Cleared Traditional

K191734 - MatriStem UBM Pericardial Patch (FDA 510(k) Clearance)

Nov 2019
Decision
147d
Days
Class 2
Risk

K191734 is an FDA 510(k) clearance for the MatriStem UBM Pericardial Patch. This device is classified as a Intracardiac Patch Or Pledget, Biologically Derived (Class II - Special Controls, product code PSQ).

Submitted by Acell, Inc. (Columbia, US). The FDA issued a Cleared decision on November 22, 2019, 147 days after receiving the submission on June 28, 2019.

This device falls under the Cardiovascular FDA review panel. Regulated under 21 CFR 870.3470. To Repair Defects, To Be Used For Patch Grafting, To Repair Tissue, And To Buttress Sutures In The Heart And Vasculature..

Submission Details

510(k) Number K191734 FDA.gov
FDA Decision Cleared Substantially Equivalent - Traditional 510(k) (SESE)
Date Received June 28, 2019
Decision Date November 22, 2019
Days to Decision 147 days
Submission Type Traditional
Review Panel Cardiovascular (CV)
Summary Summary PDF

Device Classification

Product Code PSQ — Intracardiac Patch Or Pledget, Biologically Derived
Device Class Class II - Special Controls
CFR Regulation 21 CFR 870.3470
Definition To Repair Defects, To Be Used For Patch Grafting, To Repair Tissue, And To Buttress Sutures In The Heart And Vasculature.