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Healthmatrix tm Macroporous Polypropylene surgical Mesh 510(k) Premarket notification Traditional 510(k) By: Group 2 Ganesh Balachandar Adriana Gavrilciuc Nikhil Khanna Gaurav Molankar Thinn Soe Healthmatrix

Traditional 510k application - Polymeric Surgical Mesh

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Page 1: Traditional 510k application - Polymeric Surgical Mesh

Healthmatrixtm

Macroporous

Polypropylene surgical Mesh

510(k) Premarket notification

Traditional 510(k)

By: Group 2

Ganesh Balachandar

Adriana Gavrilciuc

Nikhil Khanna

Gaurav Molankar

Thinn Soe

Healthmatrix

Page 2: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T 

  

TableoSection 1 

Section 2 

Section 3 

Section 4 

Section 5 

Section 6 

Section 7 

Section 8 

Section 9 

Section 10

Section 11

Section 12

Section 13

Section 14

Section 15

Section 16

 

HealthMatrixT

MacroporousTraditional 51

 

ofConten– 510(k) Cove

– Indications

– 510(k) Sum

– Class III Sum

– Financial C

– Declaration

– Executive S

– Device Des

– Substantial

0 – Proposed 

1 – Sterilizatio

2 – Biocompa

3 – Performa

4 – Package V

5 – Risk Analy

6 – List of App

TM   Polypropylen10(k) 

ntser Letter .......

s for Use State

mmary or 510

mmary and C

ertification o

ns of Conform

Summary ......

scription ........

l Equivalence

Labeling ......

on and Shelf 

atibility .........

nce Testing a

Validations ....

ysis ...............

plicable Stand

ne Surgical M

.....................

ement ...........

(k) Statement

ertification ...

r Disclosure S

mity and Sum

.....................

.....................

 Discussion ...

.....................

Life ...............

.....................

nd Product C

.....................

.....................

dards and Ref

Mesh 

......................

......................

t ....................

......................

Statement .....

mary Reports

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ferences .......

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on ................

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....... 3 

....... 4 

....... 5 

....... 7 

....... 8 

....... 9 

..... 10 

..... 14 

..... 16 

..... 20 

..... 25 

..... 26 

..... 29 

..... 32 

..... 34 

..... 36 

Company Confidential

Page 3: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

ListofTable 1:

Table 2:

Table 3:

Table 4:

Table 5:

Table 6:

Table 7:

Table 8:  

Listof

Figure 1:

Figure 2:

Figure 3:

Figure 4:

Figure 5:

Figure 6:

Figure 7:

Figure 8:

 

HealthMatrixT

MacroporousTraditional 51

 

TablesDevice Com

Biocompatib

Materials/B

Device Com

Substantial E

Package Va

Risk Analys

Risk Index T

Figures 

: Microscopi

: A sheet of H

: Labeling on

: Labeling on

: Labeling on

: Overall vie

: Pouch labe

: Package In

TM   Polypropylen10(k) 

mparison with

bility Test ..

ench Top Te

mparison .....

Equivalence

lidation ......

sis ...............

Table ..........

ic view of kn

HealthMatri

n front part o

n back part o

n side parts o

ew of shelf b

l .................

sert.............

 

ne Surgical M

h Predicate .

....................

esting ..........

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e Determinat

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nitted filame

ixTM Macrop

of shelf box .

of shelf box .

of shelf box

ox labeling .

....................

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Mesh 

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tion ..............

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ents of polyp

porous Polyp

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propylene ....

propylene Su

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urgical Mesh

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....................

....................

.... 11 

.... 12 

.... 13 

.... 17 

.... 18 

.... 32 

.... 34 

.... 35 

.... 14 

.... 14 

.... 20 

.... 21 

.... 21 

.... 22 

.... 23 

.... 24 

Company Confidential

Page 4: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

Food andCenter fo510(K) D9200 CorRockville Re: Heal Heal To whom I am subCaliforniSurgical is a clasunder pro The Heathe VITAcleared bMesh dodevice. HealthMnot intenaccordan For anydhughes@ SincerelyDiana HuDirector HealthM1500 SanLos Angedhughes@ 

HealthMatrixT

MacroporousTraditional 51

 

n1–510(

d Drug Admor devices anDocument Mrporate Boule, Maryland

thMatrix InclthMatrixTM

m it may con

bmitting theia to obtainMesh. One s II device oduct code F

lthMatrixTM

AMESHTM Mby FDA on Moes not incor

Matrix Inc. conded for pubnce with 21 C

y further @healthmatr

y, ughes of Regulator

Matrix Inc. n Pablo Streeeles, CA 900@healthmatr

TM   Polypropylen10(k) 

(k)Cover

inistration nd radiologic

Mail Center (Hlevard 20850

c. Macroporou

ncern:

e following n FDA cleaof the two cunder 21 C

FTL under th

MacroporoMacroPorouMarch 28 2rporate any

onsiders the blic disclosurCFR 807.95.

questions, rix.com.

ry Affairs

et, 033 rix.com

ne Surgical M

Letter

cal health HFZ-401)

us Polypropy

premarket rance to mcopies of thi

CFR 878.330he General a

ous Polyprous PP Surgic006. The Henew techno

informationre (except th.

please con

Mesh 

ylene Surgic

notification market Health

is submissio00, titled Suand Plastic Su

opylene Surgcal Mesh (PealthMatrixT

ological char

n contained he 510(k) su

ntact me

cal Mesh Tra

for HeathMhMatrixTM M

on will be anurgical Meshurgery.

gical Mesh iProxy BiomeTM Macroporacteristics a

in this submummary). C

at 213-74

aditional 510

Matrix Inc. Macroporou

n electronic ch. The devic

is substantiaedical, Ltd.

orous Polypras compared

mission to beonfidentialit

40-1234 or

0(K) Submis

of Los Angus Polypropycopy. The dce currently

ally equivaleunder K060

ropylene Surd to the pred

e proprietaryty is request

via emai

ssion

geles, ylene

device y falls

ent to 0520) rgical dicate

y and ted in

il at

Company Confidential

Page 5: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

510(k) N

Trade Na

Common

Regulatio

Indicatio

HealthMand/or renonabsorreconstru

Prescript(Part 21C (PLEASE Concurre

HealthMatrixT

MacroporousTraditional 51

 

n2–Indic

Number (if kn

ame

n Name

on Number

ns for Use S

MatrixTM Maceinforcemenrbable implauction of the

tion Use _YECFR 801 Sub

E DO NOT W

ence of CDR

TM   Polypropylen10(k) 

cationsfo

nown) To

He

Sur

21C

Statement:

croporous Pt of hernia

ant during anpelvic floor

ES_ bpart D)

WRITE BELO

RH, Office of

ne Surgical M

orUseSta

Be Assigne

ealthMatrixTM

rgical Mesh

CFR 878.33

olypropylenand other f

nd after wour and/or vagi

OW THIS LI

f Device Ev

Mesh 

atement

ed

M Macroporo

, polymeric

00

ne Surgical Mfascial defecund healing. inal prolapse

AND/OR

INE-CONTI

aluation (OD

ous Polyprop

Mesh is intects requiring It is specifie repair.

O (

INUE IN AN

DE) 

pylene Surg

ended to asg the additioically not in

Over-The-Co21 CFR 801

NOTHER PA

gical Mesh

sist in the ronal supportntended for u

ounter Use _1 Subpart C)

AGE IF NEED

repair t of a use in

_NO_

DED)

Company Confidential

Page 6: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

Compan

Contact

Date of P

Trade N

Common

Regulato

Device P

Regulati

Classific

Product

Substant

HealthMVITAME

Descript

HealthMof knittedsize and thick, andSurgical HealthMof the im

HealthMatrixT

MacroporousTraditional 51

 

n3–510(

ny Name:

Person:

Preparation

Name:

n Name:

ory Class:

Panel:

ion Number

cation Name

Code:

tially Equiv

MatrixTM MaESHTM Macr

tion of the D

MatrixTM Polyd filaments osutured by thd exhibits hiMesh is knit

Matrix Polyprmplant, formi

TM   Polypropylen10(k) 

(k)Summ

HealthMat1500 San PLos AngelTel: 213-7

Diana HugDirector oHealthMatTel: 213-7

n: Nov 1, 20

HealthMat

Polymeric

Class II

General an

r: 21CFR 87

e: Surgical m

FTL

valent to:

acroporous ProPorous PP

Device:

ypropylene Sof Polyproylhe surgeon tigh burst stretted by a pro

ropylene Surng a strong f

ne Surgical M

maryor51

trix Inc. Pablo Streetles, CA 9003740-1000, Fa

ghes f Regulatorytrix Inc.

740-1234, Em

11

trixTM Macro

c Surgical M

nd Plastic Su

78.3300

mesh, polyme

PolypropylenP Surgical M

Surgical Meslene. It is supto meet the pength and tenocess which rgical Mesh afibrous wall

Mesh 

10(k)Stat

t, 33 ax: 213-740-

y Affairs

mail: dhughe

oporous Poly

esh

urgery

eric

ne Surgical Mesh manufac

sh is a a non-pplied sterilepatient's neednsile strengtprovides forallows a fibr.

tement

-1001

es@healthm

ypropylene

Mesh is suctured by Pr

-absorbable,e and providds. The meshth. The Healtr elasticity inroblastic resp

matrix.com

Surgical Me

ubstantially eroxy Biomed

, synthetic mded in sheet fh is approximthMatrix Pon both directponse throug

esh

equivalent tdical Ltd.

mesh, construform to be cumately 0.010

olypropylenetions. Use ofgh the inters

to the

ucted ut to 0" e f stices

Page 7: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Indicatio

HealthMand/or renonabsorreconstru

Device T

HealthMperformacharacter

Summar

Bench tevalues thshow thasensitizin

 

HealthMatrixT

MacroporousTraditional 51

 

on for Use:

MatrixTM Maceinforcementrbable implauction of the

Technologica

MatrixTM Macance and interistics have b

ry of Testing

st data demohat are substaat the materiang to biologi

TM   Polypropylen10(k) 

croporous Pot of hernia anant during an

pelvic floor

al Characte

croporous Poended use asbeen adequa

g:

onstrates thaantially equival used in theical tissues c

ne Surgical M

olypropylennd other fascnd after wounr repair and/o

eristics and

olypropylene the predicat

ately tested to

at HealthMatvalent to thee design and

consistent wi

Mesh 

ne Surgical Mcial defects rnd healing. Ior vaginal pr

Compariso

e Surgical Mte device. Ano support sub

trixTM has me predicate dd manufacturith their inten

Mesh is intenrequiring theIt is specificrolapsed rep

n to Predica

Mesh has simny differencbstantial equ

mechanical andevice. The bre of the devnded use.

nded to assise additional ally not inte

pair.

ate Device:

milar in materces in the abouivalence.

nd material cbiocompatibvice is nono-

st in the repasupport of a nded for use

rials, design,ove

characterizatility test resu

-toxic and no

air a e in

,

tion ults on-

Page 8: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

HealthMHence th

 

HealthMatrixT

MacroporousTraditional 51

 

n4–Class

MatrixTM Machis device do

TM   Polypropylen10(k) 

sIIISumm

croporous Poes not requir

ne Surgical M

maryand

Polypropylenre Class III S

Mesh 

Certifica

ne Surgical Summary an

ation

Mesh is clnd Certificat

lassified as tion.  

Class II deevice.

Company Confidential

Page 9: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

No CliniMesh. Th

 

HealthMatrixT

MacroporousTraditional 51

 

n5–Fina

ical Studies herefore, Fin

TM   Polypropylen10(k) 

ncialCert

were perfornancial Certi

ne Surgical M

tification

rmed on Heification or D

Mesh 

orDisclo

ealthMatrixT

Disclosure S

osureStat

TM Macroportatement is n

tement

rous Polyprnot required

ropylene Surd.  

rgical

Company Confidential

Page 10: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

Declarati

 

HealthMatrixT

MacroporousTraditional 51

 

n6–Decl

ion of Confo

TM   Polypropylen10(k) 

arations

ormity and S

ne Surgical M

ofConfor

Summary Re

Mesh 

rmityand

port is not re

dSummar

equired for a

ryReport

a Traditional

ts

l 510(k).

Company Confidential

Page 11: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

7.1 Desc

HealthMconstructto be cuapproximHealthMprovides

7.2 Tech

HealthMmesh, coand ventrthe anatoplaced vdescribedSurgical

7.3 Ind

HealthMand/or renonabsorreconstrusterile usrisk of Polyprop

7.4 Dev

HealthMVITAMEdetailed c

HealthMatrixT

MacroporousTraditional 51

 

n7–Exec

ription of D

MatrixTM Macted of knitteut to size a

mately 0.010MatrixTM Ma

for elasticity

hnology:

MatrixTM Maonstructed ofral hernias. omy while pvia an opend for the Mesh is sup

ication for U

MatrixTM Maceinforcemenrbable implauction of thesing Etylene

patient or pylene Surgic

vice Compa

Matrix believESHTM Maccomparison

TM   Polypropylen10(k) 

cutiveSum

Device:

croporous Pod filaments oand sutured0" thick, acroporous Py in both dir

croporous Pf knitted fila HealthMatproviding stn incision a

laparoscoppplied sterile

Use

croporous Pt of hernia

ant during ane pelvic floo

Oxide and iuser infec

cal Mesh is

arison

es the PolypcroPorous Pof both the d

ne Surgical M

mmary

olypropyleneof Polyproyl

d by the suand exhibitsPolypropylenrections.

Polypropylenaments of PotrixTM Macrtability; elimapproach us

pic techniquand is desig

olypropylenand other f

nd after wour repair andis non-pyrog

ctions dueonly to be u

propylene SP Surgical devices is gi

Mesh 

e Surgical Mlene. It is su

urgeon to ms high burne Surgical

ne Surgical olyproyleneroporous Polminating thesing the sam

ue. HealthMgned as a sin

ne Surgical Mfascial defecund healing. d/or vaginal pgenic. Reuseto contamised by a lice

Surgical MesMesh manuven in the ta

Mesh is a nonupplied sterilmeet the past strength

Mesh is k

Mesh is adesigned folypropylene e need for ame dissectionMatrixTM M

ngle use devi

Mesh is intects requiring It is specifiprolapsed ree of a singleinations. Heensed health

sh to be suufactured byable below.

n-absorbablele and providatient's need

and tensilknitted by a

a non-absoror the repair

Surgical Manchoring. In and posi

Macroporousice.

ended to asg the additioically not inepair. Our dee use deviceealthMatrixT

care practiti

ubstantially ey Proxy Bio

e, synthetic mded in sheet ds. The mele strength. a process w

rbable, synthof both ingu

Mesh conformIt may alsoitioning meths Polypropy

sist in the ronal supportntended for uevice is prov creates poteTM Macropooner.

equivalent tomedical Lt

mesh, form sh is

The which

hetic uinal

ms to be hods

ylene

repair t of a use in vided ential orous

o the td. A

Company Confidential

Page 12: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Device

Intende

Thickn

Pore Si

SterilizMethodRaw Materi510(k) Numbe

7.5 Summ

HealthMbiocompand prodresults ardetailed Polypropits predic

 

HealthMatrixT

MacroporousTraditional 51

 

Name HP

ed Use HPinrefaadnoafsprere

ess 25

ize 24

zation d

E

al K

er T

mary of Per

MatrixTM Maatibility and

duct charactere given in Tdescription

pylene Surgicate.

TM   Polypropylen10(k) 

Table 1

HealthMatrPolypropyle

HealthMatrixolypropylen

ntended to aseinforcementascial defectdditional suponabsorbablfter wound hpecifically neconstructionepair and or

50 Microns

410 Microns

thylene Oxi

Knit Polyprop

BD

rformance t

acroporous d mechanicalerization. A bTable 2: Bioc

of each testcal Mesh pa

 

ne Surgical M

1: Device Co

rixTM Macroene Surgical

xTM Macropone Surgical Mssist in the ret of hernia as requiring tpport of a le implant duhealing. It is not intended n of the pelvvaginal prol

s

ide

pelene

testing

Polypropylel testing. Perbrief overviecompatibilityt is given inasses all per

Mesh 

omparison w

oporous l Mesh

orous Mesh is epair and/or

and other the

uring and

for use in vic floor lapse

ene Surgicarformance teew of the typy Test, and Tn Section 12rformance te

with Predic

VITAMPP Surg

VITAMEPP Surgito assist ireinforceother fascthe additinonabsorand after

250 Micr

2410 Mi

Ethylene

Knit Poly

K060520

al Mesh westing includpe of tests, mTable 3: Ma2 and 13. Hests; hence, i

cate

MESHTM Magical Mesh

ESHTM Macrical Mesh is in the repair

ement of herncial defects rional supporrbable implar wound heal

rons

icrons

e Oxide

ypropelene

0

was subjectdes the biocomethods andaterials/BencHealthMatrixit is substan

acroPorous

roPorous intended

r and/or nia and requiring rt of a ant during ling.

ted to thorompatibility

d conclusion ch Top TestinxTM Macropontial equivale

rough y tests

from ng. A orous ent to

Company Confidential

Page 13: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Tests Cytotoxi

Irritatio

Sensitiza

Pyrogen

Haemoc

Genotox

Acute SyToxicity SubchroChronic Implanta

HealthMatrixT

MacroporousTraditional 51

 

icity

n

ation

icity

ompatibility

xicity

ystemic

onic and Toxicity

ation

TM   Polypropylen10(k) 

T

MethodTest by

IntracutInjectioMagnuMaximLAL

y Extract

ChromoAberratTest usextract Test usextract Direct iof mesh

ne Surgical M

Table 2: Bio

d y direct conta

taneous on sson-Kligma

mization Test

t test

osomal tion test ing fluid

ing fluid

implantationh

Mesh 

ocompatibil

Animaact Cellula

Rabbit

an Guinea

In plate

Rabbit

Cellula

Mice

Rat

n Rabbit

lity Test

al Star IS

5:t IS

10a Pig IS

10e IS

11t IS

4:ar IS

6:IS11IS11

t IS6:

tandard SO-10993-:1999 SO-10993-0:2010 SO-10993-0:2010 SO-10993-1:2006 SO-10993-:2002 SO-10993-:2007 SO-10993-1:2006 SO-10993-1:2006 SO-10993-:2007

Resulpass

pass

pass

pass

pass

pass

pass

pass

pass

lts

Company Confidential

Page 14: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Charact

Compos

Pore size

Thickne

Rigidity/(Fmax NBall bur

Tensile Snormal (Tensile Sparallel Suture rnormal (Suture rcross (FmTear res(Fmax NCorrosio

Lifetime

 

 

HealthMatrixT

MacroporousTraditional 51

 

eristics

ition

e (microns)

ss (microns

/Stiffness N)

st (Fmax N)

Strength (Fmax N) Strength (Fmax N)

retention (Fmax N) retention max N) sistance N) on testing

e Fatigue Te

TM   Polypropylen10(k) 

Tab

HealthMacropPolyprSurgicaKnit Po

2410

) 250

5.2

) 344.3

28.8

32.8

35.6

34.2

33.7

Pass

est Pass

ne Surgical M

le 3: Mater

MatrixTM porous opelene al Mesh olypropylene

Mesh 

ials/Bench T

VitaMMacSurg

e Knit

2410

250

5.2

344.3

28.8

32.8

35.6

34.2

33.7

Not k

Not K

Top Testing

MESHTM roporous P

gical Mesh

Polypropyle

0

3

known

Known

g

P Test(AS

ene

D59

D59

D40

D37

D88

D88

D88

D88

D22

See & IS13: 2E60

t Method TM)

957

957

032

787

82

82

82

82

261

Biocompat. SO 10993-2010 6

Company Confidential

Page 15: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

8.1 Desc

HealthMconstructto be cuapproximHealthMfor elastiallows a wall.

Fig

8.2 Tech

HealthMconstructventral hplacemen

HealthMatrixT

MacroporousTraditional 51

 

n8–Devi

ription of D

MatrixTM Macted of knitteut to size a

mately 0.010Matrix Macrop

city in both fibroblastic

Figure

gure 2: A sh

hnology:

MatrixTM Macted of knittehernias. Heant, between

TM   Polypropylen10(k) 

iceDescri

Device:

croporous Pod filaments oand sutured0" thick, aporous Polydirections. U

c response th

e 1: Microsc

heet of Healt

croporous Poed filamentsalthMatrixTM

n the fascia

ne Surgical M

iption

olypropyleneof Polyproyl

d by the suand exhibitsypropylene SUse of Healthrough the

copic view o

thMatrixTM

olypropylenes of PolyproM Macroporoa and fully

Mesh 

e Surgical Mlene. It is su

urgeon to ms high bur

Surgical MesthMatrix Mainterstices o

of knitted fil

M Macroporo

e Surgical Moylene desigous Polyproclosed peri

Mesh is a nonupplied sterilmeet the past strength sh is knitted acroporous Pof the impla

 

laments of p

 

ous Polypro

Mesh is a nongned for the opylene Surgitoneum, so

n-absorbablele and providatient's need

and tensilby a proces

Polypropylenant, forming

polypropyle

opylene Sur

n-absorbablerepair of b

gical Mesh o that it cove

e, synthetic mded in sheet ds. The mele strength. ss which prone Surgical Ma strong fib

ene

rgical Mesh

e, synthetic mboth inguina

is designeders the direc

mesh, form sh is

The ovides Mesh brous

mesh, al and d for ct and

Company Confidential

Page 16: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

indirect HealthMprovidingframe althe prodalso be methods Polypropcut into preferenc

8.3 Ind

HealthMand/or re

nonabsorreconstrusterile usrisk of Polyprop

 

HealthMatrixT

MacroporousTraditional 51

 

space withMatrixTM Mac

g stability; ellows the dduct package placed via

describepylene Surgi

several shce.

ication for U

MatrixTM Maceinforcement

rbable implauction of thesing Etylene

patient or pylene Surgic

TM   Polypropylen10(k) 

h at least acroporous Peliminating tdevice to be e) and insea an open ied for thcal Mesh is

hapes to ac

Use

croporous Pt of hernia an

ant during ane pelvic floo

Oxide and user infec

cal Mesh is

ne Surgical M

a 15mm mPolypropylenthe need for folded into

erted laparosincision apphe laparoscsupplied ste

ccommodate

olypropylennd other fasc

nd after wour repair andis non-pyrog

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o the suppliescopically thproach usincopic technerile and is de different

ne Surgical Mcial defects r

und healing. d/or vaginal pgenic. Reuseto contamised by a lice

ond the edMesh confThe super-e

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dges of theforms to theelastic, multoading cann

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ended to ase additional

ically not inepair. Our dee use deviceealthMatrixT

care practitio

e hernia dee anatomy wti-strand, N

nula (suppliecess port. it

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ntended for uevice is prov creates poteTM Macropooner.

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Company Confidential

Page 17: Traditional 510k application - Polymeric Surgical Mesh

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Section 

Date of P

Trade N

Common

Regulato

Device P

Regulati

Classific

Product

Predicat

A detaileof substa

HealthMatrixT

MacroporousTraditional 51

 

n9–Subs

Preparation

Name:

n Name:

ory Class:

Panel:

ion Number

cation Name

Code:

te:

ed comparisoantial equiva

TM   Polypropylen10(k) 

stantialEq

n: Nov 1, 20

HealthMat

Polymeric

Class II

General an

r: 21CFR 87

e: Surgical m

FTL

VITAMESProxy Bio510(k) numCleared on

on is given ilence is give

ne Surgical M

quivalenc

11

trixTM Macro

c Surgical M

nd Plastic Su

78.3300

mesh, polyme

SHTM Macromedical Ltdmber K0605n March 28 2

in Table 4: Den in Table 5

Mesh 

ceDiscuss

oporous Poly

esh

urgery

eric

oPorous PP Sd. 520 2006

Device Comp5: Substantia

sion

ypropylene

Surgical Me

mparison and al Equivalen

Surgical Me

sh

the process nce Determin

esh

of determinnation.

nation

Company Confidential

Page 18: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Device

Intende

Thickn

Pore Si

SterilizMethodRaw Materi510(k) Numbe

HealthMatrixT

MacroporousTraditional 51

 

Name HP

ed Use HPinrefaadnoafsprere

ess 25

ize 24

zation d

E

al K

er T

TM   Polypropylen10(k) 

HealthMatrPolypropyle

HealthMatrixolypropylen

ntended to aseinforcementascial defectdditional suponabsorbablfter wound hpecifically neconstructionepair and or

50 Microns

410 Microns

thylene Oxi

Knit Polyprop

BD

ne Surgical M

Table 4: D

rixTM Macroene Surgical

xTM Macropone Surgical Mssist in the ret of hernia as requiring tpport of a le implant duhealing. It is not intended n of the pelvvaginal prol

s

ide

pelene

Mesh 

Device Comp

oporous l Mesh

orous Mesh is epair and/or

and other the

uring and

for use in vic floor lapse

parison

VITAMPP Surg

VITAMEPP Surgito assist ireinforceother fascthe additinonabsorand after

250 Micr

2410 Mi

Ethylene

Knit Poly

K060520

MESHTM Magical Mesh

ESHTM Macrical Mesh is in the repair

ement of herncial defects rional supporrbable implar wound heal

rons

icrons

e Oxide

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acroPorous

roPorous intended

r and/or nia and requiring rt of a ant during ling.

Company Confidential

Page 19: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Question

Is the necomparemarkete

Does thehave theindicatio

Does thehave thetechnolocharactedesign, m

Are the dcharacteenough tsubstantequivale

HealthMatrixT

MacroporousTraditional 51

 

n

ew device ed to a ed device?

e new devicee same on statemen

e new devicee same ogical eristics suchmaterials etc

descriptive eristics precto establish tial ence?

TM   Polypropylen10(k) 

Table 5: S

Answe

YES

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nt?

YES

e

h as c.?

YES

cise YES

ne Surgical M

Substantial

er HealthMMacropPolyproSurgica

HealthM

HealthMMacropPolyproMesh isassist inand/or rhernia adefects additionnonabsoduring ahealing

Materia

A non-asyntheticonstrucelementpolypro

Design for the rand ven

Sterile, Knitted mesh

Mesh 

Equivalenc

MatrixTM porous opylene al Mesh

Matrix

MatrixTM orous

opylene Surgs intended ton the repair reinforcemenand other fasrequiring the

nal support oorbable impland after wo

al characteris

absorbable ic mesh cted of knittets of pylene.

: It is designrepair of ingu

ntral hernias

Macro porouPolypropyle

ce Determin

VITAMacMes

PRO

gical o

nt of scial e

of a lant und

VitaMMacPolyMeshin threinfand orequsuppimplwoun

stics:

ed

ned uinal

Mate

A nomeshelem

Desithe rventr

us ene

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nation

AMESHTM croPorous Ph

OXY biomed

MESHTM roporous

ypropylene Sh is intended

he repair andforcement ofother fascial

uiring the addport of a nonlant during and healing

erial charact

on-absorbablh constructed

ments of poly

ign : It is desrepair of ingural hernias

ile ,Macro potted Polyproph

PP Surgical

dical

Surgical d to assist

d/or f hernia l defects ditional

nabsorbable and after

teristics:

le synthetic d of knitted

ypropylene.

signed for uinal and

orous pylene

Company Confidential

Page 20: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Conclusi

The charour predimesh forcharacterBoth the Finally, tlabel is p

 

HealthMatrixT

MacroporousTraditional 51

 

ion:

racteristics oicate VitaMEour product

ristics. Our ddevices hav

the packaginpresented in t

TM   Polypropylen10(k) 

f HealthMatESH™ in allt is the samedevice and pve passed all ng and labelithe followin

ne Surgical M

trix™ Macrol of the abov as our prediredicate are the biocompng of our deg section alo

Mesh 

oporous Surgve facets. Thicate, exhibiboth steriliz

patibility tesevice is equivong with the

gical mesh ahe knitting oiting equivalzed by EO (ests that were valent to our

e packaging i

are substantiaof the PP (polent bench teethylene oxidrequired to

r predicate; ainsert.

ally equivaleolypropyleneest de) sterilizatbe performea sample of

ent to e)

tion. ed. the

Company Confidential

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Section 10.1 She10.2 She10.3 She10.4 Ove10.5 Pou10.6 Pack HealthMoverwrappackage 10.1 She

 

HealthMatrixT

MacroporousTraditional 51

 

n10–Pro

lf box – Fronlf box – Baclf box – Side

erall view of uch label kage insert

MatrixTM Macp (pouch) th(pouch) is th

lf box – Fro

TM   Polypropylen10(k) 

oposedLa

nt part ck part e parts

f the Shelf bo

croporous Phat consists hen placed w

ont part

Figure

ne Surgical M

abeling

ox

Polypropylenof a micro

within a label

3: Labeling

Mesh 

ne Surgical obial barrierled Paper bo

 

g on front pa

Mesh is inr (eg. TYVEoard carton (

art of shelf

ndividually EK.) The p(shelf box.)

box

packaged iprinted indiv

 

in an vidual

Company Confidential

Page 22: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

10.2 She

 

10.3 She

 

HealthMatrixT

MacroporousTraditional 51

 

lf box - Bac

lf box - Side

TM   Polypropylen10(k) 

ck part

Figure

e parts

Figure

ne Surgical M

4: Labeling

5: Labeling

Mesh 

 

g on back pa

  

 

g on side pa

art of shelf

rts of shelf

box

 

box

 

 

Company Confidential

Page 23: Traditional 510k application - Polymeric Surgical Mesh

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10.4 Ove

 

 

HealthMatrixT

MacroporousTraditional 51

 

erall view of

TM   Polypropylen10(k) 

f the shelf b

Figure

ne Surgical M

box

e 6: Overall

Mesh 

 

view of sheelf box label

 

ling

 

Company Confidential

Page 24: Traditional 510k application - Polymeric Surgical Mesh

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10.5 Pou

 

HealthMatrixT

MacroporousTraditional 51

 

uch label

TM   Polypropylen10(k) 

ne Surgical M

Figure

Mesh 

 

7: Pouch laabel

 

Company Confidential

Page 25: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

10.6 Pac

HealthMatrixT

MacroporousTraditional 51

 

ckage insert

TM   Polypropylen10(k) 

ne Surgical M

Figure 8

Mesh 

: Package IInsert

Company Confidential

Page 26: Traditional 510k application - Polymeric Surgical Mesh

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Section 

11.1 Ster

The steriRequiremDevices: Sterilizat“Sterilizavalidation

Since oudesigneddaily dos30 days, mg in fir

The EO sof 10-6 anintegrity,utilizing repeat exthe actua

The validThe biollimits oflevels areacceptanmade ava

11.2 She

HealthMdate of stF1980 “SA real tim

The valid

 

HealthMatrixT

MacroporousTraditional 51

 

n11–Ste

rilization

ilization valments for m

Part 2: Ttion dose ation of healn and routin

ur HealthMad for permanese of EtO doand 2.5g lifst 24 hours,

sterilization nd three con, acceptable the most rea

xposure. Theal exposure le

dation reportlogical testinf biological e acceptablece criteria. Tailable upon

lf Life

MatrixTM Macterilization. TStandard Gume testing pr

dation report

TM   Polypropylen10(k) 

rilization

lidation is inmedical devTest of ster

has been lth care prod

ne control of

atrixTM Macent contact,

oes not exceefetime). For 60 mg in fir

validation cnsecutive full

residual levalistic simulae simulated-evel to patie

t is not inclung, Pyrogencontaminan

e and are incThe copy ofrequest.

croporous PoThe acceleraide for Accerogram will

t is not inclu

ne Surgical M

nandShel

n accordancvices labeledrility perform

established ducts -- Ethya sterilizatio

croporous Pour product ed 0.1 mg pECH, the av

rst 30 days, 5

consisted of l cycle runs vels, and noated challeng-use extractioents. All of th

uded in this sn testing andnts. Heavy mcluded in thf the test rep

olypropyleneated aging stelerated Aginbe conducte

uded in this s

Mesh 

lfLife

ce with “ENd sterile, “Imed in val

in accordylene oxide -on process fo

Polypropylenspecificatioer day (>20 verage daily50 g lifetime

three consecon full cham

on-pyrogenicges to our pron procedurhe test repor

submission, d Bioburdenmetal residuhe validationports are not

e Surgical Mtudies were png of Sterileed to verify t

submission, b

N556- SteriliISO 11737-lidation of dance with-- Part 1: Reor medical d

ne Surgical ons demonstr

mg in first y dose does ne.)

cutive half cmber loads tocity. We usroduct, in orre was validrts are availa

but will be mn were perf

ual and mann report, as bt included in

Mesh has a shperformed, i

e Barrier Systhe accelerat

but will be m

ization of m-2: Steriliza

sterilizationh AAMI/ANequirements devices.”

Mesh is arate that the 24 hours, >6not exceed 2

cycle runs too confirm pr

sed simulaterder to calculdated in ordeable upon req

made availaformed to enufacturing rbased off ofn this submi

helf life of 5 in accordancstems for Meted results.

made availab

medical deviation of Men Process.”NSI/ISO 1for developm

a medical dpatient’s av60 mg in the2 mg per da

o confirm an roduct and p

ed-use extraclate the effecer to demonquest.

able upon reqensure accepreagents resf in-house teission but ca

years from tce with ASTMedical Devic

ble upon req

ices - edical

The 1135, ment,

device erage e first ay (12

SAL pouch ction, cts of strate

quest. ptable sidual esting an be

the M

ces.”

quest.  

Company Confidential

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Section 

12.1 Gen

HealthMthereforeensure sathe bioco10993-12any toxic

The follo

Tests Cytotoxi

Irritatio

Sensitiza

Pyrogen

Haemoc

Genotox

Acute SyToxicity SubchroChronic Implanta

 

15.2 Test

All the bextract w

Cytotoxieffects ofcan be coreport ca

HealthMatrixT

MacroporousTraditional 51

 

n12–Bio

neral Descri

MatrixTM Mace it has directafety and effompatibility 2. This evaluc effects that

owing table s

icity

n

ation

icity

ompatibility

xicity

ystemic

onic and Toxicity

ation

t Details

iocompatibiwas prepared

icity – This tf mesh on groncluded than be provide

TM   Polypropylen10(k) 

ocompatib

iption

croporous Pot invasive co

ficacy. The bmatrix fromuation includt the device m

summarizes

MethodTest by

IntracutInjectioMagnuMaximLAL

y Extract

ChromoAberratTest usextract Test usextract Direct iof mesh

lity tests werat X degree

test is perforrowth of bodat our surgicaed upon requ

ne Surgical M

bility

olypropyleneontact with thbiocompatib

m U.S. FDA Bdes tests permay cause to

the tests per

d y direct conta

taneous on sson-Kligma

mization Test

t test

osomal tion test ing fluid

ing fluid

implantationh

re done accoes Celsius for

rmed throughdy cells. Theal mesh is nouest.

Mesh 

e Surgical Mhe patient. B

bility tests haBlue Book Mrformed on oo body cells

rformed, met

Animaact Cellula

Rabbit

an Guinea

In plate

Rabbit

Cellula

Mice

Rat

n Rabbit

ording to ISOr Y hours, fr

h the direct ere was no sion-cytotoxic

Mesh is a permBiocompatibave been perMemorandumour knit polyupon implan

thods, and re

al Star IS

5:t IS

10a Pig IS

10e IS

11t IS

4:ar IS

6:IS11IS11

t IS6:

O 10993 stanrom cottonse

contact methign of any cec for body ce

manent surgbility has beerformed in com G95-1, ISypropylene mnt.  

espective res

tandard SO-10993-:1999 SO-10993-0:2010 SO-10993-0:2010 SO-10993-1:2006 SO-10993-:2002 SO-10993-:2007 SO-10993-1:2006 SO-10993-1:2006 SO-10993-:2007

ndards. Our eed oil.

hod to evaluell damage, aells. The cop

gical implanten evaluated ompliance wO 10993-1 a

mesh to verif

sults:

Resulpass

pass

pass

pass

pass

pass

pass

pass

pass

test sample

uate any toxiand thereforpy of the test

t and to

with and fy

lts

c re it t

Company Confidential

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                H                M                T

  

IrritatioSurgical observedresults inthe test re

Sensitizato determbody andThe resulreport ca

Pyrogen(endotoxnon-pyro

Haemoccaused byhaemogloupon req

Genotoxdetect visgenotoxi

Acute Syour deviclocation. hours aftmice; therequest.

Subchrothat our dextract inreport. Thtoxic. Th

Chronic device minjected iafter a sin

HealthMatrixT

MacroporousTraditional 51

 

n – This waMesh. The e

d every 24 hondicate that oeport can be

ation – The Gmine potentiad body fluidslts indicate tn be provide

icity – This xin-mediatedogenic. The c

ompatibilityy our producobin, and theuest.

xicity – This sible aberratc. The copy

ystemic Toxce might havWe used a fer a single d

erefore, our p

onic Toxicitydevice mightnjected into rhe results in

he copy of th

Toxicity – Tmight have on

into rats. Thngle dose or

TM   Polypropylen10(k) 

s performed extract was iours for 72 hour macropo provided up

Guinea Pig Mal allergenic s. The extracthat our surged upon requ

test was perd) on our testcopy of the t

y – This testct extract. Reerefore is ha

test was pertions. The reof the test re

xicity – This ve on body ofluid extract

dose or repeaproduct is no

y – This test t have on therats for a Sub

ndicated no she test report

This test wan the body tie Chronic te

r repeated do

ne Surgical M

to assess loinjected intohours followirous polypropon request.

Magnusson-response, si

ct was mixedgical mesh isuest.

rformed via tt sample extrtest report ca

t was performesults indica

aemocompati

rformed usinsults indicateport can be

test was perorgans and ti

injected intoated dose. Thon-toxic. Th

was performe body tissuebchronic timubchronic to

t can be prov

as performedissues and ovest timeframeose, as clarifi

Mesh 

cal tissue rea the rabbit ming injectionopylene mes

-Kligman Maince our prodd with CFA t non-sensitiz

the (Limulusract. The resan be provid

med to deterate that our pible. The cop

ng 300 Chineted no aberra provided up

rformed to dssues that aro mice. The he results inde copy of th

med to determes and overa

meframe of 9oxicity in thevided upon re

d to determinverall body pe was longeied in the tes

action to Hemodel, whosens (scored fosh material is

aximization duct has direto enhance szing/non-all

s Amebocytesults indicat

ded upon requ

rmine the degproduct causpy of the tes

ese hamster ations; therefpon request.

determine anre remote froAcute test ti

dicated no ace test report

mine any poall body phys90 days. Doe mice; thereequest.

ne any possibphysiology. er than 10% st report. Th

ealthMatrix Pe skin sampl

or erythema as non-irritan

(MEM) Tesect internal cskin sensitizaergenic. The

e Lysate) LAte that our suuest.

gree of red bed no cell ly

st report can

ovaries (CHfore, our pro

ny possible aom the site oimeframe wcute systemican be prov

ossible subchsiology. Wesage is clarifefore, our pr

ble chronic tWe used a fof the anima

he results ind

Polypropylenle area was and edema).

nt. The copy

st was perforcontact with ation respone copy of the

AL method urgical mesh

blood cell lyysis or releas

be provided

HO) cells to oduct is non-

acute toxicityof the mesh as within 24ic toxicity in

vided upon

hronic toxici used fuild fied in the teroduct is non

toxicity that fluid extract al’s lifespan,dicated no

ne

. The of

rmed the

nse. e test

h is

ysis se of d

-

y that

4 n the

ity

est n-

our

,

Company Confidential

Page 29: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

chronic tbe provid

Implantaimplantatdirectly cpoints: 2 tissue reaevidencepolymers

Carcinogproduct i

12.3 Con

The biocdevice isthe tests Evaluatiosutures a

 

HealthMatrixT

MacroporousTraditional 51

 

oxicity in thded upon req

ation – Thistion of the mcorrelated toweeks, 8 we

action was sc of device ms at new anat

genicity – Tis non-genot

nclusion

ompatibility non-toxic aare in accordon of Medicand mesh hav

TM   Polypropylen10(k) 

he mice; therquest.

s test was permesh. The sit potential abeeks and 12 cored, and o

migration to ntomic sites.

This test was oxic.

y test results nd nonsensitdance with thal Devices Pve a long est

ne Surgical M

refore, our pr

rformed to dte for implanbdominal herweeks, in wur product wnew locationThe copy of

not required

show that thtizing to biohe FDA bioc

Part I: Evaluatablished his

Mesh 

roduct is non

determine anntation was irnias. The te

which the testwas determinns in the bodf the test repo

d, as the Gen

he material uological tissucompatibilitation and Tetory of safe

n-toxic. The

ny pathologicin the abdomest was condt site was cloned to be nondy, or the forort can be pr

notoxicity te

used in the dues consistenty guidance oesting.” Addclinical use

copy of the

cal indicatiomen muscle oducted over mosely moniton-irritant. Thrmation of unrovided upon

est results ind

design and mnt with their on ISO 1099itionally, poas an implan

test report c

ons due to of the rabbitmultiple timeored. The lohere was alsnwanted n request.

dicated that o

manufacture ointended use

93-1, “Bioloolypropylenentable mater

can

, e

ocal o no

our

of the e. All gical

e rial.

Company Confidential

Page 30: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

13.1 Gen

AccordinPremarkeand perfo

Charact

Compos

Pore size

Thickne

Rigidity/(Fmax NBall bur

Tensile Snormal (Tensile Sparallel Suture rnormal (Suture rcross (FmTear res(Fmax NCorrosio

Lifetime

HealthMatrixT

MacroporousTraditional 51

 

n13–Per

neral Descri

ng to guidaet Notificatioormance ben

eristics

ition

e (microns)

ss (microns

/Stiffness N)

st (Fmax N)

Strength (Fmax N) Strength (Fmax N)

retention (Fmax N) retention max N) sistance N) on testing

e Fatigue Te

TM   Polypropylen10(k) 

rformanc

iption

ance documon Applicati

nch tests wer

HealthMacropPolyprSurgicaKnit Po

2410

) 250

5.2

) 344.3

28.8

32.8

35.6

34.2

33.7

Pass

est Pass

ne Surgical M

eTesting

ment for surion for a Surre performed

MatrixTM porous opelene al Mesh olypropylene

Mesh 

gandProd

rgical meshrgical Mesh”d. The results

VitaMMacSurg

e Knit

2410

250

5.2

344.3

28.8

32.8

35.6

34.2

33.7

Not k

Not K

ductChar

h, “Guidance” the follows are summa

MESHTM roporous P

gical Mesh

Polypropyle

0

3

known

Known

racterizat

e for the Pwing product arized in the

P Test(AS

ene

D59

D59

D40

D37

D88

D88

D88

D88

D22

See & IS13: 2E60

tion

Preparation characterizafollowing ta

t Method TM)

957

957

032

787

82

82

82

82

261

Biocompat. SO 10993-2010 6

of a ations able.

Company Confidential

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13.2 Test

Rigidity/

Rigidity/polypropMethod ftabulatedresults fo

(Data Ins

Ball Bur

Ball bursdesign, sto ASTMRate-of-Tthey are below:

(Data Ins

Tensile/S

Suture pudesign, toverify thaccordanSheeting

The sutuapparatusresults artest resul

(Data Ins

Tear Res

Tear RepolypropThis test Strength

HealthMatrixT

MacroporousTraditional 51

 

t Details

/Stiffness Te

/Stiffness tepylene designfor Stiffnessd above, to or repeated it

serted Here)

rst Testing

st testing wince it exhib

M D3787 - 0Traverse (CRconsistent w

serted Here)

Suture Test

ull out testino ensure that

hat the fabrince to ASTM”.

ure test was s. It was alsore tabulated alts for repeat

serted Here)

sistance Tes

esistance Tepylene design

was performof Fabrics b

TM   Polypropylen10(k) 

esting

esting was n. The testin of Fabric byshow that t

terations are

as used to dbits a high de7(2011) “StRT) Ball Buwith our pre

ing

ng was used tt the mesh cic can withsM D882 - 10

performed o conductedabove, to shted iterations

sting

esting was n, to verify tmed in accorby the Tong

ne Surgical M

used to deng was done y the Circulathey are con

e below:

determine thegree of ultimandard Test rst Test”. Thdicate’s info

to determinean retain thestand forces0 “Standard

by pulling d on an indivow that theys are below:

used to dthat the fabrrdance to ASgue (Single R

Mesh 

etermine thein accordan

ar Bend Pronsistent with

he strength mate elongaMethod for

he ball burstormation. Th

e the strengthe suture in ths experience

Test Metho

the ring anvidual fiber. y are consiste

determine thric can withsSTM D2261Rip) Procedu

e flexibilitynce to ASTMcedure.” Thh our predi

of our knit ation. The tesr Bursting Stt results are the test resul

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Company Confidential

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Testing Mconsisten

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Testing fwithin inoffers exaccordingin our rePart 13: Devices”oxidativeactivity. and testepasses thbelow:

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Lifetime surgical withstandASTM Etesting inrepeated

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HealthMatrixT

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Company Confidential

Page 33: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

TEST

Vibratio

Drop con

Compre

Impact T

Biocomp

HealthMatrixT

MacroporousTraditional 51

 

n14–Pac

on Testing

nditioning

ssion Testin

Testing

patibility Te

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ckageVal

ng

ests

ne Surgical M

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Table 6: P

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To evaluatevibrations opackaging ainside the p

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To ensure thof the packahave any efdevice that non – bioco

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ackage Vali

E

e the effects on the interioand the comp

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e the ability oinner materi

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hat the mateaging doesnffect on the may make it

ompatible

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Company Confidential

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                H                M                T

  

Leakage

Seal Stre

 

 

HealthMatrixT

MacroporousTraditional 51

 

e Testing

ength

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ne Surgical M

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Company Confidential

Page 35: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

IdentifiedHemorrhmay occu

Sterile aone not pcaused byinjected dnot been abscessesscar tissu

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HealthMatrixT

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n15–Ris

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ne Surgical M

is

Table 7

Crforation S

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criteria. arnings and ent that steri

oreign bodie.

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arnings and nings and con

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Company Confidential

Page 36: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Device b

Pain, daduring searise due  

HAZARD1 to 5 6 to 10 10 to 16

17 to 20 ConclusiFrom theinvolved be used f

 

 

HealthMatrixT

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breakage

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D RISK IND

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DEX

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Company Confidential

Page 37: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

Section 

ISO and

1.)

2.)

3.)

4.)

5.)

6.)

7.)

8.)

9.)

10.) 11.) 12.)

13.)

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16.)

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18.) 19.)

HealthMatrixT

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n16–List

d ASTM Sta

ISO-10993-Vitro CytotoISO-10993-irritation anISO-10993-systemic toxISO 10993-Selection ofISO 10993-effects afterISO 10993-and quantifiEN556- Stesterile ISO 11737-validation oAAMI/ANS1: Requiremprocess for mASTM D47ASTM D52ASTM D52containers, CASTM D45container unASTM D88ASTM F247Device PackASTM F192Medical PacF 2096-04 -PressurizatiASTM F88 ASTM D59Installations

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tofAppli

andards

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Company Confidential

Page 38: Traditional 510k application - Polymeric Surgical Mesh

                H                M                T

  

20.)

21.)

22.) 23.)

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Referenc

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