| K981582 | Sherwood-Davis & Geck - Surgilon®, Ophtalon® and Dermalon® Non-<br>absorbable Surgical Suture |
| K003000 | Grams American Suture, Inc. - Grams Nylon Nonabsorbable Suture |
| K001173 | C.P. Medical - Nylon Nonabsorbable Surgical Sutures |
#### Description of the Device 3.
Artelon™ Surgical Suture is a nonabsorbable braided surgical suture, which is supplied sterile. It is composed of Artelon™, a polycaprolactone based poly(urethane urea), in multifilament form. The Artelon™ Surgical Suture will be offered uncoated and undyed and without needle.
The product meets all requirements established by the United States Pharmacopoeia (U.S.P) for nonabsorbable surgical sutures.
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#### 4. Intended use
The Artimplant, Artelon™ Surgical Suture is intended for use in general soft tissue approximation and/or ligation.
#### Technological characteristics, comparison to predicate device. 5.
Like the predicate devices, the Artelon™ Surgical Suture is intended for general soft tissue approximation and/or ligation.
| Company | T.CAD | Sherwood-Davis<br>& Geck | Grams American<br>Suture, Inc. | C.P. Medical | Artimplant AB |
|---------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Device | International -<br>Nylon | Surgilon®,<br>Ophtalon® and<br>Dermalon®<br>Non-absorbable<br>Surgical Suture | Grams Nylon<br>Nonabsorbable<br>Suture | Nylon<br>Nonabsorbable<br>Surgical Sutures | Artelon™ Surgical<br>Suture |
| 510(k) Number | K993998 | K981582 | K003000 | K001173 | No number yet |
| Characteristic | | | | | |
| Intended use | General soft tissue<br>approximation<br>and/or ligation<br><br>Including use in<br>cardiovascular<br>ophthalmic and<br>neurological<br>procedures. | General soft tissue<br>approximation<br>and/or ligation<br><br>Including use in<br>cardiovascular<br>ophthalmic and<br>neural tissue. | General soft tissue<br>approximation<br>and/or ligation<br><br>Including use in<br>cardiovascular<br>ophthalmic and<br>neurological<br>procedures. | General soft tissue<br>approximation<br>and/or ligation<br><br>Including use in<br>cardiovascular<br>ophthalmic and<br>neurological<br>procedures. | General soft tissue<br>approximation and/or<br>ligation |
| Suture Material | Nylon 6 or Nylon<br>6,6 | Nylon 6 or Nylon<br>6,6 | Nylon 6 or Nylon<br>6,6 | Nylon 6 or Nylon<br>6,6 | Polycaprolactone<br>based poly(urethane<br>urea) |
| Suture<br>Characteristics | Not absorbed,<br>progressive<br>degradation of the<br>Nylon <i>in vivo</i> may<br>result in gradual<br>loss of all of the<br>suture's tensile<br>strength over time | Not absorbed,<br>progressive<br>hydrolysis of the<br>Nylon <i>in vivo</i> may<br>result in gradual<br>loss of all of the<br>suture's tensile<br>strength over time | Unknown | Unknown | Not absorbed,<br>progressive<br>degradation by<br>hydrolysis of the<br>poly(urethane urea) <i>in<br/>vivo</i> will result in<br>gradual loss of all of<br>the suture's tensile<br>strength over time |
| Suture Diameter | Meet U.S.P.<br>Requirements | Unknown | U.S.P. 24 for<br>diameter 861 | U.S.P. 24 for<br>diameter 861 | U.S.P. 26 for diameter<br>861 |
| How supplied | Monofilament<br>thread, coated or<br>uncoated, undyed<br>or dyed with an<br>FDA listed color<br>additive. Sterile<br>and offered for<br>Single Use Only.<br>Available with or<br>without surgical<br>needle. | Braided and<br>monofilament<br>sutures available<br>in various lengths<br>and diameters<br>with or without<br>surgical needles. | Sterile, flexible,<br>monofilament<br>thread or braided<br>thread, dyed or<br>undyed, offered in<br>a variety of<br>lengths and a<br>range of diameters<br>with or without<br>needle. | Monofilament or<br>braided, coated<br>with silicone, or<br>wax, or uncoated,<br>dyed black or dyed<br>blue or undyed<br>white. | Braided, uncoated,<br>undyed without<br>surgical needle. |
| Packaging | Dry packaged in<br>Aluminum Foil<br>and Polyester tear<br>open packaging | Tyvek/Mylar<br>packaging | Unknown | Unknown | Double peel open<br>laminated aluminium-<br>plastic foil,<br>respectively coated<br>paper and<br>polyester/polyethylene<br>film. |
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#### Discussion of performance testing. 6.
A collection of tests has been conducted and successfully completed including biocompatibility safety studies, diameter, tensile strength and properties such as pliability and handling in accordance to:
- ISO 10993 standards ●
- USP 26
- Guidance for surgical suture issued on: August 10, 2000
- Class II Special Control Guidance, Surgical Suture; Guidance for Industry and FDA, June 3, 2003
#### 7. Conclusion
Based on extensive performance testing and a comparison to the predicate devices, we believe that the Artelon™ Surgical Suture is substantially equivalent to devices already on the market (cleared by the 510(k) process) and presents no new concerns about safety and effectiveness. Additionally, the device has identical indications to the predicate devices and the labeling of the device is consistent both with FDA's guidance as well as current medical practice.
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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract image of an eagle.
Public Health Service
NOV 17 2003
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
Artimplant AB c/o Mr. Russell P. Pagano, Ph.D. Vice President M Squared Associates, Inc. 719 A Street, NE Washington, D.C. 20002
Re: K032160
Trade/Device Name: Artimplant AB, Artelon™ Surgical Suture Regulation Number: 21 CFR 878.5020 Regulation Name: Nonabsorbable polymide surgical suture Regulatory Class: II Product Code: GAR Dated: October 21, 2003 Received: October 22, 2003
Dear Dr. Pagano:
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.
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Page 2 - Mr. Russell P. Pagano, Ph.D.
This letter will allow you to begin marketing your device as described in your Section 510(k) 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 (301) 594-4659. 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 (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours,
Miriam 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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### Page 1 of 1
### B. INDICATIONS FOR USE
K032160 510(k) Number: to be Assigned
Device Name: Artimplant AB, Artelon™ Surgical Suture
Indications for Use:
The Artelon™ Surgical Suture is intended for use in general soft tissue approximation and/or ligation.
(Please do not write below this line - continue on another page if needed)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use (Per 21 CFR 801 109)
OR
Over the Counter Use
Muriam C. Provost
(Division Sign-Off) Division of General, Restorative and Neurological Devices
510(k) Number 6 K632160