K Number
K041717
Device Name
POWERSTICK MALE LATEX CONDOMS
Date Cleared
2005-01-13

(203 days)

Product Code
Regulation Number
884.5300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Power Stick Male Latex Condom is used for controptive fic fower belen cric purposes (to help prevent pregnancy and for prophylaction of sexually transmitted diseases).
Device Description
This condom is made of a natural latex sheath, which completely covers the penis with a closely fitted membrane. These two types of condoms, ribbed and dotted-ribbed, are at a nominal length of 170mm., a nominal width of 52 mm (±2mm) and are at a nominal thickness of .06 mm (±.02 mm).
More Information

Not Found

No
The summary describes a standard latex condom with no mention of AI or ML technology in its intended use, device description, or performance studies.

No.
The device is indicated for contraception and prevention of sexually transmitted diseases, which are not therapeutic purposes.

No
The device, a male latex condom, is used for contraceptive and prophylactic (prevention) purposes, not for diagnosing a condition or disease.

No

The device description clearly states it is a physical condom made of natural latex, which is a hardware component.

Based on the provided information, the Power Stick Male Latex Condom is not an IVD (In Vitro Diagnostic) device.

Here's why:

  • Intended Use: The intended use is for contraception and prevention of sexually transmitted diseases. This is a physical barrier method, not a diagnostic test performed in vitro (outside the body) on biological samples.
  • Device Description: The description details a physical device (a condom) made of latex. It doesn't describe any components or processes related to analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing blood, urine, tissue, or any other biological specimen. There are no reagents, test strips, or analytical procedures described.

IVD devices are used to examine specimens from the human body to provide information for diagnosis, monitoring, or screening. The Power Stick Male Latex Condom does not fit this definition.

N/A

Intended Use / Indications for Use

The Power Stick Male Latex Condom is used for controceptive fic fower belen cric purposes (to help prevent pregnancy and for prophylaction of sexually transmitted diseases).

Product codes

85 HIS

Device Description

This condom is made of a natural latex sheath, which completely covers the penis with a closely fitted membrane. These two types of condoms, ribbed and dotted-ribbed, are at a nominal length of 170mm., a nominal width of 52 mm (±2mm) and are at a nominal thickness of .06 mm (±.02 mm).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K040185

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

041717

JAN 1 3 2005

II. 510(k) SUMMARY

| Submitted By: | A.P. Deauville, LLC.
594 Jersey Ave.
New Brunswick, NJ 08901
(732) 545-0200 |
|----------------------|--------------------------------------------------------------------------------------|
| Contact Person: | Scott L. Baier |
| Date Prepared: | June 23, 2004 |
| Proprietary Name: | Power Stick® Male Latex Condoms |
| Common Name: | Male Latex Condom |
| Classification Name: | Condom (21 CFR §884.5310) |
| Predicate Device: | Male Latex Lubricated Condom [510(k)
Number K040185] |

Description of the Device:_This condom is made of a natural latex sheath, which completely covers the penis with a closely fitted membrane. These two types of condoms, ribbed and dotted-ribbed, are at a nominal length of 170mm., a nominal width of 52 mm (±2mm) and are at a nominal thickness of .06 mm (±.02 mm).

Intended Use of the Device: This latex condom has the same intended use as the predicate condom. The condom is used for contraception and for prophylactic purposes (to help prevent pregnancy and the transmission of sexually transmitted diseases).

Technological Characteristics: This design is in conformance with ASTM Latex Condom Standard D3492 and that the condom is made of natural rubber latex and has the same technological characteristics as the predicate condoms identified [510(k) Number K040185]. The condoms described in K040185 are manufactured ribbed and dotted/ribbed Natural Rubber Latex male condoms with a silicone lubricant. The condom design conforms to domestic and international regulations: ASTM D3942, ISO 4074 and EN 600. All physical testing and final release testing revealed in conformance with required specifications.

1

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular arrangement of text that reads "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA". Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Mr. Scott L. Baier Operations Manager A. P. Deauville, LLC 594 Jersey Avenue NEW BRUNSWICK NJ 08901 Re: K041717 Trade/Device Name: Power Stick® Male Latex Condom Regulation Number: 21 CFR 884.5300 Regulation Name: Condom Regulatory Class: II - -Product Code: 85 HIS Dated: December 15, 2004 Received: December 27, 2004

Dear Mr. Baier:

We have reviewed your Scction 510(k) premarket notification of intent to market the device referenced we have reviewed your readle 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 reasy 20, 1976, the other with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that reculssitied in accessal of a premarket approval application (PMA). You may, therefore, market the do inc. 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 (Premarket n your al), it may be subject to such additional controls. Existing major regulations affecting your I ipply rary we 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 Eederal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that I toase of a would 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 (2) CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (QS) (2) Crice (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act): 21 CFR 1000-1050.

JAN 1 3 2005

2

This letter will allow you to begin marketing your device as described in your Section 510(k) I his letter will andw you to ocgin manteing your and equivalence of your device to a legally premarket nothication. The I DA Inting of Sacsamal Price 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 If you desire specific advice ior your cerrest on wind wind of the regulation number at the top of this letter:

21 CFR 876.xxxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxxx(Obstetrics/Gynecology)240-276-0115
21 CFR 892.xxxx(Radiology)240-276-0120
Other240-276-0100

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Also, picase note the regulation entires), formation on your responsibilities under the Act from the 807.97). Tou may obtain other general international and Consumer Assistance at its toll-free number (800) DVISION 01 311all Manufacturers, Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

Nancy C. Brogdon

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

Enclosure

3

Indications for Use

510(k) Number (if known): K041717

Device Name: Power Stick Male Latex Condoms

Indications For Use: The Power Stick Male Latex Condom is used for controptive fic fower belen cric purposes (to help prevent pregnancy and for prophylaction of sexually transmitted diseases).

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

XXX Over-The-Counter Use (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Yancey Gordon

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

Page 1 of 1 _