'cottony' II TAPE, PLEDGETS

K153089 · Teleflexmedical, Inc. · GAT · Aug 12, 2016 · General, Plastic Surgery

Device Facts

• Record ID: K153089
• Device Name: 'cottony' II TAPE, PLEDGETS
• Applicant: Teleflexmedical, Inc.
• Product Code: GAT · General, Plastic Surgery
• Decision Date: Aug 12, 2016
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 878.5000
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

'cottony' II Polyester Suture Tape is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, orthopedic and neurological procedures. Deknatel Pledgets are indicated as sterile, single use, implantable devices for general suture reinforcement and suture buttressing.

Device Story

Device consists of nonabsorbable, braided poly(ethylene terephthalate) suture tapes and polytetrafluoroethylene (PTFE) fabric pledgets. Used by surgeons in OR settings for soft tissue approximation, ligation, and suture reinforcement/buttressing. Tapes provide mechanical closure; pledgets distribute suture load against host tissue to prevent cutting through tissue. Devices are sterile, single-use, and implantable. Benefit is secure tissue approximation and reduced risk of suture pull-through in surgical procedures.

Clinical Evidence

Bench testing only. Testing performed per ISO 11607-1:2006 for packaging and USP 36-NF 31 <871> (Needle Attachment) and <881> (Tensile Strength) to demonstrate equivalence to predicate devices.

Technological Characteristics

Materials: Poly(ethylene terephthalate) (suture tape) and polytetrafluoroethylene (PTFE) (pledgets). Compliance: ISO 10993-1 for biocompatibility. Form factor: Braided tapes (various widths/lengths) and precut fabric pledgets. Sterilization: Terminally sterilized.

Indications for Use

Indicated for general soft tissue approximation and/or ligation in cardiovascular, ophthalmic, orthopedic, and neurological procedures (tape); and general suture reinforcement and buttressing (pledgets). No specific age or gender restrictions; no known contraindications.

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

• COTTONY' II, “silky” II POLYDEK® & TEVDEK® II Polyester Nonabsorbable Surgical Suture (K021019)

Reference Devices

• K153076

Submission Summary (Full Text)

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Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized image of three human profiles facing right, layered on top of each other to create a sense of depth. The profiles are connected to a symbol that resembles a bird's wing or a flowing ribbon. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES-USA" is arranged in a circular pattern around the image.

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

August 12, 2016

Teleflex Medical, Inc. Ms. Natalie Hichak Sr. Regulatory Affairs Specialist 3015 Carrington Mill Blvd. Morrisville, North Carolina 27560

Re: K153089

Trade/Device Name: 'cottony' II Polyester Suture Tape, Pledgets Regulation Number: 21 CFR 878.5000 Regulation Name: Nonabsorbable Poly(Ethylene Terephthalate) Surgical Suture Regulatory Class: Class II Product Code: GAT, DXZ Dated: July 14, 2016 Received: July 15, 2016

Dear Ms. Hichak:

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. 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 (reporting of medical devicerelated 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.

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If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. 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 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

# David Krause -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) K153089

Device Name 'cottony'TM II Polyester Tape

Indications for Use (Describe)

'cottony IM II Polyester Suture Tape is indicated for use in general soft tissue approximation and/or ligation, including use in cardiovascular, ophthalmic, orthopedic and neurological procedures.

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

| <input checked="" type="checkbox"/> Prescription Use (Part 21 CFR 801 Subpart D) |
|----------------------------------------------------------------------------------|
| <input type="checkbox"/> Over-The-Counter Use (21 CFR 801 Subpart C) |

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# Indications for Use

510(k) Number (if known) K153089

Device Name Pledgets

Indications for Use (Describe)

Deknatel Pledgets are indicated as sterile, single use, implantable devices for general suture reinforcement and suture buttressing.

X Prescription Use (Part 21 CFR 801 Subpart D)

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

#### CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff(@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

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# 510(k) SUMMARY OF SAFETY AND EFFECTIVENESS

## Deknatel® 'cottony'™ II Tape and Pledgets

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

Teleflex Medical, Inc. 3015 Carrington Mill Blvd Morrisville, NC 27560

919-433-8049 Phone: Fax: [phone]

#### B. Contact Person

Natalie Hichak Sr. Regulatory Affairs Specialist

# C. Date Prepared

October 22, 2015

#### D. Product Classification

| Product Code<br>Regulation Number<br>Device Class | GAT<br>878.5000<br>II |
|---------------------------------------------------|--------------------------------------------------------------------------|
| Classification Panel | Division of Surgical Devices (DSD)<br>General Surgery Devices Branch One |
| Product Code | DXZ |
| C.F.R. Section | 870.3470 |
| Device Class | II |
| Classification Panel | Cardiovascular |

#### E. Device Name

| Trade Name | 'cottony'TM II Tape |
|---------------------|-------------------------------------------|
| Common Name | Suture, Nonabsorbable, Synthetic, |
| | Polyethylene |
| Classification Name | Nonabsorbable poly(ethylene terephthalate |
| | Surgical Suture |

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| Product Code | Product Description |
|--------------|--------------------------------------------|
| 8-5037W | 'cottony'™ II TAPE WHITE 3MM C-25 2N 18" |
| 8-5044W | 'cottony'™ II TAPE WHITE 3MM C-25 1N 18" |
| 8-5062W | 'cottony'™ II TAPE WHITE 3MM AC-25 2N 18 |
| 89-5037W | 'cottony'™ II TAPE WHITE 3MM KC-25 2N 18 |
| 89-5044W | 'cottony'™ II TAPE WHITE 3MM KC-25 1N 18" |
| X-3652 | 'cottony'™ II TAPE WHITE 5MM C-25 1N 12" |
| X-4142 | 'cottony'™ II TAPE WHITE 3MM KC-25 2N 30" |
| X-4323 | 'cottony'™ II TAPE WHITE 1MM HC-5 2N 20 |
| X-5032 | 'cottony'™ II TAPE WHITE 2MM HC-5 2N 40" |
| X-5259 | 'cottony'™ II TAPE WHITE 1MM K-61 1N 20" |
| X-5750 | 'cottony'™ II TAPE WHITE 1MM K-61 1N 30" |
| X-5750M4 | 'cottony'™ II TAPE WHITE 1MM K-61 1N 30"X4 |
| X-5798 | 'cottony'™ II TAPE WHITE 1MM HC-5 2N 30" |
| X-5819 | 'cottony'™ II TAPE WHITE 5MM KC-25 1N 40" |
| X-6081 | 'cottony'™ II TAPE WHITE 1MM HC-5 1N 30" |
| X-6464 | 'cottony'™ II TAPE WHITE 2MM 2 X 36” |
| X8-593 | 'cottony'™ II TAPE WHITE 3MM C-25 2N 12" |

Available in the following product codes:

| Trade Name | Pledget |
|---------------------|--------------------------------------------------------------------------|
| Common Name | patch, pledget and intracardiac<br>Intracardiac patch or pledget made of |
| Classification Name | polypropylene, polyethylene terephthalate, or<br>polytetrafluoroethylene |

Available in the following product codes:

| Product Code | Description |
|--------------|-------------------------------------|
| EK-705A | PLEDGET SOFT MEDIUM1/4"X1/8"X1/16" |
| EL-705A | PLEDGET SOFT LRG 3/8"X3/16"X1/16" |
| EQ-705 | PLEDGET FIRM MED 1/4"X1/8"X1/16" |
| EW-705 | PLEDGET FIRM SMALL 1/8"X1/8"X1/16" |
| EX-5145 | PLEDGET SOFT 6"X5/16"X1/1 |
| EX-6599 | PLEDGET FIRM 5MMX3MM X1/16" X6 |
| EZ-705 | PLEDGET FIRM LARGE 3/8"X3/16"X1/16" |
| K-705 | PLEDGET SOFT MEDIUM 1/4X1/8X1/16 |
| L-705 | PLEDGET SOFT LG 3/8X3/16X1/16 |
| Q-705 | PLEDGET FIRM MEDIUM 1/4"X1/8"X1/16" |
| W-705 | PLEDGET SMALL FIRM 1/8X1/8X1/16 |
| Product Code | Description |
| X-3523 | PLEDGET SOFT 1/4X3/16X1/16PLEDGET |
| X-4016 | PLEDGET SOFT 10MM X 7MM X 1.6MM |
| X-4340 | PLED SOFT 1/4"X3/16"X1/16" X12 |
| X-4420 | PLEDGET SOFT 1"X1"X1/16" |
| X-4443 | PLEDGET SOFT 6X1X1/16 |
| X-4444 | PLEDGET SOFT 3/4X1/2X1/16 X2 |
| X-4460 | PLEDGET SOFT 3/4"X5/16"X1/16" X6 |
| X-4473 | PLEDGET SOFT 1/2X1/4X1/16 X6 |
| X-4475 | PLEDGET SOFT 3/4"X3/8"X1/16" X6 |
| X-4520 | PLEDGET SOFT 3"X3"X1/16" |
| X-4527 | PLEDGET SOFT 7/8X3/8X1/16 X2 |
| X-4528 | PLEDGET SOFT 3/4"X3/8"X1/16" X2 |
| X-4543 | PLEDGET SOFT 4"X5/16"X1/16" X2 |
| X-4544 | PLEDGET SOFT 1/2X5/16X1/16 X4 |
| X-4550 | PLEDGET SOFT 3/4X5/16X1/16 X2 |
| X-4563 | PLEDGET SOFT 5/8X3/8X1/16 X6 |
| X-4564 | PLEDGET SOFT 1/2"X5/16"X1/16" X6 |
| X-4612 | PLEDGET SOFT 5/8"X3/8"X1/16" X5 |
| X-4615 | PLEDGET SOFT 1/4"X3/16"X1/16" X5 |
| X-4616 | PLEDGET SOFT 3/4"X3/8"X1/16" X4 |
| X-4625 | PLEDGET SOFT 5/8"X5/16"X1/16" X6 |
| X-4646 | PLEDGET OVAL SOFT 6MMX4.5MMX1/16 |
| X-4675 | PLEDGET SOFT 8MMX8MMX1/16" X6 |
| X-4714 | PLEDGET SOFT 3/8"X3/8"X1/16" X2 |
| X-4827 | PLEDGET SOFT 5/16"X5/16"X1/16" X4 |
| X-4832 | PLEDGET SOFT 3/8"X3/8"X1/16" X8 |
| X-4846 | PLEDGET SOFT 7/8"X1/2"X1/16" X4 |
| X-4874 | PLEDGET SOFT 1/4"X1/4"X1/16" X12 |
| X-5092 | PLEDGET SOFT 1/4"X25/64"X1/16" X4 |
| X-5145 | PLEDGET SOFT 6"X5/16"X1/16" X2 |
| X-5163 | PLEDGET FIRM 3MMX5MMX1/16" X6 |
| X-5437 | PLEDGET SOFT 1/4X1/4X1/16 |
| X-5468 | PLEDGET SOFT LARGE 6"X6" |
| X-5508 | PLEDGET FIRM 3/8"X1/8"X1/16" |
| X-5598 | PLEDGET FIRM 1/8"X1/12"X1/16" X6 |
| Product Code | Description |
| X-6633 | PLEDGET SOFT OVAL 3/8"X5/16" 10PK |
| X-6658 | PLEDGET SOFT 1/2"X1/4"X1/6 X4 |
| X-6745 | PLEDGET SOFT ROUND 6MM |
| X-6788 | PLEDGET SOFT 3" X6" |
| X-6790 | PLEDGET SOFT 6" X 1/2" |
| Z-705 | PLEDGET FIRM LARGE 3/8X3/16X1/16 |

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Additionally, the products listed above are available as part of suture kits in conjunction with the other suture materials cleared under K153076:

| Product<br>Code | Code | Qty | Description |
|-----------------------------|----------|---------------------------------------------------------------------------------|----------------------------------------------------------------------------|
| Surgical Closure Assortment | | | |
| V-1498A | XS-906 | 3 | 2 2 X 60" SILK black braided |
| | XS-935 | 1 | 0 12 X 30" SILK black braided |
| | XS-934 | 1 | 2-0 12 X 30" SILK black braided |
| | XS-933 | 1 | 3-0 12 X 30" SILK black braided |
| | XS-932 | 2 | 4-0 12 X 30" SILK black braided |
| | X-6464 | 2 | 2MM 2 X 36" 'cottony' II white braided |
| Surgical Closure Assortment | | | |
| V-3777A | XRNS-537 | 10 | 0 1 X 18" SILK black braided |
| | 7-717 | 3 | 2-0 4 X 30" TEVDEK II green braided |
| | C7-717 | 3 | 2-0 1 X 30" TEVDEK II green braided (Soft<br>Pledget 3/8" x 3/16" x 1/16") |
| | XRN-5744 | 2 | 2-0 1 X 24" SILK black braided |
| | C7-5320 | 2 | 4-0 1 X 30" TEVDEK II green braided (Soft<br>Pledget 3/8" x 3/16" x 1/16") |
| | S-7115B | 2 | 5-0 1 X 24" SILK black braided |
| XRN-5743 | 8 | 0 1 X 24" SILK black braided | |
| L-705 | 3 | White Soft PLEDGET 3/8" x 3/16" x 1/16" | |
| D-7065A | 2 | 4-0 1 X 36" DEKLENE II blue monofilament | |
| XCD-7065A | 2 | 4-0 1 X 36" DEKLENE II blue monofilament<br>(Soft Pledget 3/8" x 3/16" x 1/16") | |
| D-7061M2A | 1 | 5-0 2 X 36" DEKLENE II blue monofilament | |
| RC-1424 | 1 | 2-0 12 X 18" SILK black braided | |
| | 1 | 4-0 12 X 18" SILK black braided | |
| | 1 | 4-0 12 X 18" SILK black braided | |
| | 1 | 4-0 12 X 28" SILK black braided | |

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| Product<br>Code | Code | Qty | Description |
|-----------------|------|-----|-------------------------------|
| | | 1 | 5 8 X 24" SILK black braided |
| | | 1 | 5 8 X 24" SILK black braided |
| | | 1 | 5 8 X 24" SILK black braided |
| | | 1 | 1 12 x 24" SILK black braided |

#### F. Device Description

Deknatel Polyester Suture Tapes are nonabsorbable, sterile surgical sutures composed of Poly(ethylene terephthalate). They are prepared from fibers of high molecular weight, long-chain, linear polyesters having recurrent aromatic rings as an integral component. Deknatel Polyester suture tapes are provided braided, undyed (white) and dyed

Deknatel Pledgets are precut pieces from a sheet of polytetrafluoroethylene (PTFE) fabric used to spread the load the suture against host tissue.

## G. Indications for Use and Contraindications

| Trade Name | 'cottony' II Tape |
|------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indications for<br>Use | 'cottony' II Polyester Suture Tape is indicated for use<br>in general soft tissue approximation and/or ligation,<br>including use in cardiovascular, ophthalmic,<br>orthopedic and neurological procedures. |
| Contraindication | None known. |
| Trade Name | Pledgets |
| Indications for<br>Use | Deknatel Pledgets are indicated as sterile, single use,<br>implantable devices for general suture reinforcement<br>and suture buttressing. |
| Contraindication | None known. |

#### H. Substantial Equivalence

The proposed Deknatel 'cottony' II Tape and Pledgets are substantially equivalent the preamendment status of the devices and to the predicate devices:

| Predicate Device | Manufacturer | 510(k)<br>No. | Date<br>Cleared |
|---------------------------------------------------------------------------------------------|--------------|---------------|------------------|
| COTTONY' II, “silky” II POLYDEK® &<br>TEVDEK® II Polyester Nonabsorbable<br>Surgical Suture | Genzyme Corp | K021019 | June 18,<br>2002 |

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#### l. Comparison To Predicate Devices

The Deknatel 'cottony' II Tape and Pledgets are a modification to the preamendment status of the devices. The modification is to add a stability claim of 5 years and to transfer the ownership from Genzyme to Teleflex Medical.

Additionally, the 'cottony' II Tape indications are being expanded to include the orthopedic indication as cleared in predicate K021019, COTTONY' II, "silky" II POLYDEK® & TEVDEK® II Polyester Nonabsorbable Surgical Suture.

#### J. Materials

All patient contacting materials are in compliance with ISO10993-1.

#### K. Technological Characteristics

A comparison of the technological characteristics of the proposed Deknatel 'cottony' II Tape and Pledgets and the predicate has been performed. The results of this comparison demonstrate that the Deknatel 'cottony'™ II Tape and Pledgets are equivalent to the marketed predicate devices in performance characteristics.

## L. Performance Data

Non-clinical testing has been performed in accordance with ISO11607-1:2006. Packaging for Terminally Sterilized Medical Devices - Part 1: Requirements for materials, sterile barrier systems and packaging systems and USP (United States Pharmacopeia) 36-NF 31 <871> Sutures- Needle Attachment, and <881>Tensile Strength to demonstrate substantially equivalent to the predicate devices.

#### M. Conclusion

Based upon the comparative test results, the proposed Deknatel 'cottony' II Tape and Pledgets are substantially equivalent in performance to the predicate preamendment devices and devices cleared to market via 510(k) K021019.