← Product Code KGN · K182838

# Geistlich Derma-Gide (K182838)

_Geistlich Pharma AG · KGN · Nov 8, 2018 · SU · SESE_

**Canonical URL:** https://fda.innolitics.com/device/K182838

## Device Facts

- **Applicant:** Geistlich Pharma AG
- **Product Code:** KGN
- **Decision Date:** Nov 8, 2018
- **Decision:** SESE
- **Submission Type:** Special
- **Device Class:** Class U
- **Review Panel:** SU
- **Attributes:** Therapeutic

## Intended Use

The Geistlich Derma-Gide™ is intended for the management of wounds including: · partial and full thickness wounds · pressure ulcers · venous ulcers · diabetic ulcers · chronic vascular ulcers · surgical wounds (donor sites/grafts, post Moh's surgery, post laser surgery, podiatric, wound dehiscence) · trauma skin wounds (abrasions, laceration, second degree burns, skin tears)

## Device Story

Acellular wound dressing derived from porcine Type 1 collagen; features bilayer structure with dense upper layer for protection and porous lower scaffold for healing. Used by licensed surgeons in clinical settings for wound management. Device applied to wound site; can be sutured or trimmed to fit. Provides physical barrier and scaffold for tissue repair. Benefits include wound protection and support for healing process. Supplied sterile for single use.

## Clinical Evidence

No clinical data. Bench testing only. Biocompatibility, sterilization, and shelf-life data from predicate K171842 apply to subject device.

## Technological Characteristics

Bilayer porcine collagen (Type 1). Thickness 2.5-5 mm. Gamma-sterilized. Single-use. Available in various rectangular and round disk dimensions. No electronic components or software.

## Predicate Devices

- Geistlich Wound Matrix ([K171842](/device/K171842.md))

## Submission Summary (Full Text)

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November 8, 2018

Geistlich Pharma AG % Samie Allen Consultant, Devices Biologics Consulting Group, Inc. 1555 King Street, Suite 300 Alexandria, Virginia 22314

Re: K182838

Trade/Device Name: Geistlich Derma-Gide Regulatory Class: Unclassified Product Code: KGN Dated: October 5, 2018 Received: October 9, 2018

Dear Samie Allen:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. Please note: CDRH 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 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 of medical device-related adverse events) (21 CFR 803) for

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devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

# Cynthia Chang -S

for

Binita S. Ashar, M.D., M.B.A., F.A.C.S. Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K182838

Device Name Geistlich Derma-Gide™

Indications for Use (Describe)

The Geistlich Derma-Gide™ is intended for the management of wounds including:

· partial and full thickness wounds

- · pressure ulcers
- venous ulcers
- · diabetic ulcers
- · chronic vascular ulcers
- · surgical wounds (donor sites/grafts, post Moh's surgery, post laser surgery, podiatric, wound dehiscence)
- · trauma skin wounds (abrasions, laceration, second degree burns, skin tears)

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

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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In accordance with 21 CFR 807.87(h) and 21 CFR 807.92, the 510(k) Summary is provided below.

#### SUBMITTER 1.

Geistlich Pharma AG Bahnhofstrasse 40 CH-6110 Wolhusen Switzerland

Contact Person: Marco Steiner Phone: +41 41 492 67 64 Email: marco.steiner@geistlich.ch

Prepared By: Samie Allen, Biologics Consulting Group, sallen@biologicsconsulting.com Date Prepared: November 7, 2018

#### 2. DEVICE

Name of Device: Geistlich Derma-Gide™ Common Name: Collagen Wound Dressing Classification Regulation/Class: unclassified Product Code: KGN Panel: General and Plastic Surgery

#### PREDICATE DEVICE 3.

Predicate Device: Geistlich Wound Matrix (subsequently renamed to Geistlich Derma-Gide™) (K171842)

#### DEVICE DESCRIPTION 4.

Geistlich Derma-Gide™ is an acellular advanced wound care device. The Geistlich Derma-Gide™ is derived from porcine tissue (mostly collagen Type 1) and is processed using proprietary technologies to remove bacteria and inactivate viruses. Geistlich Derma-Gide"" features a bilayer structure. The upper dense compact collagen layer protects the wound and the open healing process. This structure has a smooth texture with appropriate pull out strength properties to allow suturing. The second lower layer consists of a thick, porous spongeous collagen scaffold.

The sizes cleared under K171842 include:

- Rectangular: 1.5 x 2.0 cm; 2.0 x 3.0 cm; and 3.0 x 4.0 cm; the thickness ranges from ● 2.5-5 mm

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The new sizes in this Special 510(k) include:

- Rectangular: 1.0 x 1.5 cm; 2.0 x 2.0 cm; 2.0 x 4.0 cm; the thickness ranges from 2.5-5 ● mm
- Round (disk) shape: 10, 12, 14, 16, 18, 20, 22, and 24 mm diameters; the thickness . ranges from 2.5-5 mm.

Fixation by sutures is possible. The device can be trimmed as needed. The device is terminally sterilized (by gamma irradiation) in its packaging. The device is intended to be used by licensed surgeons and will be supplied sterile for single use.

#### INDICATION FOR USE ട്.

The Geistlich Derma-Gide™ is intended for the management of wounds including:

- partial and full thickness wounds ●
- pressure ulcers
- venous ulcers ●
- diabetic ulcers
- chronic vascular ulcers
- surgical wounds (donor sites/grafts, post Moh's surgery, post laser surgery, podiatric, wound dehiscence)
- trauma skin wounds (abrasions, laceration, second degree burns, skin tears) ●

#### COMPARISON OF TECHNOLOGICAL CHARACTERISTICS 6.

The subject Geistlich Derma-Gide™ has the same technological characteristics as the predicate Geistlich Wound Matrix (K171842). They have the same thickness (2.5-5 mm), source material, manufacturing, sterilization, and packaging. The only difference is that 3 additional rectangular sizes and 8 round (disk) sizes are being added to the sizes cleared under K171842. Fixation by sutures is possible for all sizes. All devices can be trimmed as needed.

All of the new sizes are smaller than the 3.0 x 4.0 cm device size cleared under K171842. However, the new range of sizes or the additional round-shaped sizes do not raise any new questions of safety or effectiveness based on the intended use of the devices. The additional sizes and shapes are for user convenience and minimizing waste.

Table 1 provides a summary comparison between the subject and predicate devices.

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|                                     | Subject Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          | Predicate Device                                                                      |
|-------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------|
| 510(k) Number                       | TBD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | K171842                                                                               |
| Applicant                           | Geistlich Pharma AG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | Geistlich Pharma AG                                                                   |
| Device Name                         | Geistlich Derma-Gide                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | Geistlich Wound Matrix (tradename<br>subsequently changed to Geistlich<br>Derma-Gide) |
| Classification<br>Regulation, Class | Unclassified                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            | same                                                                                  |
| Product Code                        | KGN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | same                                                                                  |
| Indications for Use                 | intended for the management of wounds<br>including:<br>• partial and full thickness wounds<br>• pressure ulcers<br>• venous ulcers<br>• diabetic ulcers<br>• chronic vascular ulcers<br>• surgical wounds (donor sites/grafts, post<br>Moh's surgery, post laser surgery,<br>podiatric, wound dehiscence)<br>• trauma skin wounds (abrasions, laceration,<br>second degree burns, skin tears)                                                                                                                           | same                                                                                  |
| Device Description                  | The Geistlich Derma-Gide is derived from<br>porcine tissue (mostly collagen Type 1) and is<br>processed using proprietary technologies to<br>remove bacteria and inactivate viruses.<br>Geistlich Derma-Gide features a bilayer<br>structure. The upper dense compact layer<br>protects the wound and the open healing<br>process. This structure has a smooth texture<br>with appropriate pull out strength properties to<br>allow suturing. The second lower layer<br>consists of a thick, porous spongeous scaffold. | same                                                                                  |
| Material                            | Porcine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | same                                                                                  |
| Thickness                           | 2.5 - 5 mm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | same                                                                                  |
| Range of sizes                      | New Sizes:<br>Rectangular: 1.0 x 1.5 cm; 2.0 x 2.0 cm; 2.0 x<br>4.0 cm<br>Round (disk) shape: 10, 12, 14, 16, 18, 20, 22,<br>and 24 mm diameters                                                                                                                                                                                                                                                                                                                                                                        | Rectangular: 1.5 x 2.0 cm; 2.0 x 3.0 cm; and<br>3.0 x 4.0 cm                          |
| Single Use                          | Yes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     | same                                                                                  |
|                                     | Subject Device                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          | Predicate Device                                                                      |
| Sterile                             | Gamma-sterilized                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        | same                                                                                  |

Table 1: Device Comparison Table

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#### 7. PERFORMANCE DATA

Because there is no change to the device thickness, source material, manufacturing, sterilization, or packaging compared to the predicate K171842, the existing biocompatibility, sterilization, and shelf life information from K171842 fully applies.

New performance testing was not necessary to support the additional sizes/shapes or the updates to the IFU.

#### CONCLUSIONS 8.

The subject Geistlich Derma-Gide™ is identical in indications to the predicate K171842. The design changes involve 3 additional rectangular sizes and 8 new round (disk) shaped versions of the device. The additional design configurations are intended to simply provide ready-to-use shapes which require less trimming to the wound size to reduce waste. Overall, the convenience for the user is improved. The new design configurations raise no new questions of safety or effectiveness.

There are no changes in product thickness, source material, manufacturing, sterilization, or packaging.

None of the changes to the IFU raise a new question of safety and effectiveness.

Accordingly, the Geistlich Derma-Gide™ is substantially equivalent to the predicate Geistlich Wound Matrix cleared under K171842.

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**Source:** [https://fda.innolitics.com/device/K182838](https://fda.innolitics.com/device/K182838)

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