K Number
K070965
Device Name
ALICIA MENSTRUAL CUP
Date Cleared
2008-03-05

(335 days)

Product Code
Regulation Number
884.5400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Alicia 100 Menstrual Cup / Models 99ALXS, 100ALSM, 101ALMD, 102ALLG is a receptacle placed in the vagina to collect blood and cellular debris that is extruded from the uterus via the cervix during menstruation.
Device Description
The Alicia™ menstrual cup is a soft, small internally worn reusable silicone menstrual cup that holds (instead of absorbing) monthly menstrual flow. It may remain in the body for up to 12 hours. It holds an ounce of fluid. It is available four sizes: · L size: 102ALLG; for larger built women that have had children. · M size: 101ALMD; for women who have had vaginal childbirth or C-Section; and for women who are over 30 years old and never had childbirth. S size: 100ALSM; for women under 30 years old who have never had childbirth or C-Section. · XS size: 99ALXS; for teenagers and very small framed women. The cup remains entirely within the vagina and does not tough the cervix but the stem remains outside the body to ensure retrieval of the cup. The Alicia™ menstrual cup is manufactured from a soft silicone elastomer.
More Information

No Reference Devices Found

No
The device description and intended use clearly describe a physical menstrual cup made of silicone. There is no mention of any software, data processing, or intelligent capabilities.

No
This device is a menstrual cup, which is a receptacle for collecting menstrual fluid, not a device intended to treat or cure a disease or condition.

No
Explanation: The device is a menstrual cup used to collect menstrual fluid, not to diagnose a medical condition. Its intended use is to serve as a receptacle for bodily fluid.

No

The device description clearly states it is a physical menstrual cup made of silicone elastomer, which is a hardware component.

Based on the provided information, the Alicia 100 Menstrual Cup is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to collect menstrual fluid within the vagina. This is a physical collection of a bodily substance, not a test performed on a sample of that substance to provide diagnostic information.
  • Device Description: The device is a physical receptacle made of silicone. It does not contain reagents, test strips, or any components designed to analyze or detect specific substances within the collected fluid.
  • Lack of Diagnostic Function: The device's function is purely mechanical – to hold menstrual flow. It does not provide any information about the composition, presence of markers, or any other diagnostic data related to the menstrual fluid or the patient's health.
  • Performance Studies: The performance studies mentioned focus on biocompatibility and compliance with standards for medical devices, not on the accuracy or reliability of any diagnostic measurements.
  • Predicate Device: The predicate device is another menstrual cup, which also functions as a collection device and is not an IVD.

IVD devices are typically used to examine specimens derived from the human body (like blood, urine, tissue, etc.) to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. The Alicia 100 Menstrual Cup does not perform any such analysis.

N/A

Intended Use / Indications for Use

The Alicia™ Menstrual Cup is a receptacle placed in the vagina to collect blood and cellular debris that is extruded from the uterus via the cervix during menstruation. The Alicia™ Menstrual Cup is placed low enough in the vagina to be retrieved readily and to prevent it's toughing the cervix or interfering with menstrual flow through it.

Product codes

HHE

Device Description

The Alicia™ menstrual cup is a soft, small internally worn reusable silicone menstrual cup that holds (instead of absorbing) monthly menstrual flow. It may remain in the body for up to 12 hours. It holds an ounce of fluid. It is available four sizes:

  • · L size: 102ALLG; for larger built women that have had children.
  • · M size: 101ALMD; for women who have had vaginal childbirth or C-Section; and for women who are over 30 years old and never had childbirth.
  • S size: 100ALSM; for women under 30 years old who have never had childbirth or C-Section.
  • · XS size: 99ALXS; for teenagers and very small framed women.
    The cup remains entirely within the vagina and does not tough the cervix but the stem remains outside the body to ensure retrieval of the cup. See the user's manual for information about how to use and care for the Alicia™ menstrual cup.

The Alicia™ menstrual cup is manufactured from a soft silicone elastomer. The properties of the silicone are described in a master file at FDA. The master file provides data on all of the biocompatibility or toxicity testing required according to FDA's memorandum to guidance G95-1.

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

Not Found

Key Metrics

Not Found

Predicate Device(s)

K040335

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.5400 Menstrual cup.

(a)
Identification. A menstrual cup is a receptacle placed in the vagina to collect menstrual flow.(b)
Classification. Class II (special controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 884.9.

0

K070965

510(k) SUMMARY

MAR - 5 2011

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

The assigned 510(k) number is:

  1. Submitter's Identifications: Establishment: Alicia™ International Pty, Ltd. 84A Skyline Dr, Burleigh Heads, Gold Coast, Queensland, Australia 4220 Operations: Foreigner importer

Owner/Operator:

Alicia™ International Pty, Ltd. 84A Skyline Dr, Burleigh Heads, Gold Coast, Queensland, Australia 4220

Date of Summary Preparation: April 2, 2007.

    1. Name of the Device: Alicia110 Menstrual Cup / 99ALXS, 100ALSM, 101ALMD, 102ALLG
    1. Information of device classification.
DeviceCup, Menstrual
Regulation DescriptionMenstrual cup
Regulation Medical SpecialtyObstetrics/Gynecology
Review PanelObstetrics/Gynecology
Product CodeHHE
Regulation Number884.5400
Device ClassII

4. Device Description:

The Alicia™ menstrual cup is a soft, small internally worn reusable silicone menstrual cup that holds (instead of absorbing) monthly menstrual flow. It may remain in the body for up to 12 hours. It holds an ounce of fluid. It is available four sizes:

  • · L size: 102ALLG; for larger built women that have had children.
  • · M size: 101ALMD; for women who have had vaginal childbirth or C-Section; and for women who are over 30 years old and never had childbirth.
  • S size: 100ALSM; for women under 30 years old who have never had childbirth or C-Section.
  • · XS size: 99ALXS; for teenagers and very small framed women. ned women.
    Eonch Eouch

The cup remains entirely within the vagina and does not tough the cervix but the stem remains outside the body to ensure retrieval of the cup. See the user's manual for information about how to use and care for the Alicia™ menstrual cup.

The Alicia™ menstrual cup is manufactured from a soft silicone elastomer. The properties of the silicone are described in a master file at FDA. The master file provides data on all of the biocompatibility or toxicity testing required according to FDA's memorandum to guidance G95-1. shich

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Alicia™ International Pty., Ltd.

  • · 5. Intended Use: The Alicia™ Menstrual Cup is a receptacle placed in the vagina to collect blood and cellular debris that is extruded from the uterus via the cervix during menstruation. The Alicia'10 Menstrual Cup is placed low enough in the vagina to be retrieved readily and to prevent it's toughing the cervix or interfering with menstrual flow through it.
    • 6. Comparison to the 510(k) Cleared Device (Predicate Device): MoonCup® Menstrual Cup (K040335)
      1. Discussion of Non-Clinical Tests Performed Determination of Substantial Equivalence are as follows:

Compliance to applicable voluntary standards includes ISO 10993-1 for biocompatibility as well as the specified testing standard of ISO 10993-5 and ISO 10993-10.

    1. Conclusions
      The Alicia™ Menstrual Cup / Model: 99ALXS, 100ALSM, 101ALMD and 102ALLG have the same intended use and technological characteristics as the cleared devices, Menstrual Cup (K040338). Moreover, verification and validation tests contained in this submission demonstrate that the difference in the submitted demonstrate that the difference in the submitted models could maintain the same safety and effectiveness as that of cleared device.

In the other words, those engineering difference do not: (1) affect the intended use or (2) alter the fundamental scientific technology of the device. Therefore, the new device Alicia Menstrual Cup / Model: 99ALXS, 100ALSM. 101ALMD and 102ALLG is considered substantial equivalent to the chosen 510(k) cleared device MoonCup® Menstrual Cup (K040335).

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is a stylized graphic of an abstract symbol, possibly representing a human figure or a flame.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR - 5 2008

Alicia International PTY LTD c/o Mr. Tom Stone Official Correspondent PO Box 1471 Oxenford 4210 OLD AUSTRALIA

Re: K070965

Trade/Device Name: Alicia™ Menstrual Cup / Models 99ALXS, 100ALSM 101ALMD, 102ALLG Regulation Number: 21 CFR 8884.5400 Regulation Name: Menstrual cup

Regulatory Class: II Product Code: HHE Dated: February 21, 2008 Received: February 21, 2008

Dear Mr. Stone:

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.

3

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.

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 Center for Devices and Radiological Health's (CDRH's) Office of Compliance at one of the following numbers, based on 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" (21CFR Part 807.97). For questions regarding postmarket surveillance, please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding the reporting of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. 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 vours.

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

4

510(k) Number (if known):

Device Name: Alicia™ Menstrual Cup / Models 99ALXS, 100ALSM, 101ALMD, 102ALLG

Indications For Use:

The Alicia 100 Menstrual Cup / Models 99ALXS, 100ALSM, 101ALMD, 102ALLG is a receptacle placed in the vagina to collect blood and cellular debris that is extruded from the uterus via the cervix during menstruation.

Prescription Use (Part 21 CFR 801 Subpart D) OR

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

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hushin Leun

sion of Reproductive, Abdon Radiological Devices 510(k) Number

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