K Number
K040164
Device Name
K-Y BRAND WARMING JELLY PERSONAL LUBRICANT
Date Cleared
2004-04-05

(70 days)

Product Code
Regulation Number
884.5300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Personal Lubricant For vaginal/penile and condom application during sexual intimacy
Device Description
Description of Delly is a non-sterile, clear, non-staining, non-greasy, water soluble ielly for use as a personal lubricant. This product imparts a gentle warming sensation when Jen' for use as a personal nas designed to meet a customer need for a lubricant that does not feel cold when applied. K-Y® Brand Warming Jelly reduce can reduce friction that does not feel cold which upplives and intimacy. It is compatible with latex during sexual mercounse theres your Compatibility Testing conducted according the condonis as defined by ASTM D 3492. K-Y® Brand WARMING Jelly is not a contraceptive nor spermicide.
More Information

K-Y® Brand Warming LIQUID Personal Lubricant

Not Found

No
The device description and performance studies focus on the physical properties and user perception of a personal lubricant, with no mention of AI or ML technologies.

No.
The primary intended use of this device is as a personal lubricant for sexual intimacy, and while it enhances comfort, it is not described as treating, diagnosing, or preventing any specific disease or condition.

No

This device is a personal lubricant intended for sexual intimacy, and its description explicitly states it is "not a contraceptive nor spermicide." It does not provide any information about diagnosing diseases or conditions.

No

The device description clearly indicates it is a physical product (a jelly/lubricant) and the performance studies involve biocompatibility and consumer use, not software validation.

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

Here's why:

  • Intended Use: The intended use is "Personal Lubricant For vaginal/penile and condom application during sexual intimacy." This is a physical lubricant for sexual activity, not a test performed on samples taken from the body to diagnose or monitor a medical condition.
  • Device Description: The description focuses on its physical properties as a lubricant and its compatibility with condoms. It explicitly states it is "not a contraceptive nor spermicide."
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue, etc.), detecting specific analytes, or providing diagnostic information.
  • Performance Studies: The performance studies described are related to biocompatibility, skin irritation, and consumer perception of the warming sensation and lubrication during sexual activity. These are not typical performance studies for an IVD, which would focus on analytical and clinical performance metrics like sensitivity, specificity, and accuracy in detecting a condition.

Therefore, this device falls under the category of a personal lubricant, which is not an IVD.

N/A

Intended Use / Indications for Use

For vaginal/penile and condom application during sexual intimacy

Product codes

85HIS, MMS, NUC

Device Description

Description of Delly is a non-sterile, clear, non-staining, non-greasy, water soluble ielly for use as a personal lubricant. This product imparts a gentle warming sensation when Jen' for use as a personal nas designed to meet a customer need for a lubricant that does not feel cold when applied. K-Y® Brand Warming Jelly reduce can reduce friction that does not feel cold which upplives and intimacy. It is compatible with latex during sexual mercounse theres your Compatibility Testing conducted according the condonis as defined by ASTM D 3492. K-Y® Brand WARMING Jelly is not a contraceptive nor spermicide.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Vaginal, anal or penile tissues

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)

Preclinical Testing of Formulation:
Biocompatibility studies according to International Standard ISO 10993 and General Program Blocompationity studies abouring to and WARMING Jelly were conducted by an outside Memoratiouin G93-1 on X-1 & Blails W Practices (GLPs).
Results: The product was found not to be a contact sensitizing agent, nor was it associated with systemic toxicity.

Human Clinical Testing:

  • Human Repeated Insult Patch Test (Modified Draize Procedure):
    • Comparison: K-Y® Brand WARMING Jelly was compared to the currently marketed K-Y® WARMING LIQUID for its potential for contact sensitization.
    • Results: No evidence of contact sensitization was elicited.
  • Consumer Perception Study:
    • Participants: Male and female.
    • Experiment: Single application of the product to their genitals during an on-site visit.
    • Results: 75.50% of participants rated the overall warming experience as Excellent, Very Good or Good. No adverse events were noted or reported.
  • In Home Consumer Use Study:
    • Purpose: Evaluate consumer perception of warming sensation and product tolerance through vulvo/vaginal coital activity.
    • Method: Consented female subjects received speculum examinations at baseline and following the last coital episode. Study conducted in compliance with acy results for this study concluded that in 245 reported responses, 91.67% were positive for "Warms on Contact" and 85.01% were positive for "Enhances Intimate". Only 0.078 responses were positively to "experienced discomfort".
    • Duration: At least two weeks of home use (with a minimal of two sexual intercourse encounters)
    • Results: In 245 reported responses, 91.67% were positive for "Warms on Contact" and 85.01% were positive for "Enhances Intimate." Only 0.078 responses indicated "experienced discomfort." No serious adverse events were reported. Gynecological examinations showed no irritation; an irregular erythema of the inner thigh area present at baseline was not present at the return visit.

Conclusion: Preclinical and Clinical testing have provided scientific evidence that this product is safe for its intended use.

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

Not Found

Predicate Device(s)

K-Y® Brand Warming LIQUID Personal Lubricant

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.5300 Condom.

(a)
Identification. A condom is a sheath which completely covers the penis with a closely fitting membrane. The condom is used for contraceptive and for prophylactic purposes (preventing transmission of sexually transmitted infections). The device may also be used to collect semen to aid in the diagnosis of infertility.(b)
Classification. (1) Class II (special controls) for condoms made of materials other than natural rubber latex, including natural membrane (skin) or synthetic.(2) Class II (special controls) for natural rubber latex condoms. The guidance document entitled “Class II Special Controls Guidance Document: Labeling for Natural Rubber Latex Condoms Classified Under 21 CFR 884.5300” will serve as the special control. See § 884.1(e) for the availability of this guidance document.

0

APR ~ 5 2004

K040164
Page 1 of 2

510(k) SUMMARY

| Submitter | Personal Products Company Division of McNeil-PPC Inc.
199 Grandview Road
Skillman, New Jersey 08558-9418 |
|---------------------|----------------------------------------------------------------------------------------------------------------|
| Contact Person | Marylou P. Carlson
Mgr. Regulatory Affairs
(908) 904-3709 phone
(908) 904-3748 fax |
| Date Prepared | January 23, 2004 |
| Proprietary Name | K-Y® Brand
WARMING Jelly Personal Lubricant |
| Common Name | Personal Lubricant |
| Classification Name | Condom: 21CFR § 884.5300 Product Code 85HIS
Patient Lubricant: 21CFR 880.6375 Product Code MMS |
| Predicate Device | K-Y® Brand Warming LIQUID Personal Lubricant |

K-Y® Brand JELLY Personal Lubricant

Description of Device

Description of Delly is a non-sterile, clear, non-staining, non-greasy, water soluble ielly for use as a personal lubricant. This product imparts a gentle warming sensation when Jen' for use as a personal nas designed to meet a customer need for a lubricant that does not feel cold when applied. K-Y® Brand Warming Jelly reduce can reduce friction that does not feel cold which upplives and intimacy. It is compatible with latex during sexual mercounse theres your Compatibility Testing conducted according the condonis as defined by ASTM D 3492. K-Y® Brand WARMING Jelly is not a contraceptive nor spermicide.

Intended Use

Intended OSE condom. The lubricous nature of this product helps to supplement the body's own natural lubricating fluids, thereby relieving friction to help enhance the ease and comfort of intimate sexual activity. This lubricant may be safely applied to vaginal, anal or penile tissues for SEXUAL activity. This noticall may be carey appatible with latex condoms. K-Y® Brand purpose of fubrication, and monearizante. In of imparting a warming sensation when applied to the genital area.

Regulatory Status

Per 21CFR, 880.6375, Patient lubricant is defined as Class I medical device intended for medical purposes that is used to lubricate a body orifice to facilitate entry of a diagnostic or themed purposes that is about to the recessory to a condom, (a Class II medical device) the therapedia device. When accuse Class II Medical Device requiring 510(k) clearance.

1

K040164
page 2 of 2

510(k) SUMMARY (continued)

Technological Characteristics

The K-Y® Brand WARMING Jelly Personal Lubricant formula is proprietary. The product, has The R-1 & Bland W/HGMI . Conny seristics and consists mainly of safe water-soluble no exceptional technological character. K-Y® Brand personal lubricants currently on the market.

Substantial Equivalence

Substantial Equivalence
K-Y® Brand WARMING Jelly Personal Lubricant has been shown, in laboratory tests, to be K-Y® Brand WARNING Jeny Personal Barrently marketed K-Y® Brand Warming LIQUID Personal substantally equivalent to the same intended use with a variation in formula ingredients. Lubrican. Both devices have the same mique feature of the K-Y® Brand WARMING lubricant products.

Preclinical Testing of Formulation

Precimical Testing of Formation
Biocompatibility studies according to International Standard ISO 10993 and General Program Blocompationity studies abouring to and WARMING Jelly were conducted by an outside Memoratiouin G93-1 on X-1 & Blails W Practices (GLPs). Results form these studies, laboratory, in compulatice with Cood Laboratory - Pashered to be a contact sensitizing agent, nor was it associated with systemic toxicity.

Human Clinical Testing

Human Chilital Testillie
In a Human Repeated Insult Patch Test (Modified Draize Procedure), this product was In a Human Repeared misun Paten 1000 Torming LIQUID for its potential for contact compared to the currently markets its I & TV Wanning List of contact sensitization was elicited.

A Consumer Perception Study evaluated both male and female participant's experience of A Consumer Petception Stady overance count to their genitals during an on-site visit. Overall warmin with a single application or the product as Excellent, Very Good or Good for "Warms on 75.50% of the participans face the product & incomed or reported during the course of this study.

An In Home Consumer Use Study was conducted to evaluate both consumer perception of An in Home Collisumer OSC Study was collection of the product through vulvo/vaginal warning schud activity as well well well we. Consented female subjects received speculum examinations at baseline and following the last coital episode. The study was gyneological exammations at baseme and 10.6 for Investigational Device Exemption and conducted in compunated with acy results for this study concluded that in 245 reported responses, 91.67% were positive for "Warms on Contact" and 85.01% were positive for Itesponses, 91.07% were positively to "responded positively to "experienced discomfori". Ennunces Intimate " and 0.078 roopeneuse, (with a minimal of two sexual intercourse Auditionally, ance two weeks of nome tool (with reported. Gynecological examinations encounters) there were no sorrous ac. stregular erythema of the inner thigh area at baseline, which was not present at the return visit. It was concluded that the product did not cause irritation as determined by final gynecological examination.

Preclinical and Clinical testing have provided scientific evidence that this product is safe for its intended use.

2

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus, which is a symbol often associated with medicine and healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the caduceus. The logo is black and white.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

FEB 2 4 2014

Ms. Marylou (Panico) Carlson Manager. Regulatory Affairs Personal Products Company Division of McNeil-PPC, Inc. 199 Grandview Road SKILLMAN NJ 08558

Re: K040164 Trade/Device Name: K-Y® Brand Warming Jelly Regulation Number: 21 CFR §884.5300 Regulation Name: Condom Regulatory Class: II Product Code: NUC Dated (Date on orig SE ltr): January 23, 2004 Received (Date on orig SE ltr): January 26, 2004

Dear Ms. Carlson:

This letter corrects our substantially equivalent letter of April 5, 2004.

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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

3

Page 2 -

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638 2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office

of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Benjamin R. Fisher -S

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if known): K040164

Device Name: K-Y® Brand Warming Jelly

Indications For Use:

Personal Lubricant I croomax Lubrican
For vaginal/penile and condom application during sexual intimacy

Prescription Use (Part 21 CFR 801 Subpart D) AND/OR

Over-The-Counter Use X (21 CFR 807 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Nancy C. Brydon

(Division Sign-Of)
Division of Reproductive, Abdominal,
and Radiological Devices
510(k) Number K040164