K Number
K023479
Device Name
FEMTEX TAMPONS AND OTHER PRIVATE LABEL PLASTIC APPLICATOR TAMPONS; CONSUMER PACKAGES AND BULK PACKAGES
Date Cleared
2002-11-26

(40 days)

Product Code
Regulation Number
884.5470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
First Quality Hygienic plastic applicator tampons are a plug made of cellulosic or synthetic material that is inserted into the vagina and used to absorb menstrual or other vaginal discharge.
Device Description
First Ouality Hygienic Plastic Applicator Tampons are menstrual tampons used to absorb menstrual fluid. These Tampons will be marketed in four absorbencies: junior regular, super and super plus. These Tampons are made from rayon and cotton cord. The material used in these tampons are similar to those used in other legally marketed tampons in the US.
More Information

Not Found

No
The device description and performance studies focus on material properties and absorbency, with no mention of AI or ML.

No
Explanation: The device is a tampon, which is used for absorbing menstrual or other vaginal discharge and is not intended to treat or cure any medical condition.

No

Explanation: The device, First Quality Hygienic Plastic Applicator Tampons, is described as a product used to absorb menstrual or other vaginal discharge. There is no mention of it being used to diagnose any disease, condition, or state of being. The performance studies focus on safety and absorbency, not diagnostic capabilities.

No

The device is a physical product (tampons) made of rayon and cotton, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to absorb menstrual or other vaginal discharge by being inserted into the vagina. This is a physical function within the body, not a diagnostic test performed on a sample outside the body.
  • Device Description: The description focuses on the materials and function of a tampon for absorption.
  • Lack of Diagnostic Elements: There is no mention of analyzing samples, detecting biomarkers, or providing diagnostic information about a patient's health condition.
  • Anatomical Site: The device is used within the vagina, which is a direct interaction with the body, not a test on a sample.

IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This device does not fit that description.

N/A

Intended Use / Indications for Use

First Quality Hygienic plastic applicator tampons are a plug made of cellulosic or synthetic material that is inserted into the vagina and used to absorb menstrual or other vaginal discharge.

Product codes

85 HEB

Device Description

First Ouality Hygienic Plastic Applicator Tampons are menstrual tampons used to absorb menstrual fluid. These Tampons will be marketed in four absorbencies: junior regular, super and super plus. These Tampons are made from rayon and cotton cord. The material used in these tampons are similar to those used in other legally marketed tampons in the US.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vagina

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Non-Clinical Testing: Biocompatibility testing and safety evaluations of tampon components were historically carried out. The results of these tests demonstrate that these Tampons are equivalent in terms of safety and effectiveness to legally marketed tampons. Standard Syngyna testing confirmed the absorbency of these Tampons. In addition to the review of existing toxicological data in the public literature, the following tests of raw materials were historically conducted and are relevant to the safety of First Quality Hygienic plastic applicator tampons.

  • ◇ irritation testing
  • 0 sensitization testing
  • 0 acute oral toxicity
  • eve irritation testing
  • cytotoxicity testing ◇

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K896994

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 884.5470 Unscented menstrual tampon.

(a)
Identification. An unscented menstrual tampon is a device that is a plug made of cellulosic or synthetic material that is inserted into the vagina and used to absorb menstrual or other vaginal discharge. This generic type of device does not include menstrual tampons treated with scent (i.e., fragrance materials) or those with added antimicrobial agents or other drugs.(b)
Classification. Class II (performance standards).

0

K023479

NOV 2 6 2002

510K SUMMARY

Device Name: "Femtex" Tampons and other Private Label Plastic Applicator Tampons

VII

Legally marketed device: These Tampons are substantially equivalent to legally marketed predicate tampons with applicators.

Device description: First Ouality Hygienic Plastic Applicator Tampons are menstrual tampons used to absorb menstrual fluid. These Tampons will be marketed in four absorbencies: junior regular, super and super plus.

These Tampons are made from rayon and cotton cord.

The material used in these tampons are similar to those used in other legally marketed tampons in the US.

Intended Use: These tampons are menstrual tampons that are inserted into the vagina and used to absorb menstrual fluid.

Assessment of Performance Standards: Not Applicable

Non-Clinical Testing: Biocompatibility testing and safety evaluations of tampon components were historically carried out. The results of these tests demonstrate that these Tampons are equivalent in terms of safety and effectiveness to legally marketed tampons. Standard Syngyna testing confirmed the absorbency of these Tampons. In addition to the review of existing toxicological data in the public literature, the following tests of raw materials were historically conducted and are relevant to the safety of First Quality Hygienic plastic applicator tampons.

  • ◇ irritation testing
  • 0 sensitization testing
  • 0 acute oral toxicity
  • � eve irritation testing
  • cytotoxicity testing ◇

1

Menstrual Tampon

VIII Substantial Equivalence Comparison Chart

Comparison ElementNew devicePredicate Device
Device NameFirst Quality HygienicPrivate label
plastic
applicator tamponsKotex plastic
applicator
tampons
ManufacturerFirst Quality Hygien..Kimberly Clark
510 (k) #requestedK896994
Intended UseAbsorb Menses
IntravaginallyAbsorb Menses
Intravaginally
Device Designspec.
Junior 1.80 g 35mm
Reg. 2.20g, c.44mm
Sup. 3.30 g c. 45 mm
SupPl. 3.6 g, 53 mm
cord, 125 mm (all)Kotex est.
Reg 2.30 g, 42 mm
Sup. 3.30 g, 45 mm
SupPl.c.4.4g, 55 mm
cord, 130 mm (all)
Component Materialsplug:rayon
PEG stearate palmitate, or
polyoxyethylene 20
sorbitan monolaurateplug: rayon/cotton mix
fatty acid polyglycol
ester/fatty alcohol poly-
glycol ether, Leomin,
glycerol finishes
sewing thread: cottonsewing thread: cotton
waxw/drawal cord: cotton
w/ paraffinic wax basew/drawal cord: cotton
w/ paraffinic
base
Applicatorfood grade polyethylene
linearfood grade
polyethylene
linear mix

મિન્મનીપાઝ

2

Absorbency range in grams per Syngyna methodology

juniorregular/supersuper plus
maximum691215
minimum-6912
required accessory
devicesnonenonenonenone
Other featuresnonenonenonenone

3

Image /page/3/Picture/2 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle or bird-like figure with three curved lines forming its body and head. The bird is positioned to the right of a circular text element. The text reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" in a circular arrangement around the bird.

NOV 2 6 2002

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

First Quality Hygienic, Inc. % Robert J. Staab. Ph.D Official Correspondent Regulatory and Technical Associates 73 Frankllin TPK ALLENDALE NJ 07401

Re: K023479

Trade/Device Name: "Femtex" Tampons and other Private Label Plastic Applicator Tampons Regulation Number: 21 CFR 884.5470 Regulation Name: Unscented menstrual tampon Regulatory Class: II Product Code: 85 HEB Dated: October 17, 2002 Received: October 17, 2002

Dear Dr. Staab:

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.

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); 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.

4

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

8xx.1xxx(301) 594-4591
876.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4616
884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx(301) 594-4616
892.2xxx, 3xxx, 4xxx, 5xxx(301) 594-4654
Other(301) 594-4692

Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Nancy C. Snogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

5

Page_ 2012

510(k) Number (if known): 长安33479

Arsieris no of Device Name: ERSS Quariel Plastic Applicaron

Indications For Use:

INDICATIONS FOR USE

As a Class II device, the menstrual tampon is defined as follows: (21 CFR 884.5460 and 21 CFR 884.5470).

First Quality Hygienic plastic applicator tampons are a plug made of cellulosic or synthetic material that is inserted into the vagina and used to absorb menstrual or other vaginal discharge.

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

David A. Segeum
(Division Sign-off)

Reproductive, Abdominal

Over The Counter

Prescription Use (Per 21 CFR 801