K Number
K062614
Date Cleared
2006-11-01

(57 days)

Product Code
Regulation Number
886.5925
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear (spherical) is indicated for daily wear to enhance or alter the apparent color of the eye and/or for the correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes who may have 1.00D or less of astigmatism.
The VISTAKON® (etafilcon A) Soft (hydrophilic) BIFOCAL Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of distance and near vision in presbyopic, phakic or aphakic persons with nondiseased eyes who may have 0.75D of astigmatism or less.
The VISTAKON® (etafilcon A) Soft (hydrophilic) TORIC Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of visual acuity in phakic or aphakic persons with non-diseased eyes that are hyperopic or myopic and may have 10.00D of astigmatism or less.
The VISTAKON® (etafilcon A) Soft (hydrophilic) BIFOCAL-TORIC Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of distance and near vision in presbyopic phakic or aphakic persons with non-diseased eves who may have 10.00D of astigmatism or less.
The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear helps protect against transmission of harmful UV radiation to the cornea and into the eye.
The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear may be prescribed for daily wear. Eye Care Practitioners may prescribe the lenses either for single-use disposable wear or frequent/planned replacement wear with cleaning, disinfection, and scheduled replacement (see "Wearing Schedule").
When prescribed for frequent/planned replacement wear the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is to be cleaned, rinsed, and disinfected each time the lens is removed. The etafilcon A contact lens is to be discarded after the recommended wearing period as prescribed by the Eye Care Professional. When prescribed for frequent/planned replacement wear, the lenses may be disinfected using a chemical disinfection system only.
When prescribed for single-use disposable wear (See "Wearing Schedule") the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is to be discarded after each removal.

Device Description

The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear is available as a spherical lens, a bifocal lens, a toric lens, and a toric bifocal lens. The lens material (etafilcon A) is a copolymer of 2hydroxyethyl methacrylate and methacrylic acid cross-linked with 1, 1, 1 -trimethylol propane trimethacrylate and ethylene glycol dimethacrylate. The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Visibility Tinted with UV Blocker, for Daily Wear is tinted blue using Reactive Blue Dye #4 to make the lenses more visible for handling. The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens Cosmetically Tinted with UV Blocker for Daily Wear, contains a pigmented area that will mask or enhance the color of the natural iris. The lens is colored with one or more of the following color additives: iron oxides, titanium dioxide, phthalocyaninato (2-) copper, phytalocyanine green, vat orange 1 and Reactive Blue Dye #4. The cosmetically tinted lens is available in the following opaque colors: Blue, Gray, Green, Honey, Chestnut, Hazel and Sapphire. They are also available in the following enhancer colors: Blue, Green and Aqua.
In the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear, a benzotriazole UV absorbing monomer is used to block UV radiation. The UV Blocking for VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear averages 97% in the UVB range of 280 nm to 315 nm. The UV Blocker for VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Visibility Tinted with UV Blocker for Daily Wear averages 82% in the UVA range of 316 nm to 380 nm. The UV Blocker for VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Cosmetically Tinted with UV Blocker for Daily Wear averages 81% in the UVA range of 316 nm to 380 nm.

AI/ML Overview

The provided text describes a Special 510(k) submission for a VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens. This submission is for modifications to an existing device, and therefore, the primary method of demonstrating acceptance criteria is through comparison to a predicate device and non-clinical testing, rather than a de novo clinical study with specific performance metrics for the modified device.

Here's a breakdown of the requested information based on the provided text:

1. A table of acceptance criteria and the reported device performance

For a 510(k) submission concerning modifications to an existing device, "acceptance criteria" are generally focused on demonstrating that the modified device performs equivalently to the predicate device for specified properties, and meets established safety and performance standards through non-clinical testing.

PropertyAcceptance Criteria (Predicate Device Label Claim)Reported Device Performance (Subject Device Label Claim)
Water Content, %5858
Refractive Index @ 20° C1.401.40
Dk-Fatt method, non-edge corrected (cm²/sec)* (ml O₂/ml*mmHg)28.0 x 10⁻¹¹28.0 x 10⁻¹¹
Specific Gravity, (calc.)0.98 - 1.130.98 - 1.13
Light TransmissionMinimum 85%Minimum 85%
Base Curve Radius, mm7.85 mm to 10.0 mm7.85 mm to 10.0 mm
Diameter, mm12.0 mm to 15.0 mm12.0 mm to 15.0 mm
Power, DioptersVaries with power: 0.06 mm to 1.00 mmVaries with power: 0.06 mm to 1.00 mm
Center Thickness, mm-20.0 D to +20.0 D-20.0 D to +20.0 D
UV Blocker (UVB range 280 nm to 315 nm)(Implicitly similar to predicate based on statement "UV absorbing monomer is used to block UV radiation")Averages 97%
UV Blocker (UVA range 316 nm to 380 nm - Clear & Visibility Tinted)(Implicitly similar to predicate)Averages 82%
UV Blocker (UVA range 316 nm to 380 nm - Cosmetically Tinted)(Implicitly similar to predicate)Averages 81%
Toxicology Testing (Cytotoxicity, Ocular Irritation, Systemic Toxicity, Leachables)Compliance with FDA Premarket Notification (510(k)) Guidance Document for Daily Wear Contact lenses, May 12, 1984 standards."Non-toxic and biocompatible with the ocular environment"
Physical/Chemical TestingWithin established finished product specifications."Within established finished product specifications"
Stability TestingRemains stable."Remain stable"
Solution Compatibility TestingCompatibility with disinfection systems.(Implied by nature of test)

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

The document explicitly states: "The technological characteristics, formulation, manufacturing, and sterilization processes are the same as the predicate device, therefore no clinical data is required." This indicates that there was no separate "test set" of patient data for a new clinical study. The data provenance would be derived from the non-clinical tests and the established equivalence to the predicate device.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts (e.g. radiologist with 10 years of experience)

Not applicable. As no clinical data was required or provided, there was no "test set" requiring ground truth established by experts in the context of this 510(k) submission.

4. Adjudication method (e.g. 2+1, 3+1, none) for the test set

Not applicable. No clinical data or test set requiring adjudication was conducted for this 510(k) submission.

5. If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

Not applicable. This device is a contact lens, not an AI-powered diagnostic or assistive tool. Therefore, no MRMC study or AI-related comparative effectiveness was conducted.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Not applicable. This device is a contact lens, not an algorithm.

7. The type of ground truth used (expert consensus, pathology, outcomes data, etc)

For the non-clinical tests mentioned (Toxicology, Physical/Chemical, Stability, Solution Compatibility), the "ground truth" would be established by validated laboratory testing methods and accepted industry standards, as referenced by the FDA Premarket Notification (510(k)) Guidance Document for Daily Wear Contact lenses, May 12, 1984. For the comparative properties shown in the table, the ground truth is the predicate device's label claims.

8. The sample size for the training set

Not applicable. This device is a modified contact lens, not an AI model, so there is no training set in the context of machine learning.

9. How the ground truth for the training set was established

Not applicable. As there is no training set.

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K 062614


:

Special 510 (k) Summary of Safety and Effectiveness

Name andAddress ofSubmitterVISTAKON®, Division of Johnson & Johnson Vision Care, Inc.7500 Centurion Parkway, Suite 100Jacksonville, Florida 32256
Contact: Susan Morris
Phone: (904) 443-1828
Date Prepared: September 1, 2006
DeviceIdentificationand ClassCommon Name:Soft (hydrophilic) contact lenses for dailywear
Trade/Proprietary Name:VISTAKON® (etafilcon A) Soft(hydrophilic) Contact Lens, Clear andTinted (Visibility and/or Cosmetically)with UV Blocker for Daily Wear
Classification:Class II, under 21 CFR 886.5925
PredicateDeviceInformationThe predicate devices are: 1) VISTAKON® (etafilcon A) Soft(hydrophilic) Contact Lens, Clear and Visibility Tinted, with UVBlocker for disposable daily wear, most recently cleared via K051900,2) ACUVUE®2 COLOURS Brand (etafilcon A ) Soft hydrophilicContact Lens with UV Blocker for Daily Wear most recently clearedvia K033969.

Continued on next page

Special 510(k) VISTAKON (etafilcon A) Contact Lenses Modification Sentember 1 2006

Page 1 of 5

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Continued

Device

The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Description Wear is available as a spherical lens, a bifocal lens, a toric lens, and a toric bifocal lens. The lens material (etafilcon A) is a copolymer of 2hydroxyethyl methacrylate and methacrylic acid cross-linked with 1, 1, 1 -trimethylol propane trimethacrylate and ethylene glycol dimethacrylate. The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Visibility Tinted with UV Blocker, for Daily Wear is tinted blue using Reactive Blue Dye #4 to make the lenses more visible for handling. The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens Cosmetically Tinted with UV Blocker for Daily Wear, contains a pigmented area that will mask or enhance the color of the natural iris. The lens is colored with one or more of the following color additives: iron oxides, titanium dioxide, phthalocyaninato (2-) copper, phytalocyanine green, vat orange 1 and Reactive Blue Dye #4. The cosmetically tinted lens is available in the following opaque colors: Blue, Gray, Green, Honey, Chestnut, Hazel and Sapphire. They are also available in the following enhancer colors: Blue, Green and Aqua.

In the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear, a benzotriazole UV absorbing monomer is used to block UV radiation. The UV Blocking for VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear averages 97% in the UVB range of 280 nm to 315 nm. The UV Blocker for VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Visibility Tinted with UV Blocker for Daily Wear averages 82% in the UVA range of 316 nm to 380 nm. The UV Blocker for VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Cosmetically Tinted with UV Blocker for Daily Wear averages 81% in the UVA range of 316 nm to 380 nm.

Continued on next page

Special 510(k) VISTAKON (etafilcon A) Contact Lenses Modification Contamhar 1 2006

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Continued

The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear Indications for Use and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear (spherical) is indicated for daily wear to enhance or alter the apparent color of the eye and/or for the correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes who may have 1.00D or less of astigmatism. The VISTAKON® (etafilcon A) Soft (hydrophilic) BIFOCAL Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of distance and near vision in presbyopic, phakic or aphakic persons with nondiseased eyes who may have 0.75D of astigmatism or less. The VISTAKON® (etafilcon A) Soft (hydrophilic) TORIC Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of visual acuity in phakic or aphakic persons with non-diseased eyes that are hyperopic or myopic and may have 10.00D of astigmatism or less. The VISTAKON® (etafilcon A) Soft (hydrophilic) BIFOCAL-TORIC Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of distance and near vision in presbyopic phakic or aphakic persons with non-diseased eves who may have 10.00D of astigmatism or less. The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear helps protect against transmission of harmful UV radiation to the cornea and into the eye. The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear may be prescribed for daily wear. Eye Care Practitioners may prescribe the lenses either for single-use disposable wear or frequent/planned replacement wear with cleaning, disinfection, and scheduled replacement (see "Wearing Schedule"). Continued on next page

Special 510(k) VISTAKON (etafilcon A) Contact Lenses Modification September 1. 2006

Page 3 of 5

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Continued

Indications for Use (continued)

When prescribed for frequent/planned replacement wear the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is to be cleaned, rinsed, and disinfected each time the lens is removed. The etafilcon A contact lens is to be discarded after the recommended wearing period as prescribed by the Eye Care Professional. When prescribed for frequent/planned replacement wear, the lenses may be disinfected using a chemical disinfection system only.

When prescribed for single-use disposable wear (See "Wearing Schedule") the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is to be discarded after each removal.

Technological Characteristics

Comparison to Predicate Device

The table below shows a side-by-side comparison of the label claim characteristics of the modified device to the predicate device.

PropertySubject DeviceLabel ClaimPredicate DeviceLabel Claim
Water Content, %5858
Refractive Index@ 20° C1.401.40
Dk-Fatt method, non-edge corrected(cm²/sec)(ml O₂/mlmmHg)$28.0 x 10^{-11}$$28.0 x 10^{-11}$
Specific Gravity, (calc.)0.98 - 1.130.98 - 1.13
Light TransmissionMinimum 85%Minimum 85%
Base Curve Radius, mm7.85 mm to 10.0 mm7.85 mm to 10.0 mm
Diameter, mm12.0 mm to 15.0 mm12.0 mm to 15.0 mm
Power, DioptersVaries with power:0.06 mm to 1.00 mmVaries with power: 0.06mm to 1.00 mm
Center Thickness, mm-20.0 D to + 20.0 D-20.0 D to + 20.0 D

Continued on next page

Special 510(k) VISTAKON (etafilcon A) Contact Lenses Modification September 1, 2006

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Continued

:

Summary ofNon-clinicalTestingThe following tests were conducted as recommended by the FDAPremarket Notification (510(k)) Guidance Document for Daily WearContact lenses, May 12, 1984:• Toxicology Testing• Cytotoxicity using the ISO Agarose Overlay• ISO Ocular Irritation Study• USP & ISO Systemic Toxicity in Mice• Leachables• Physical/Chemical Testing• Stability Testing• Solution Compatibility Testing
Clinical TestingThe technological characteristics, formulation, manufacturing, andsterilization processes are the same as the predicate device, therefore noclinical data is required.
SubstantialEquivalenceThe VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lenses fordaily wear that are the subject of this 510(k) submission are equivalent tothe predicate device. Successful results from chemical/physical, stabilityand toxicology tests confirm the lenses are within established finishedproduct specifications, remain stable, and are non-toxic andbiocompatible with the ocular environment.

Special 510(k) VISTAKON (etafilcon A) Contact Lenses Modification Sentember 1. 2006

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Image /page/5/Picture/1 description: The image contains the text 'Public Health Service'. The text is in a simple, sans-serif font and is horizontally aligned. The words are stacked on top of each other.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Vistakon Division of Johnson & Johnson Vision Care, Inc. c/o Susan Morris Project Manager, Regulatory Submissions 7500 Centurion Parkway, Ste. 100 Jacksonville FL 32256

NOV 1 2006

Re: K062614

Trade/Device Name: Vistakon® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Visibility Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear (packaged in buffered saline with Povidone) Regulation Number: 21 CFR 886.5925 Regulation Name: Soft (hydrophilic) contact lens Regulatory Class: Class II Product Code: LPL Dated: October 12, 2006 Received: October 17, 2006

Dear Ms. Morris:

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 such 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,

Image /page/5/Picture/11 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States of America. The seal features a stylized depiction of an eagle with three lines forming its body and wings. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" is arranged in a circular pattern around the eagle.

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Page 2 - Susan Morris

This letter will allow you to begin marketing your device as described in your Section 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 (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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 (240) 276-3150 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

M.B. Eggleton, M.D.

Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use Statement

510(k) NumberUnknown K062614
Device NameVISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear
Indications for UseThe VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear (spherical) is indicated for daily wear to enhance or alter the apparent color of the eye and/or for the correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes who may have 1.00D or less of astigmatism.The VISTAKON® (etafilcon A) Soft (hydrophilic) BIFOCAL Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of distance and near vision in presbyopic, phakic or aphakic persons with non-discased eyes who may have 0.75D of astigmatism or less.The VISTAKON® (etafilcon A) Soft (hydrophilic) TORIC Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of visual acuity in phakic or aphakic persons with non-diseased eyes that are hyperopic or myopic and may have 10.00D of astigmatism or less.The VISTAKON® (etafilcon A) Soft (hydrophilic) BIFOCAL-TORIC Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear is indicated for daily wear for the correction of distance and near vision in presbyopic, phakic or aphakic persons with non-diseased eyes who may have 10.00D of astigmatism or less.The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker for Daily Wear helps protect against transmission of harmful UV radiation to the cornea and into the eye.

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Special 510(k) VISTAKON (etafilcon A)
Contact Lenses Modification
Sentember 1. 2006

:

Page 1 of 2

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K062614

Indications for Use Statement, Continued

The VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear is to be prescribed for daily wear. Eye Care Practitioners may prescribe the lenses either for single-use disposable wear or frequent/planned replacement wear with cleaning, disinfection, and scheduled replacement (see "Wearing Schedule").

When prescribed for frequent/planned replacement wear the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear is to be cleaned, rinsed, and disinfected each time the lens is removed. The contact lens is to be discarded after the recommended wearing period as prescribed by the Eye Care Professional. When prescribed for frequent/planned replacement wear, the lenses may be disinfected using a chemical disinfection system only.

When prescribed for single-use disposable wear (See "Wearing Schedule'') the VISTAKON® (etafilcon A) Soft (hydrophilic) Contact Lens, Clear and Tinted (Visibility and/or Cosmetically) with UV Blocker, for Daily Wear is to be discarded after each removal.

LabelsValues
Prescription UseX
(Part 21 CFR 801 Subpart D)
AND/OR
Over-the-Counter Use
(21 CFR 901 Subpart C)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Jon Hets

(Division Sign-Off) Division of Ophthalmic Ear, Nose and Throat Devises

510(k) Number K062614

§ 886.5925 Soft (hydrophilic) contact lens.

(a)
Identification. A soft (hydrophilic) contact lens is a device intended to be worn directly against the cornea and adjacent limbal and scleral areas of the eye to correct vision conditions or act as a therapeutic bandage. The device is made of various polymer materials the main polymer molecules of which absorb or attract a certain volume (percentage) of water.(b)
Classification. (1) Class II if the device is intended for daily wear only.(2) Class III if the device is intended for extended wear.
(c)
Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before a device described in paragraph (b)(2) of this section may be commercially distributed. See § 886.3.