COVAMESH

K130428 · Biomup S.A. · FTL · Oct 25, 2013 · General, Plastic Surgery

Device Facts

• Record ID: K130428
• Device Name: COVAMESH
• Applicant: Biomup S.A.
• Product Code: FTL · General, Plastic Surgery
• Decision Date: Oct 25, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.3300
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

COVAMESH™ is intended for the reinforcement of tissues during surgical repair. It is indicated for the treatment of incisional hernias, abdominal wall repair, and parietal (i.e. pertaining to the walls) reinforcement of tissues. The non-resorbable three dimensional polyester mesh provides long-term reinforcement of soft tissues.

Device Story

COVAMESH™ is a surgical mesh for open (laparotomy) or laparoscopic soft tissue reinforcement. Device consists of 3D polyethylene terephthalate (polyester) mesh coated with a cross-linked, resorbable porcine-derived collagen film. Collagen film acts as a hydrophilic barrier to separate mesh from viscera/organs. Device is rollable for trocar introduction, suturable, and features non-resorbable ink markings for positioning. Used by surgeons in clinical settings. Provides long-term soft tissue reinforcement via the polyester component while minimizing tissue attachment via the collagen barrier. Sterilized via gamma-irradiation.

Clinical Evidence

No human clinical data. Evidence consists of bench testing (thickness, pore size, density, tensile strength, suture pullout, tear resistance) and in vivo animal model performance testing comparing tissue response and integration against PARIETEX® COMPOSITE Mesh. Biocompatibility testing performed per ISO 10993-1 and FDA G95-1.

Technological Characteristics

Materials: Polyethylene terephthalate (polyester) and porcine-derived Type I collagen. Structure: 3D knitted mesh with hydrophilic film. Form factor: Round (12-16 cm) or rectangular (up to 36x30 cm) sheets. Sterilization: Gamma-irradiation. Single-use. Non-pyrogenic.

Indications for Use

Indicated for patients requiring surgical repair of incisional hernias, abdominal wall repair, and parietal tissue reinforcement. No specific age or gender contraindications provided.

Regulatory Classification

Identification

Surgical mesh is a metallic or polymeric screen intended to be implanted to reinforce soft tissue or bone where weakness exists. Examples of surgical mesh are metallic and polymeric mesh for hernia repair, and acetabular and cement restrictor mesh used during orthopedic surgery.

Predicate Devices

• PARIETEX® COMPOSITE Mesh (K040998)
• Cova™ORTHO NERVE (K103081)

Submission Summary (Full Text)

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### 510(k) Summary, COVAMESHTM

Submitter's name and address:

Biom'Up S.A. 8, Allee Irene Joliot-Curie 69800. Saint-Priest, France

Contact person:

Valerie Centis, R&D Project Manager and Regulatory Affairs

Biom`Up S.A.S 8, Allee Irene Joliot Curie 69800, Saint-Priest, France Phone: [phone] Fax: [phone] Email: [e-mail]

Date Summary was prepared:

Trade/Proprietary Name: Common/Usual Name: Classification : Product Code: Regulation Number: Device Classification:

Predicate Devices

Mesh, Surgical FTL

21 CFR 878.3300 Class II

October 24, 2013

COVAMESH™

Surgical Mesh

PARIETEX® COMPOSITE Mesh (K040998) Cova™ORTHO NERVE (K103081)

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#### Device Description

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COVAMESH™ is a surgical mesh used during open procedures (laparotomy) or during laparoscopic procedures. COVAMESHIM is made from polyethylene terephtalate (polyester) and a cross-linked resorbable collagen film of porcine origin. The hydrophilic collagen film physically separates the coated side of the mesh from adjacent tissue, viscera, and organs. A marking with a non-resorbable ink is at the centre of the mesh to help positioning the device. The surgical mesh is obtained by standardized, controlled manufacturing processes. COVAMESHI™ is further sterilized in double-blisters by gamma-imadiation.

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..

COVAMESH™ is designed to be non inflammatory and biocompatible to allow reinforcement of soft tissues. When wetted, the surgical mesh is rollable to be easily introduced in a trocar. COVAMESH™ is suturable in place. It is provided in round sheets of 12 cm diameter and 16cm diameter and in rectangular sheets of 15x10 cm, 20x15 cm, 25x20 cm, 30x20 cm, 36x30 cm.

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OCT 2 5 2013

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Image /page/1/Picture/1 description: The image shows the logo for Biom'up Advanced Biomaterials. The logo features the company name "biom'up" in a bold, sans-serif font, with the "up" portion slightly elevated. Above the name is a graphic of several horizontal lines that curve upwards, resembling a wave or airflow. Below the name, in smaller letters, is the text "ADVANCED BIOMATERIALS".

#### Intended Use

COVAMESH™ is intended for the reinforcement of tissues during surgical repair. It is indicated for the treatment of incisional hernias, abdominal wall repair, and parietal (i.e. pertaining to the walls) reinforcement of tissues. The non-resorbable three dimensional polyester mesh provides long-term reinforcement of soft tissues.

#### Technological Characteristics and Substantial Equivalence

The intended use, product design, physical structure and target population of COVAMESH™ is substantially equivalent to the FDA cleared and legally marketed predicate device PARIETEX® COMPOSITE Mesh (K040998). COVAMESH™ is constructed of a three-dimensional polyester mesh, knitted into a structure similar to PARIETEX® COMPOSITE Mesh (K040998). The collagen component is derived from a porcine source already cleared by FDA for predicate Cova™ORTHO-NERVE (K103081). In addition, COVAMESH™ and predicate devices are available in various sizes and shapes to accommodate different surgical procedures and/or surgeon's choice. Similarities are presented in the following Table.

Any differences in technological characteristics between the COVAMESH™ and the predicate devices do not raise any new issues of safety or efficacy. The performance and safety of the material used was evaluated. The collective results have demonstrated that the COVAMESH™ is substantially equivalent to the respective predicate devices with regard to safety and efficacy.

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Image /page/2/Picture/1 description: The image shows the logo for "biom'up ADVANCED BIOMATERIALS". The word "biom'up" is in bold, black font, with the "up" portion slightly elevated. Above the word "biom'up" is a series of short, vertical lines that form a wave-like shape. Below the word "biom'up" is the phrase "ADVANCED BIOMATERIALS" in a smaller, sans-serif font.

| Name | COVAMESH™ | PARIETEX® COMPOSITE Mesh<br>(K040998) | Cova™ ORTHO-NERVE<br>(K103081) |
|-----------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Composition<br>Origin | Type I collagen, polyester<br>Porcine collagen | Type I collagen, polyester<br>Porcine collagen | Type I collagen<br>Porcine collagen |
| Intended use | Indicated for the reinforcement of tissues during surgical repair. It is indicated for the treatment of incisional hernias, abdominal wall repair, and parietal (i.e. pertaining to the walls) reinforcement of tissues. The non-resorbable three dimensional polyester mesh provides long-term reinforcement of soft tissues. | Indicated for the reinforcement of tissues during surgical repair. It is indicated for the treatment of incisional hernias, abdominal wall repair, and parietal (i.e. pertaining to the walls) reinforcement of tissues. The non-resorbable three dimensional polyester mesh provides long-term reinforcement of soft tissues. On the opposite side, the resorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera. | Indicated for the management of peripheral nerve injuries in which there has been no substantial loss of nerve tissue and where gap closure can be achieved by flexion of the extremity. |
| Characteristics | Hydrophilic film on a 3D polyester mesh<br>Easy to manipulate<br>Smooth (hydrophilic film)<br>Flexible<br>Wettable<br>Rollable | Hydrophilic film on a 3D polyester mesh<br>Easy to manipulate<br>Smooth (hydrophilic film)<br>Flexible<br>Wettable<br>Rollable | Hydrophilic film<br>Easy to manipulate<br>Smooth (hydrophilic film)<br>Flexible<br>Wettable<br>Rollable |
| Biocompatibility | Established | Established | Established |
| Non-pyrogenic | Yes | Yes | Yes |
| Resorbable | Yes (collagen film) | Yes (collagen film) | Yes (collagen film) |
| Suturable | Yes | Yes | Yes |
| Reusable | Single use | Single use | Single use |
| Shelf-life | 6 months | 36 months | 24 months |
| Packaging | Double-peel packages | Double-peel packages | Double-peel packages |

## Table I - COVAMESH™ and its predicates summarized comparison chart.

### Safety Evaluation

Biocompatibility testing was performed according to the FDA Blue Book Memorandum G95-1 and ISO 10993-1. COVAMESHTM passed all of the following tests:

- Cytotoxicity, ・
- . Sensitization,
- -Irritation,
- -Systemic Toxicity (Acute),
- -Genotoxicity- Ames Mutagenesis,
- Genotoxicity Bone Marrow Micronucleus, -
- -Genotoxicity - Mouse Lymphoma Mutagenesis,
- Implantation, •
- Pyrogenicity, t
- Sub-Chronic/Chronic Toxicity. -

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Image /page/3/Picture/1 description: The image shows the logo for "biom'up ADVANCED BIOMATERIALS". The word "biom'up" is in bold, black font, with the apostrophe in "biom'up" being red. Above the word "biom'up" is a black, dotted line that is curved. Below the word "biom'up" is the phrase "ADVANCED BIOMATERIALS" in a smaller, black font.

The COVAMESH™ manufacturing process complies with the United States Food and Drug Administration and European Standards for animal tissue sourcing and viral inactivation.

#### Summary of Effectiveness Data

#### Bench testing

Bench testing was conducted in accordance with FDA guidance - Preparation of a Premarket Notification Application Surgical Mesh to evaluate the performance characteristics of COVAMESH™. The thickness, pore size, density, tensile strength, suture pullout strength and tear resistance were all evaluated. The test results showed that COVAMESH™ has similar performance characteristics as previously cleared surgical mesh. Any differences in technological characteristics between the COVAMESH™ and the predicate devices do not raise any new issues of safety or efficacy.

#### Animal Data

In vivo performances testing on two representative animal models were conducted in comparison with the predicate PARIETEX® COMPOSITE Mesh (K040998). The results demonstrate that COVAMESH™ elicits a similar tissue response and has similar tissue integration as compared to the PARIETEX® COMPOSITE Mesh predicate device.

#### Conclusion

COVAMESH™ is substantially equivalent to its predicate devices: PARIETEX® COMPOSITE Mesh (K040998) and Cova™ ORTHO-NERVE (K103081).

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Image /page/4/Picture/0 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and three horizontal lines below the eagle. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular fashion around the eagle.

# DEPARTMENT OF HEALTH & HUMAN SERVICES

Public Realth Service

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

October 25, 2013

Biom'Up S.A. Ms. Valeria Centis R&D Project Manager and Regulatory Affairs 8, Allee Joliot-Curie 69800 Saint Priest FRANCE

Re: K130428

Trade/Device Name: COVAMESHTM Regulation Number: 21 CFR 878.3300 Regulation Name: Surgical mesh Regulatory Class: Class II Product Code: FTL Dated: September 18, 2013 Received: September 23, 2013

Dear Ms. Centis:

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. Ilsting of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRFI does not evaluate information related to contract liability warranties. We remind you: however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into cither 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

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Page 2 - Ms. Valeria Centis

device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its tollfree number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm. 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/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biomctrics/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/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

# Mark N. Melkerson -S

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

Enclosure

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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

# Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: December 31, 2013 See PRA Statement on last page.

510(k) Number (if known) K130428

Device Name COVAMESH™

Indications for Use (Describe)

Intended for the reinforcement of tissues during surgical repair. It is indicated for the treatment of incisional hemias, abdominal wall repair, and parietal (i.e. pertaining to the walls) reinforcement of tissues. The non-resorbable three dimensional polyester mesh provides long-term reinforcement of soft tissues.

Type of Use (Select one or both, as applicable)

> Prescription Use (Part 21 CFR 801 Subpart D)

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

Please do not write below this line - continue on a separate page if needed.

#### FOR FDA USE ONLY

Concurrence of Center for Devices and Radiological Health (CDRH) (Signature)

FORM FDA 3881 (9/13)

PSC Publishing Scrivities [phone] EL