FORCE FIBER BLUE ULTRA HIGH MOLECULAR WEIGHT POLYETHYLENE NON ABSORBABLE SUTURES

K092533 · Beere Precision Medical Instruments, Kmedic, Telef · GAT · Sep 15, 2009 · General, Plastic Surgery

Device Facts

• Record ID: K092533
• Device Name: FORCE FIBER BLUE ULTRA HIGH MOLECULAR WEIGHT POLYETHYLENE NON ABSORBABLE SUTURES
• Applicant: Beere Precision Medical Instruments, Kmedic, Telef
• Product Code: GAT · General, Plastic Surgery
• Decision Date: Sep 15, 2009
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 878.5000
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Force Fiber® Polyethylene Non-Absorbable Surgical Sutures are indicated for use in approximation and/or ligation of soft tissues, including use in cardiovascular surgeries and the use of allograft tissue for orthopaedic surgeries.

Device Story

Force Fiber® Blue is a sterile, non-absorbable surgical suture composed of ultra high molecular weight polyethylene (UHMWPE). It is used by surgeons for soft tissue approximation and ligation, including cardiovascular and orthopaedic procedures. The device functions as a mechanical fastener to hold tissue together during healing. It is provided in sizes 0, 1, and 2.

Clinical Evidence

Bench testing only. Device tested for knot pull tensile strength, needle attachment, and diameter per USP 31 requirements. Materials evaluated via biological qualification safety tests per ISO 10993-1:2003.

Technological Characteristics

Material: Ultra high molecular weight polyethylene (UHMWPE). Sizes: 0, 1, 2. Standards: USP 31 (knot pull tensile strength, needle attachment, diameter), ISO 10993-1:2003 (biological safety).

Indications for Use

Indicated for approximation and/or ligation of soft tissues in patients undergoing cardiovascular or orthopaedic surgeries involving allograft tissue.

Regulatory Classification

Identification

Nonabsorbable poly(ethylene terephthalate) surgical suture is a multifilament, nonabsorbable, sterile, flexible thread prepared from fibers of high molecular weight, long-chain, linear polyesters having recurrent aromatic rings as an integral component and is indicated for use in soft tissue approximation. The poly(ethylene terephthalate) surgical suture meets U.S.P. requirements as described in the U.S.P. Monograph for Nonabsorbable Surgical Sutures; 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

• Teleflex Medical Force Fiber® Polyethylene Non-absorbable Surgical Suture (K063778)

Submission Summary (Full Text)

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92533½

Teleflex Medical

Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture Special PreMarket Notification (510(k)) Submission

# 215 2009

## SECTION 8 - 510(K) SUMMARY

# 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS Force Fiber® Blue Polyethylene Non-Absorbable Surgical Sutures

# A. Name, Address, Phone and Fax Number of Applicant

Teleflex Medical Incorporated 5307 95th Avenue Kenosha, WI 53144 Phone: [phone] Fax: [phone] E-mail: [e-mail]

### B. Contact Person

Joy Voigt Regulatory Affairs Manager

#### C. Date Prepared

17 July 2009

#### D. Device Name

Trade Name: Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture

Common Name: Polyethylene Synthetic Non-Absorbable Surgical Suture

Classification Name: Nonabsorbable poly(ethylene terephthalate) surgical suture

#### E. Device Description

The Force Fiber® Polyethylene is non-absorbable, sterile, surgical suture composed of ultra high molecular weight polyethylene (UHMWPE). It is available as 100% blue (UHMWPE), sizes 0, 1 and 2 meeting USP requirements except for oversized dis neter.

### F. Indications for Use

Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Sutures are indicated for use in approximation and/or ligation of soft tissues, including use in cardiovascular surgeries and the use of allograft tissue for orthopadic surgeries.

#### G. Substantial Equivalence

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Teleflex Medical

Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture Special PreMarket Notification (510(k)) Submission

The device has the same intended use and fundamental scientific technology as Teleflex Medical Force Fiber® Polyethylene Non-absorbable Surgical Suture (K063778). The determination of substantial equivalence for this device was based on a detailed device description, performance testing, and conformance with voluntary performance standards,

#### H. Summary of Testing

All sizes of Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture have been tested in accordance with USP 31 - Non-absorbable Surgical Sutures for Knot Pull Tensile Strength, Needle Attachment and Diameter, and meet the requirements of the Class II Special Controls Guidance: Surgical Sutures; Guidance for Industry and FDA; June 3, 2003.

All materials used in the fabrication of the Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture were evaluated through biological qualification safety tests as outlined in ISO 10993-1:2003; Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing

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# DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles a stylized caduceus or a representation of human figures.

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-G609 Silver Spring, MD 20993-0002

# SFP 1 5 2009

Teleflex Medical % Ms. Joy Voigt Manager, Regulatory Affairs 5307 95th Avenue Kenosha, Wisconsin 53144

Re: K092533

Trade/Device Name: Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture

Regulation Number: 21 CFR 878.5000 Regulation Name: Nonabsorbable poly(ethylene terephthalate) surgical suture Regulatory Class: Class II

Product Code: GAT Dated: August 18, 2009

Received: August 19, 2009

Received. August 12, 20

Dear Ms. Voigt:

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 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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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### Page 2 - Ms. Joy Voigt

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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHQffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/cdrh/mdr/ for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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/industry/support/index.html.

Sincerely vours.

sincerely yours,

Mark N. Melkerson Director Division of Surgical, Orthopedic and Restorative Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Teleflex Medical

Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture Special PreMarket Notification (510(k)) Submission

### SECTION 4 - INDICATIONS FOR USE STATEMENT

510(k) Number (if known):

Device Name: Force Fiber® Blue Ultra High Molecular Weight Polyethylene Non-Absorbable Surgical Suture

Indications for Use:

Force Fiber® Polyethylene Non-Absorbable Surgical Sutures are indicated for use in approximation and/or ligation of soft tissues, including use in cardiovascular surgeries and the use of allograft tissue for orthopaedic surgeries.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Daniel Krone ka nkm

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(Division Sign-Off) Division of Surgical, Orthopedic, and Restorative Devices

510(k) Number K092533