510(k) Report

510(k) · Cleared

Recalled · Class II · 2023

PERI-GUARD Repair Patch, SUPPLE PERI-GUARD Repair Patch

K221029510(k) TraditionalCleared Oct 19, 2022195-day reviewClass II21 CFR 870.3470Recalls 1

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

Synovis Life Technologies, Inc. · PSQ Intracardiac Patch Or Pledget, Biologically Derived

Cleared on Oct 19, 2022 as substantially equivalent to K142447 (Synovis Life Technologies, Inc., 2015) and 1 other predicate after a 195-day review. Its family tree reaches back 4 generations to 1985. It has been recalled once.

Decided
Oct 19, 2022
Review
195 days
Class
Class II
Product code
PSQ
Recalls
1
Predicates
2

Its longest line of descent runs back 4 generations to K842066 (1985). 10 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 4 generations backK842066 Peri-Guard Pericardial PatchGenetic Laboratories, Inc. · 1985
  2. 3 generations backK961811 Peri-Guard PericardiumBio-Vascular, Inc. · 1996
  3. 2 generations backK983162 Peri-Guard, CV Peri-Guard, Ocu-Guard, Supple Peri-Guard, Peri-Strips…Bio-Vascular, Inc. · 1998 · Recalled
  4. 1 generation backK142447 PERI-GUARD Repair Patch & SUPPLE PERI-GUARD Repair PatchSynovis Life Technologies, Inc. · 2015
  5. This deviceK221029 PERI-GUARD Repair Patch, SUPPLE PERI-GUARD Repair PatchSynovis Life Technologies, Inc. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K842066Peri-Guard Pericardial PatchGenetic Laboratories, Inc.1985—
−3K961811Peri-Guard PericardiumBio-Vascular, Inc.1996—
−2K983162Peri-Guard, CV Peri-Guard, Ocu-Guard, Supple Peri-Guard, Peri-Strips - Sleeve…Bio-Vascular, Inc.19982
−1K142447PERI-GUARD Repair Patch & SUPPLE PERI-GUARD Repair PatchSynovis Life Technologies, Inc.2015—
0 (this device)K221029PERI-GUARD Repair Patch, SUPPLE PERI-GUARD Repair PatchSynovis Life Technologies, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199220
199410
199610
199820
FIG. 1 — Lineage of K221029, 1985–2022Source: 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 4.7 · 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? (2)

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
*K142447PERI-GUARD Repair Patch & SUPPLE PERI-GUARD Repair Patch
Summary page 4
…Biologically Derived Product Code: PSQ III. PREDICATE DEVICES Primary: PERI-GUARD Repair Patch and SUPPLE PERI-GUARD Pericardium Patch, K142447 Manufacturer: Synovis Life Technologies, Inc. (A Subsidiary of Baxter International Inc.) Secondary: PERI-G…
Synovis Life Technologies, Inc.2015—
*K983602CV Peri-Guard and Vascu-Guard
Summary page 4
…Synovis Life Technologies, Inc. (A Subsidiary of Baxter International Inc.) Secondary: PERI-GUARD Repair Patch and SUPPLE PERI-GUARD Repair Patch, K983602 Manufacturer: Synovis Life Technologies, Inc. (A Subsidiary of Baxter International Inc.) Additionally, Syn…
Bio-Vascular, Inc.19983
†K192615Peri-Strips Dry with Veritas Collagen Matrix with Secure Grip Technology (PSDV-SG)Synovis Life Technologies, Inc. (Baxter International Inc.)2019—

What descends from it?

No later submission names this one as a predicate yet.

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

Recalls of this device

DateClassRecallRoot causeReason
Dec 6, 2023Class IIZ-0664-2024Under Investigation by firmCardiovascular Surgery marketing brochure (US-AS46-220001) that was distributed for the products listed below contains inaccurate content that does not align with some of the products Instructions for Use (IFU) or Prescribing Information…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 37 years and passes through 3 companies; a new generation was cleared every 10.5 years on median.
  • 2 of the 10 ancestors have a recall of any class.

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. 2022, 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?

PERI-GUARD is intended for repair of pericardial structures. PERI-GUARD is also intended for use as a patch for intracardiac defects, great vessel, septal defects and annulus repair, and suture-line buttressing.

SUPPLE PERI-GUARD is intended for use as a prosthesis for pericardial closure.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K221029: PERI-GUARD Repair Patch, SUPPLE PERI-GUARD Repair Patch.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K221029

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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