Secret Line up (FC1938E80 FC1950E90 FC1960E100 FC1970E120 FC1990E150 FC19100E150 FC19100E280 FC19100E420 FC2038E80 FC2050E90 FC2060E100 FC2070E120 FC2090E150 FC20100E170 FC2138G80 FC2150G90 FC2160G100 FC2170G120 FC2190G150 FC21100G170 FCL18100C160 FCL1938E80 FCL1950E90 FCL1960E100 FCL1970E120 FCL1990E150 FCL19100E160 FCL2138G80 FCL2150G90 FCL2160G100 FCL2170G120 FCL2190G150 FCL21100G160 FCRL1870C162 FCRL18100C185 FCRL1970E162 FCRL19100E185 FCHL1960E90 FCHL1970E120 FCHL19100E160 FCW1938

K242571 · Hyundae Meditech Co., Ltd. · NEW · Sep 27, 2024 · General, Plastic Surgery

Device Facts

• Record ID: K242571
• Device Name: Secret Line up (FC1938E80 FC1950E90 FC1960E100 FC1970E120 FC1990E150 FC19100E150 FC19100E280 FC19100E420 FC2038E80 FC2050E90 FC2060E100 FC2070E120 FC2090E150 FC20100E170 FC2138G80 FC2150G90 FC2160G100 FC2170G120 FC2190G150 FC21100G170 FCL18100C160 FCL1938E80 FCL1950E90 FCL1960E100 FCL1970E120 FCL1990E150 FCL19100E160 FCL2138G80 FCL2150G90 FCL2160G100 FCL2170G120 FCL2190G150 FCL21100G160 FCRL1870C162 FCRL18100C185 FCRL1970E162 FCRL19100E185 FCHL1960E90 FCHL1970E120 FCHL19100E160 FCW1938
• Applicant: Hyundae Meditech Co., Ltd.
• Product Code: NEW · General, Plastic Surgery
• Decision Date: Sep 27, 2024
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 878.4840
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Secret Line up and i-Thread (Sterile single use absorbable polydioxanone suture with needle) comprised of dyed polydioxanone suture with a sterile needle. It is indicated for use in soft tissue approximation where use of absorbable suture is appropriate. The suture is not intended for body cavity applications, nor is it intended for lifting and supporting tissues; it is intended for dermatological use only.

Device Story

Device consists of sterile, single-use, absorbable polydioxanone (PDO) monofilament suture pre-loaded on a straight, hollow stainless steel cannula needle. Suture features bidirectional barbs along the axis to anchor in tissue without surgical knots. Used in dermatological procedures for soft tissue approximation. Operated by clinicians. PDO material absorbs over time; barbs provide mechanical fixation. Benefits include effective tissue approximation without knotting.

Clinical Evidence

No clinical studies were performed or required. Evidence consists of non-clinical bench testing (tensile strength, barb-holding, needle attachment, dimensions) and in vivo animal studies (Sprague-Dawley rats) evaluating absorption, barb-holding force, and tensile strength over time.

Technological Characteristics

Material: Polydioxanone (PDO) suture, stainless steel needle. Design: Monofilament with bidirectional barbs. Sterilization: Ethylene oxide (EO) gas (SAL 10^-6). Standards: USP 43-NF38 (diameter, needle attachment, tensile strength), ASTM F1874-98 (bending), ISO 10993 series (biocompatibility), ISO 11135 (sterilization).

Indications for Use

Indicated for soft tissue approximation in adults (excluding elderly) for dermatological use only. Not for body cavity applications or tissue lifting/support.

Regulatory Classification

Identification

An absorbable polydioxanone surgical suture is an absorbable, flexible, sterile, monofilament thread prepared from polyester polymer poly (p-dioxanone) and is intended for use in soft tissue approximation, including pediatric cardiovascular tissue where growth is expected to occur, and ophthalmic surgery. It may be coated or uncoated, undyed or dyed, and with or without a standard needle attached.

Special Controls

*Classification.* Class II (special controls). The special control for the 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

• Secret Line up / i-Thread (K240389)

Submission Summary (Full Text)

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Image /page/0/Picture/0 description: The image shows the logos of the Department of Health & Human Services and the Food and Drug Administration (FDA). The Department of Health & Human Services logo is on the left, and the FDA logo is on the right. The FDA logo is a blue square with the letters "FDA" in white, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue.

September 27, 2024

Hyundae Meditech Co., Ltd. Oh Ju-In Senior QA Staff 80. Cheongjeong-ro. Jijeong-myeon Wonju-si, Gangwon 26347 Korea, South

Re: K242571

Trade/Device Name: Secret Line up (FC1938E80 FC1950E90 FC1960E100 FC1970E120 FC1990E150 FC19100E150 FC19100E280 FC19100E420 FC2038E80 FC2050E90 FC2060E100 FC2070E120 FC2090E150 FC20100E170 FC2138G80 FC2150G90 FC2160G100 FC2170G120 FC2190G150 FC21100G170 FCL18100C160 FCL1938E80 FCL1950E90 FCL1960E100 FCL1970E120 FCL1990E150 FCL19100E160 FCL2138G80 FCL2150G90 FCL2160G100 FCL2170G120 FCL2190G150 FCL21100G160 FCRL1870C162 FCRL18100C185 FCRL1970E162 FCRL19100E185 FCHL1960E90 FCHL1970E120 FCHL19100E160 FCW1938E80 FCW1950E90 FCW1960E100 FCW1970E120 FCW1990E150 FCW19100E160 FCW2138G80 FCW2150G90 FCW2160G100 FCW2170G120 FCW2190G150 FCW21100G160); i-Thread (FC1938E80 FC1950E90 FC1960E100 FC1970E120 FC1990E150 FC19100E150 FC19100E280 FC19100E420 FC2038E80 FC2050E90 FC2060E100 FC2070E120 FC2090E150 FC20100E170 FC2138G80 FC2150G90 FC2160G100 FC2170G120 FC2190G150 FC21100G170 FCL18100C160 FCL1938E80 FCL1950E90 FCL1960E100 FCL1970E120 FCL1990E150 FCL19100E160 FCL2138G80 FCL2150G90 FCL2160G100 FCL2170G120 FCL2190G150

Regulation Number: 21 CFR 878.4840 Regulation Name: Absorbable Polydioxanone Surgical Suture Regulatory Class: Class II Product Code: NEW Dated: August 21, 2024 Received: August 29, 2024

Dear Oh Ju-In:

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 (the Act) that do not require approval of a premarket

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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 available 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.

Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).

Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30. Design controls; 21 CFR 820.90. Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).

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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.

All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Re"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these

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requirements, please see the UDI System webpage at https://www.fda.gov/medical-device-advicecomprehensive-regulatory-assistance/unique-device-identification-system.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 medical devices and radiation-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,

Tek N. -Digitally signed by Lamichhane Tek N.Lamichhane -S
Date: 2024.09.27 -5 12:06:14 -04'00' Tek N. Lamichhane, Ph.D. Assistant Director DHT4B: Division of Plastic and Reconstructive 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

Submission Number (if known)

Device Name

Secret Line up (FC1938E80 FC1950E90 FC1960E100 FC1970E120 FC1990E150 FC19100E150 FC19100E280 FC19100E420 FC2038E80 FC2050E90 FC2060E100 FC2070E120 FC2090E150 FC20100E170 FC2138G80 FC2150G90 FC2160G100 FC2170G120 FC2190G150 FC21100G170 FCL18100C160 FCL1938E80 FCL1950E90 FCL1960E100 FCL1970E120 FCL1990E150 FCL19100E160 FCL2138G80 FCL2150G90 FCL2160G100 FCL2170G120 FCL2190G150 FCL21100G160 FCRL1870C162

FCRL18100C185 FCRL1970E162 FCRL19100E185 FCHL1960E90 FCHL1970E120 FCHL19100E160 FCW1938E80 FCW1950E90 FCW1960E100 FCW1970E120

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FCW1990E150 FCW19100E160 FCW2138G80 FCW2150G90 FCW2160G100 FCW2170G120 FCW2190G150 FCW21100G160); i-Thread (FC1938E80 FC1950E90 FC1960E100 FC1970E120 FC1990E150 FC19100E150 FC19100E280 FC19100E420 FC2038E80 FC2050E90 FC2060E100 FC2070E120 FC2090E150 FC20100E170 FC2138G80 FC2150G90 FC2160G100 FC2170G120 FC2190G150 FC21100G170 FCL18100C160 FCL1938E80 FCL1950E90 FCL1960E100 FCL1970E120 FCL1990E150 FCL19100E160 FCL2138G80 FCL2150G90 FCL2160G100 FCL2170G120 FCL2190G150 FCL21100G160 FCRL1870C162 FCRL18100C185 FCRL1970E162 FCRL19100E185 FCHL1960E90 FCHL1970E120 FCHL19100E160 FCW1938E80 FCW1950E90 FCW1960E100 FCW1970E120

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| FCW1990E150 |
|--------------------------------|
| FCW19100E160 |
| FCW2138G80 |
| FCW2150G90 |
| FCW2160G100 |
| FCW2170G120 |
| FCW2190G150 |
| FCW21100G160) |
| Indications for Use (Describe) |

Secret Line up and i-Thread (Sterile single use absorbable polydioxanone suture with needle) comprised of dyed polydioxanone suture with a sterile needle. It is indicated for use in soft tissue approximation where use of absorbable suture is appropriate. The suture is not intended for body cavity applications, nor is it intended for lifting and supporting tissues; it is intended for dermatological use only.

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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# 510(k) Summary (Special 510k-K242571)

This summary of 510(k) information is being submitted in accordance with requirements of 21 CFR Part 807.92.

#### Date prepared: August 21, 2024

#### I. SUBMITTER

| Submitter's Name | Hyundae MediTech Co.,Ltd. |
|-----------------------|-------------------------------------------------------------------------------|
| Submitter's Address | 80, Cheongjeong-ro, Jijeong-myeon, Wonju-si, Gangwon-do, Republic of Korea |
| Submitter's Telephone | [phone] |
| Contact person | Ju-in Oh / Quality management dept / Assistant manager<br>[e-mail] |
| Telephone | [phone] |
| Fax: | [phone] |

#### II. DEVICE

| Trade/proprietary Name | Secret Line up / i-Thread |
|------------------------|---------------------------------------------|
| Common or Usual Name | Absorbable Polydioxanone Suture with Needle |
| Regulation Name | Absorbable Polydioxanone Surgical Suture |
| Regulation Number | 21 CFR 878.4840 |
| Product Code | NEW |
| Regulatory Class | Class II |

#### III. PREDICATE DEVICE

| Primary Manufacturer | Hyundae MediTech Co.,Ltd. |
|----------------------|---------------------------------------------|
| Device Name | Secret Line up / i-Thread |
| 510(k) Number | K240389 |
| Regulation Name | Absorbable Polydioxanone Suture with Needle |
| Regulation Number | 21 CFR 878.4840 |
| Product Code | NEW |
| Regulatory Class | Class II |

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#### IV. DEVICE DESCRIPTION

Secret Line up and i-Thread (Sterile single use absorbable polydioxanone suture with needle) consist of a cannula type needle which is straight and hollow (pre-loaded on the suture), a needle cap, a hub, a sponge and polydioxanone (PDO) suture which is sterilized by ethylene oxide (EO) gas. The pigment for the violet dye is D&C Violet No.2.

PDO Sutures are characterized by their bidirectional barbs along axis of the monofilament. The bidirectional barbs of barbed suture are precisely lodged in tissue, making it feasible to anchor in the tissue and prevent movement in both directions without the need for a surgical knot. As a result, the barbed suture improves the effectiveness of treatment.

#### V. INDICATIONS FOR USE

Secret Line up and i-Thread (Sterile single use absorbable polydioxanone suture) comprised of dyed polydioxanone suture with a sterile needle. It is indicated for use in soft tissue approximation where use of absorbable suture is appropriate. The suture is not intended for body cavity applications, nor is it intended for lifting and supporting tissues; it is intended for dermatological use only.

#### VI. SUBTANTIALLY EQUIVALENT (SE) COMPARISON CHART

Subject device is substantially equivalent to Secret Line up / i-Thread (K240389). The following comparison table is presented to demonstrate substantial equivalence.

| Category | Subject Device | Predicate Device | Remark |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------|
| 510(k) number | K242571 (special 510k) | K240389 | Not applicable |
| Product code | NEW | NEW | SE |
| Regulation number | 21 CFR 878.4840 | 21 CFR 878.4840 | SE |
| Class | II | II | SE |
| Device trade name<br>(Brand name) | Secret Line up and i-Thread<br>(Absorbable Polydioxanone<br>Surgical Suture) | Secret Line up and i-Thread<br>(Absorbable Polydioxanone<br>Surgical Suture) | SE |
| Common name | Absorbable polydioxanone suture<br>with needle | Absorbable Polydioxanone Suture<br>with Needle | SE |
| Manufacturer | Hyundae MediTech Co.,Ltd. | Hyundae MediTech Co.,Ltd. | SE |
| Device description | Secret line up, i-Thread (Sterile<br>single use absorbable<br>polydioxanone suture with<br>needle) consist of a cannula<br>type needle which is straight<br>and hollow (pre-loaded on the<br>suture), a needle cap, a hub, a<br>sponge and polydioxanone<br>(PDO) suture which is sterilized<br>by ethylene oxide (EO) gas.<br>The pigment for the violet dye<br>is D&C Violet No.2. | Secret line up, i-Thread (Sterile<br>single use absorbable<br>polydioxanone suture with<br>needle) consist of a cannula<br>type needle which is straight<br>and hollow (pre-loaded on the<br>suture), a needle cap, a hub, a<br>sponge and polydioxanone<br>(PDO) suture which is sterilized<br>by ethylene oxide (EO) gas.<br>The pigment for the violet dye<br>is D&C Violet No.2. | SE |
| Indication for use | Secret Line and i-Thread<br>(Sterile single use absorbable<br>polydioxanone suture)<br>comprised of dyed<br>polydioxanone suture with a<br>sterile needle. It is indicated for<br>use in soft tissue approximation<br>where use of absorbable suture<br>is appropriate. The suture is not<br>intended for body cavity<br>applications, nor is it intended<br>for lifting and supporting<br>tissues; it is intended for<br>dermatological use only. | Secret Line and i-Thread<br>(Sterile single use absorbable<br>polydioxanone suture)<br>comprised of dyed<br>polydioxanone suture with a<br>sterile needle. It is indicated<br>for use in soft tissue<br>approximation where use of<br>absorbable suture is<br>appropriate. This device is not<br>intended for body cavity<br>applications or lifting and<br>supporting tissues and is<br>intended for dermatological<br>use only. | SE |
| Sterilization method | E.O. sterilization<br>(SAL: 1.0×10-6) | E.O. sterilization<br>(SAL: 1.0×10-6) | SE |
| Stability time | 2 years | 2 years | SE |
| Suture material | Polydioxanone | Polydioxanone | SE |
| Configuration | PDO Suture and Needle.<br>(Pre-loaded with a hollow needle<br>and is not swaged.) | PDO Suture and Needle.<br>(Pre-loaded with a hollow needle<br>and is not swaged.) | SE |
| Suture color | Dyed suture (violet) | Dyed suture (violet) | SE |
| Suture size (USP) | 2-0, 0, 2 | 2-0, 0, 2 | SE |
| Suture length | 80, 90, 100, 120, 150, 160,<br>162, 185, 170, 280, 420 mm | 150, 160 mm | Similar - As the<br>predicate device has<br>various ranges of suture<br>lengths compared to<br>subject device. |
| Suture type | Cog (barb) type | Cog (barb) type | SE |
| Barb angle | 50 - 80 degrees | 50 - 80 degrees | SE |
| Suture composition | Polydioxanone,<br>Dyed with D&C Violet No.2 | Polydioxanone,<br>Dyed with D&C Violet No.2 | SE |
| Needle material | Stainless steel | Stainless steel | SE |
| Absorbable<br>/ Non-Absorbable | Absorbable | Absorbable | SE |
| Braided<br>/ Monofilament | Monofilament | Monofilament | SE |
| Barb type | Bi-directional | Bi-directional | SE |
| Biocompatible | Yes | Yes | SE |
| Material of components that<br>come into patient contact | 1) Needle: Stainless steel<br>2) Suture: Polydioxanone | 1) Needle: Stainless steel<br>2) Suture: Polydioxanone | SE |
| Anatomical location | Soft tissue<br>(Skin, Dermal or Sub-dermal<br>tissue) | Soft tissue<br>(Skin, Dermal or Sub-dermal<br>tissue) | SE |
| Intended population | Adults, but inappropriate for<br>elderly population | Adults, but inappropriate for<br>elderly population | SE |
| Performance test<br>conducted | 1) Suture : Length, Diameter,<br>Tensile strength, Barb-Holding,<br>Needle attachment strength<br>2) Needle : Length, Outer diameter,<br>Bending(elasticity), Flexural<br>strength, Pulling out | 1) Suture : Length, Diameter,<br>Tensile strength, Barb-Holding,<br>Needle attachment strength<br>2) Needle : Length, Outer diameter,<br>Bending(elasticity), Flexural<br>strength, Pulling out | SE |
| Performance test<br>(Animal testing) | In Vivo testing in Sprague-Dawley<br>Rat - Absorption, Barb Holding<br>force and Tensile Strength over<br>time | In Vivo testing in Sprague-Dawley<br>Rat - Absorption, Barb Holding<br>force and Tensile Strength over<br>time | SE |
| Performance testing<br>result | Pass | Pass | SE |
| Single use | Yes | Yes | SE |
| Reusable component | N/A | N/A | SE |
| Nano technology | N/A | N/A | SE |
| Clinical test | Not required | Not required | SE |
| Despite the differences, the test results submitted in this 510(k) show that the subject device is substantially equivalent to the<br>predicate devices in safety and effectiveness. | | | |

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In almost all aspects, the subject device is substantially equivalent in its capacity and function to the predicate device.

#### DESCRIPTION FOR DIFFERENCE VII.

The Subject device has the same intended use as that of the predicate device. There is minor difference between the two devices where it is indicated "similar", in all other cases it is seen that the subject stays as "Substantial Equivalent" to that of the predicate device characteristics.

Differences observed from the above table are with respect to suture length. Despite this difference, it is

{10}------------------------------------------------

witnessed from the test results submitted as part of 510(k) that the subject device is substantially equivalent to the predicate device in terms of safety and effectiveness and there is no difference in terms of intended clinical application. Additionally, the subject device is substantially equivalent to the capacity and function of the predicate device.

#### VIII. PERFORMANCE TESTING

Performance testing was conducted on the subject device to prove that all the design specifications are substantially equivalent to the predicate device. The test results of the subject device are demonstrated in accordance with the following FDA and international standards:

* FDA Guidance on Surgical Sutures - Performance Criteria for Safety and Performance Based Pathway

- * Surgical Sutures Class II Special Controls Guidance Document for Industry and FDA Staff
- * USP 43-NF38 <861> Sutures Diameter
- * USP 43-NF38 <871> Sutures Needle Attachment

* USP 43-NF38 <881> Sutures - Tensile Strength

- * USP 37-NF 32: 2014 Dimension test
- * ASTM F1874-98 9 bending test

* ISO 10993-1:2020. Biological Evaluation of Medical Devices Part 1: Evaluation and Testing within a risk management process

* ISO 10993-7:2008, Biological Evaluation of Medical Devices Part 7: Ethylene Oxide Sterilization Results

* ISO 11135:2014, Sterilization of Healthcare Products Ethylene oxide - Part 1: Requirements for development, validation and routine control of a sterilization process for medical devices

- * ISO 10993:2009, Biological Evaluation of medical devices Part 5: Test for in vitro cytotoxicity
* ISO 10993:2017, Biological Evaluation of medical devices - Part 4: Selection of Test for Interaction with Blood, Annex D.5 Hemolysis Testing

* ISO 10993:2017, Biological Evaluation of medical devices – Part 11: Test for systemic Toxicity, Annex G - Information on material mediated pyrogens

* ISO 10993:2021, Biological Evaluation of medical devices – Part 23: Tests for Irritation, 7.3 Animal Irritation test by Intracutaneous (Intradermal) administration

* ISO 10993:2010, Biological Evaluation of medical devices – Part 10: Test for Irritation and Skin Sensitization, 7.5 Guinea Pig Maximization Test

* ISO 10993:2021, Biological Evaluation of medical devices - Part 12: Sample preparation and reference materials

* ISO 10993:2016, Biological Evaluation of medical devices – Part 6: Test for local effects after implantation

* ISO 10993:2014, Biological Evaluation of medical devices - Part 3: Test for Genotoxicity,

Carcinogenicity and Reproductive toxicity, 5. Genotoxicity test

* ISO 14971:2019, Medical Devices - Risk Management for Medical Devices.

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Furthermore, the following non-clinical bench tests were performed on the subject device:

- * Measurement (Outside diameter, Length, hub)
- * Bending test
- * Barb Holding strength
- * Flexural test
- * Pulling out (or) Extraction Test

#### IX. ANIMAL STUDIES

The purpose of the in vivo study is to evaluate the biodegradability of the Sterile Single Use Absorbable Polydioxanone Suture by comparing the two models in "absorption", "Tensile strength test" and "Barb holding strength test" by the time.

#### X. CLINICAL STUDIES

As per the Guidance document "Surgical Sutures - Class II Special Controls Guidance Document for Industry and FDA Staff", no Clinical Studies were performed nor required.

#### XI. SUMMARY

Based on the indications for use and safety and performance testing, the subject device meets the requirements that are considered for its intended use and is substantially equivalent in design materials, sterilization, and indications for use.

The conclusions drawn from the non-clinical and biocompatibility test reports to demonstrate that the device is as safe, as effective, and performs at least as safely and effectively as the legally marketed device.