Monocryl Plus Antibacterial Suture

K201996 · ETHICON, Inc. · GAM · Dec 21, 2020 · General, Plastic Surgery

Device Facts

• Record ID: K201996
• Device Name: Monocryl Plus Antibacterial Suture
• Applicant: ETHICON, Inc.
• Product Code: GAM · General, Plastic Surgery
• Decision Date: Dec 21, 2020
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.4493
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

MONOCRYL™ Plus Antibacterial Sutures are indicated for use in general soft tissue approximation and/or ligation, but not for use in cardiovascular or neurological tissues, microsurgery or ophthalmic surgery.

Device Story

MONOCRYL™ Plus Antibacterial Suture is a sterile, monofilament, synthetic, absorbable surgical suture composed of a copolymer of glycolide and epsilon-caprolactone. It contains Irgacare® MP (triclosan), a broad-spectrum antibacterial agent, to inhibit bacterial colonization on the suture surface. The device is used by surgeons in clinical settings for soft tissue approximation and ligation. The antibacterial agent provides a prophylactic effect against colonization by pathogens such as Staphylococcus aureus, Staphylococcus epidermidis, MRSA, MRSE, Klebsiella pneumoniae, Escherichia coli, and Enterobacter cloacae. The device is provided sterile and is intended for single use.

Clinical Evidence

No clinical data. In vitro efficacy studies demonstrated that the suture inhibits colonization by Staphylococcus aureus, Staphylococcus epidermidis, Methicillin-Resistant S. aureus, Methicillin-Resistant S. epidermidis, Klebsiella pneumoniae, Escherichia coli, and Enterobacter cloacae.

Technological Characteristics

Sterile, monofilament, synthetic, absorbable suture composed of glycolide and epsilon-caprolactone copolymer. Contains Irgacare® MP (triclosan) antibacterial agent (max 2360 µg/m). Complies with USP requirements for absorbable surgical sutures (except for slight diameter oversize). Available undyed or dyed with D&C Violet No. 2.

Indications for Use

Indicated for general soft tissue approximation and/or ligation. Contraindicated for cardiovascular or neurological tissues, microsurgery, or ophthalmic surgery.

Regulatory Classification

Identification

An absorbable poly(glycolide/l-lactide) surgical suture (PGL suture) is an absorbable sterile, flexible strand as prepared and synthesized from homopolymers of glycolide and copolymers made from 90 percent glycolide and 10 percent l-lactide, and is indicated for use in soft tissue approximation. A PGL suture meets United States Pharmacopeia (U.S.P.) requirements as described in the U.S.P. “Monograph for Absorbable Surgical Sutures;” it may be monofilament or multifilament (braided) in form; it may be uncoated or coated; and it may be undyed or dyed with an FDA-approved 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

• MONOCRYL™ Plus Antibacterial Poliglecaprone – 25 (Monofilament), Sterile Synthetic Absorbable Surgical Suture (K050845)

Submission Summary (Full Text)

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December 21, 2020

Ethicon Inc. Joice Pappan Regulatory Affairs Manager Route 22 West. P.O. Box 151 Somerville, New Jersey 08876

Re: K201996

Trade/Device Name: Monocryl Plus Antibacterial Suture Regulation Number: 21 CFR 878.4493 Regulation Name: Absorbable Poly(Glycolide/L-Lactide) Surgical Suture Regulatory Class: Class II Product Code: GAM Dated: December 11, 2020 Received: December 14, 2020

Dear Joice Pappan:

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

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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 devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

Cindy Chowdhury, Ph.D., M.B.A. Assistant Director DHT4B: Division of Infection Control and Plastic Surgery Devices OHT4: Office of Surgical and Infection Control Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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## Indications for Use

510(k) Number (if known) K201996

Device Name

MONOCRYL™ Plus Antibacterial Poliglecaprone - 25 (Monofilament), Sterile Synthetic Absorbable Surgical Suture

#### Indications for Use (Describe)

MONOCRYL™ Plus Antibacterial Sutures are indicated for use in general soft tissue approximation and/or ligation, but not for use in cardiovascular or neurological tissues, microsurgery or ophthalmic surgery.

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)

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# ETHICON,INC.

won Johnson company a Joh

# 510(k) Summary

| Submitter: | Ethicon, Inc., a Johnson & Johnson company<br>P.O. Box 151<br>Route 22 West<br>Somerville, New Jersey 08876-0151<br>USA |
|----------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person: | Joice Pappan<br>Regulatory Affairs Manager<br>Ethicon, Inc., a Johnson & Johnson company<br>Phone: [phone]<br>Fax: [phone]<br>E-mail: [e-mail] |
| Date Prepared: | July 17, 2020 |
| Device Trade Name: | MONOCRYL™ Plus Antibacterial Poliglecaprone - 25<br>(Monofilament), Sterile Synthetic Absorbable Surgical Suture |
| Device Common Name: | Suture, Absorbable, Synthetic, Polyglycolic Acid |
| Class: | II |
| Classification Name: | Absorbable poly(glycolide/l-lactide) surgical suture<br>(21 CFR878.4493) |
| Product Code: | GAM |

# Predicate Device:

| Predicate Device | 510(k) Number |
|--------------------------------------------------------------|---------------|
| MONOCRYL™ Plus Antibacterial Poliglecaprone – 25 | K050845 |
| (Monofilament), Sterile Synthetic Absorbable Surgical Suture | |

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# Device Description:

MONOCRYL™ Plus Antibacterial Suture is a sterile, monofilament, synthetic, absorbable surgical suture composed of a copolymer of glycolide and (epsilon) s-caprolactone. The empirical formula of the polymer is (C2H2O2)m (C6H102)n.

MONOCRYL™ Plus Antibacterial Suture is available undyed and dyed with D&C Violet No. 2

MONOCRYL™ Plus Antibacterial Suture contains Irgacare®† MP (triclosan), a broad spectrum antibacterial agent, at no more than 2360 µg/m.

# Indications for Use:

MONOCRYL™ Plus Antibacterial Sutures are indicated for use in general soft tissue approximation and/or ligation, but not for use in cardiovascular or neurological tissues, microsurgery or ophthalmic surgery.

# Summary of Technological Characteristics and Performance:

The modified MONOCRYL™ Plus Suture has the same technological characteristics as the predicate device. Like the currently marketed predicate device, it is a sterile, monofilament synthetic absorbable suture that complies with the requirements of the United States Pharmacopoeia (USP) for absorbable surgical sutures except for a slight oversize in diameter.

Like the current marketed MONOCRYL™ Plus Antibacterial Suture, the modified device will continue to be available as a suture product with Irgacare®† MP, an antibacterial agent.

In vitro efficacy studies were conducted to demonstrate that bacteria will not colonize MONOCRYL™ Plus Antibacterial suture. The in vitro data indicated that MONOCRYL™ Plus suture provides an antibacterial effect sufficient to inhibit colonization of the suture by Staphylococcus aureus, Staphylococcus epidermidis, Methicillin-Resistant S. aureus, Methicillin-Resistant S. epidermidis, Klebsiella pneumoniae, Escherichia coli and Enterobacter cloacae.

# Substantial Equivalence:

The modified device has the same intended use and indications for use as the predicate device. There are no material, construction, specification, manufacturing or sterilization process changes to the currently marketed device. The modified device and currently marketed device differ only in the labeling (Instruction for Use and device box) which have been revised for updating invitro effectiveness against an additional microorganism and to include new descriptor and icon to allow customers to easily distinguish between Ethicon MONOCRYL™ suture and Ethicon MONOCRYL™ Plus suture.

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# Conclusion:

Since there will be no physical or technological characteristic changes to the currently marketed predicate device, the proposed labeling changes has shown to be appropriate for its intended use. Therefore, the modified device is substantially equivalent to the predicate device.

* Trademark

IRGACARE®* MP (triclosan) "Registered Trademark of BASF Group"