510(k) Report

510(k) · Cleared

Cleared

MatriStem UBM Pericardial Patch

K191734510(k) TraditionalCleared Nov 22, 2019147-day reviewClass II21 CFR 870.3470

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Acell, Inc. · PSQ Intracardiac Patch Or Pledget, Biologically Derived

Cleared on Nov 22, 2019 as substantially equivalent to K051405 (Cormatrix Cardiovascular, Inc., 2005) after a 147-day review. Its family tree reaches back 5 generations to 1992.

Decided
Nov 22, 2019
Review
147 days
Class
Class II
Product code
PSQ
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K921895 (1992). 11 ancestors in all, the oldest K830889 (1983). No later device cites it as a predicate yet.

  1. Root · 5 generations backK921895 Tissue Patch, Tissue GraftBio-Vascular, Inc. · 1992
  2. 4 generations backK961810 Supple Peri-Guard PericardiumBio-Vascular, Inc. · 1996
  3. 3 generations backK980431 SurgisisCook Biotech, Inc. · 1998
  4. 2 generations backK020455 Tissuemend Soft Tissue Repair MatrixTei Biosciences, Inc. · 2002
  5. 1 generation backK051405 Regensis Pericardial PatchCormatrix Cardiovascular, Inc. · 2005
  6. This deviceK191734 MatriStem UBM Pericardial PatchAcell, Inc. · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K921895Tissue Patch, Tissue GraftBio-Vascular, Inc.1992—
−4K961810Supple Peri-Guard PericardiumBio-Vascular, Inc.1996—
−3K980431SurgisisCook Biotech, Inc.1998—
−2K020455Tissuemend Soft Tissue Repair MatrixTei Biosciences, Inc.2002—
−1K051405Regensis Pericardial PatchCormatrix Cardiovascular, Inc.2005—
0 (this device)K191734MatriStem UBM Pericardial PatchAcell, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
199210
199710
200010
200110
200310
FIG. 1 — Lineage of K191734, 1992–2019Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in PSQ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new PSQ device

  1. #1 K210331 CardiaMend Pericardial and Epicardial…score 4.6 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K051405Regensis Pericardial Patch
Summary page 4
…0 Regulatory Class: Class II FDA Product Code: PSQ Predicate Device: CorMatrix Pericardial Patch/ CorMatrix ECM for Pericardial Closure (K051405) Reference Devices: ACell Gentrix Surgical Matrix (2, 3, 6, 8 layer) (K162554), ACell Gentrix Surgical Matrix…
Cormatrix Cardiovascular, Inc.2005—
†K162554Gentrix Surgical MatrixAcell, Inc.2016—
†K170763Gentrix Surgical Matrix Thick; Gentrix Surgical Matrix ExtendAcell, Inc.20172
†K082139Edwards Bovine Pericardial Patch, Model 4700Edwards Lifesciences, LLC2008—

Also cleared against K051405: 4 other devices →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 27 years and passes through 5 companies; a new generation was cleared every 3.6 years on median.
  • None of the 11 ancestors has a recall.
  • 4 other devices also cite its predicate K051405.

How does its category compare?

All PSQ devices

PSQ Intracardiac Patch Or Pledget, Biologically Derived: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · PSQ

2in 2022

2017: 32018: 12019: 22020: 22021: 12022: 2
2007high 3 (2017) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · PSQ

73in 2017

2017: 73 days median
2007high 73 (2017)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · PSQ

2in 2023

2023: 2
2007high 2 (2023) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · PSQ

1in 2025

2018: 22019: 52020: 112021: 102022: 52023: 42024: 82025: 1
2007high 11 (2020) · low 0 (2007)2025

MAUDE reports naming product code PSQ, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
201737300
20181—02
20192—05
20202—011
20211—010
20222—05
20230—24
20240—08
20250—01
20260—0—

What is it indicated for?

The MatriStem UBM™ Pericardial Patch is intended for the reconstruction and repair of the pericardium.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191734: MatriStem UBM Pericardial Patch.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K191734

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026