K Number
K071081
Device Name
CONTACT LENS CASE
Date Cleared
2007-05-01

(14 days)

Product Code
Regulation Number
886.5928
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Applicant contact lens case is a lens care product to be used by the contact lens wearer or practitioner for storing soft, rigid gas permeable or hard contact lenses while not being worn. Not designed for heat disinfecting system. Use only with chemical disinfection.
Device Description
The applicant device of Contact Lens Case is a device intended to be used by the contact lens wearer or practitioner for storing contact lenses while not being worn. The applicant device is not sterile and not for heat-disinfection. Applicant Device Variants: SL-295, SL-298, SL-326, SL-338, SL-316, SL-511, SL-800, SL-863, SL-884, SL-886, SL-869, SL-876, SL-880, SL-899 All the variant models as mention above follow the same design principle with the same intended use. The only difference is the dimension and appearance of each model, which do no effect on the usage and intended use and just for commercial purpose. The applicant device of Contact Lens Case consists of 2 parts: case body and case cover. The case body is based with adjoining dual wells for the containment of fluid, and the cap is designed for screwing. All the variant models of the applicant device have a capacity of over 1.5 ml in each case well. And the inner height of the all well exceeds 8.5 mm. With regard to the Center Thickness of the normal hydrophilic and hydrophobic contact lens will not outnumber 8.5 mm, the capacity is sufficient for contact lens to be fully immersed under use condition. The applicant device of Contact Lens Case made of 2 types of material of Polypropylene (PP) and Acrylonitrile - butadiene - styrene copolymer (ABS) for each variant model.
More Information

Not Found

No
The device description and intended use clearly define a simple contact lens storage case with no mention of any computational or analytical capabilities, let alone AI/ML.

No.
This device is described as a 'lens care product' for 'storing' contact lenses and is not designed for heat disinfection. Its function is storage, not directly treating or preventing a disease or condition in a human body.

No

The device is a contact lens case used for storing contact lenses, not for diagnosing any condition. Its function is containment and storage, not diagnostic assessment.

No

The device is a physical contact lens case made of polypropylene and ABS, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is clearly stated as "storing soft, rigid gas permeable or hard contact lenses while not being worn." This is a physical storage function, not a diagnostic test performed on a sample from the human body.
  • Device Description: The description focuses on the physical characteristics of the case (material, dimensions, capacity) and its function in holding contact lenses and fluid. There is no mention of analyzing biological samples or providing diagnostic information.
  • Lack of IVD Characteristics: IVD devices are designed to examine specimens (like blood, urine, tissue) to provide information about a person's health or condition. This contact lens case does not perform any such analysis.

The device is a medical device, specifically a contact lens accessory, but it falls under a different regulatory category than IVDs.

N/A

Intended Use / Indications for Use

The Applicant contact lens case is a fens care product to be used by the contact lens wearer or practitioner for storing soft, rigid gas permeable or hard contact lenses while not being worn. Not designed for heat disinfecting system. Use only with chemical disinfection.

Product codes

LRX

Device Description

The applicant device of Contact Lens Case is a device intended to be used by the contact lens wearer or practitioner for storing contact lenses while not being worn. The applicant device is not sterile and not for heat-disinfection.

Applicant Device Variants: SL-295, SL-298, SL-326, SL-338, SL-316, SL-511, SL-800, SL-863, SL-884, SL-886, SL-869, SL-876, SL-880, SL-899

All the variant models as mention above follow the same design principle with the same intended use. The only difference is the dimension and appearance of each model, which do no effect on the usage and intended use and just for commercial purpose.

The applicant device of Contact Lens Case consists of 2 parts: case body and case cover. The case body is based with adjoining dual wells for the containment of fluid, and the cap is designed for screwing. All the variant models of the applicant device have a capacity of over 1.5 ml in each case well. And the inner height of the all well exceeds 8.5 mm. With regard to the Center Thickness of the normal hydrophilic and hydrophobic contact lens will not outnumber 8.5 mm, the capacity is sufficient for contact lens to be fully immersed under use condition.

The applicant device of Contact Lens Case made of 2 types of material of Polypropylene (PP) and Acrylonitrile - butadiene - styrene copolymer (ABS) for each variant model.

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

contact lens wearer or practitioner

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)

Effectiveness:
All the variant models of the applicant device have a capacity of over 1.5 ml in each case well. And the inner height of the all well exceeds 8.5 mm. With regard to the Center Thickness of the normal hydrophilic and hydrophobic contact lens will not outnumber 8.5 mm, the capacity is sufficient for contact lens to be fully immersed under use condition.

Safety Considerations:
The test results of biocompatibility of Polypropylene (PP) contact lens (SL-884 is sampled for the test) are presented as Table IV-5 for the consideration of Biological Specifications.

The test results of biocompatibility of Acrylonitrile - butadiene - styrene copolymer (ABS) contact for the test) are presented as Table IV-6 for the lens case (SL-800 is sampled consideration of Biological Specifications

The test results of biocompatibility Polypropylene (PP) contact lens case with colorant Carbazole is sampled for the test) are presented as (SL-295 vjolet (Pigment Violet 23) IV-7 for the consideration of Biological Specifications. Table

Per 21 CFR 73.3107, Carbazole violet (Pigment Violet 23) (CAS Reg. No. 6358-30-1, Color Index No. 51319) is exempt from the certification requirement of 721(c) of FD&C Act.

Conclusion: The all conducted Biological Evaluation Tests are in compliance with the standards of ISO 10993, "Biological Evaluation of Medical Devices". The compatibility of all the possible skin-contact component material in the finished product meets the requirement of Biocompatibility

The applicant device is Substantially Equivalent (SE) to the predicate device which is US legally market device. Therefore, the applicant device is determined as safe and effectiveness.

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

Not Found

Predicate Device(s)

K042578

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.5928 Soft (hydrophilic) contact lens care products.

(a)
Identification. A soft (hydrophilic) contact lens care product is a device intended for use in the cleaning, rinsing, disinfecting, lubricating/rewetting, or storing of a soft (hydrophilic) contact lens. This includes all solutions and tablets used together with soft (hydrophilic) contact lenses and heat disinfecting units intended to disinfect a soft (hydrophilic) contact lens by means of heat.(b)
Classification. Class II (Special Controls) Guidance Document: “Guidance for Industry Premarket Notification (510(k)) Guidance Document for Contact Lens Care Products.”

0

510(k) Summary

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 9807.92.

The Assigned 510(k) Number is:

1. Date of Submission: Nov 28, 2006

Applicant Device Information 2.

Trade/Proprietary Name: Contact Lens Case (Multiple Brand Names) Common Name: Contact Lens Case Classification Name: Case, Contact Lens Device Class: Jly F Product Code: LRX Regulation Number: 886.5928

Intended Use:

The Applicant contact lens case is a fens care product to be used by the contact lens wearer or practitioner for storing soft, rigid gas permeable or hard contact lenses while not being worn. Not designed for heat disinfecting system. Use only with chemical disinfection.

3. Submitter Information

Manufacturer Name:

Ningbo Kaida Rubber & Plastic Technology Co., Ltd. No.1 Qinggang Industrial Park, Mou Shan Town, Yu Yao City, Zhejiang Province, China

Contact Person of the Submission:

Ms. Diana. Hong Mr. Eric. Chen Shanghai Mid-link Consulting Co., Ltd. Suite 8D, Zhongxin Zhongshan Building, Lane 999, Zhongshan No.2 Road (S), Shanghai 200030 China Phone: +86-21-64264467 x 152 Fax: +86-21-64264468 x 809

1

Premarket Notification 510(k) Submission-510(k) Summary Report No.: A20060121

Email: Diana.hong@mid-link.net

Predicate Device 4.

The Legally Marketed Contact Lens Case as predicate devices is identified as followings:

  1. i-Promotions Contact Lens Case (K042578) Manufactured by: i-Promotions, Inc. 9522 Gravois Rd. St. Louis, MO 63123

Device Description 5.

applicant device of Contact Lens Case is a device intended to be used The by the contact lens wearer or practitioner for storing contact lenses while not being worn. The applicant device is not sterile and not for heat-disinfection.

Applicant Device Variants: SL-295, SL-298, SL-326, SL-338, SL-316, SL-511, SL-800, SL-863, SL-884, SL-886, SL-869, SL-876, SL-880, SL-899

All the variant models as mention above follow the same design principle with the same intended use. The only difference is the dimension and appearance of each model, which do no effect on the usage and intended use and just for commercial purpose.

The applicant device of Contact Lens Case consists of 2 parts: case body and case cover. The case body is based with adjoining dual wells for the containment of fluid, and the cap is designed for screwing. All the variant models of the applicant device have a capacity of over 1.5 ml in each case well. And the inner height of the all well exceeds 8.5 mm. With regard to the Center Thickness of the normal hydrophilic and hydrophobic contact lens will not outnumber 8.5 mm, the capacity is sufficient for contact lens to be fully immersed under use condition.

The applicant device of Contact Lens Case made of 2 types of material of Polypropylene (PP) and Acrylonitrile - butadiene - styrene copolymer (ABS) for each variant model.

2

Premarket Notification 510(k) Submission—510(k) Summary
Report No.: A20060121

Substantially Equivalence Determination 6.

Comparison Table of the Applicant Device and Predicate Device of Single Lumen

Comparison ElementsApplicant DevicePredicated Device
Device NameMultiple Brand Names2) i-Promotions Contact Lens Case (K042578)
Classification NameContact Lens CaseContact Lens Case
Product CodeLRXLRX
Comparison StatementThe applicant device has same classification information as the predicate device.
Intended UseThe Applicant contact lens case is a lens care product to be
used by the contact lens wearer or practitioner for storing contact
lenses while not being worn. The applicant device is not designed
for heat disinfecting system. Use only with chemical disinfection.i-Promotions Contact Lens Case is intended for storage
during disinfection of soft, rigid gas permeable or hard
contact lenses. Not to be used with heat disinfection. Use
only with chemical disinfection.
IndicationsStorage and Disinfection of Soft, Rigid Gas Permeable
or HardStorage and Disinfection of Soft, Rigid Gas Permeable
or Hard
Comparison StatementThe applicant device has same indications and intended use as the predicate device.
Disinfection TypeChemical Disinfection
Not Heat-DisinfectionChemical Disinfection
Not Heat-Disinfection
DesignTwo adjoining Wells Screwed with Screw Top
into WhichTwo adjoining Wells Screwed with Integral Hinged Cap into Which
Respective Lenses are Immersed
Main MaterialSK Corporation Polypropylene (PP) R370Y with
certificated qualityDow Chemical Company Low Density Polyethene Dow
Product
Acrylonitrile - butadiene - styrene copolymer (ABS) PA -
757K#9931 See 510(k) (K993486)
Carbazole violet (Pigment Violet 23) (CAS Reg. No.
6358-30-1, Color Index No. 51319)
Comparison StatementThe applicant device has similar product design as the predicate device. The only difference is the ABS material

X3

3

Effectiveness Elements
Two adjoining Wells Screwed with Integral Hinged Cap into Which
Respective Lenses are Immersed
Comparison StatementThe applicant device has same performance effectiveness as the predicate device.
Safety ElementsPolypropylene (PP) R370YLow Density Polyethene Dow Product #9931
In Vitro Cyto-toxicityNo Cyto-toxicityIn Vitro Cyto-toxicityNo Cyto-toxicity
Delayed-type
HypersensitivityNo delayed dermal contact
sensitizationDelayed-type HypersensitivityNo delayed dermal contact sensitization
Eye IrritationNo intracutaneous reactivityEye IrritationNo intracutaneous reactivity
Systemic ToxicityNo systemic toxicitySystemic ToxicityNo systemic toxicity
Acrylonitrile - butadiene - styrene copolymer (ABS)
PA - 757K
In Vitro Cyto-toxicityNo Cyto-toxicity
Delayed-type
HypersensitivityNo delayed dermal contact
sensitization
Eye IrritationNo intracutaneous reactivity
Systemic ToxicityNo systemic toxicity
Polypropylene (PP) R370Y with colorant of Carbazole violet
In Vitro Cyto-toxicityNo Cyto-toxicity
Delayed-type
HypersensitivityNo delayed dermal contact
sensitization
Eye IrritationNo intracutaneous reactivity
Systemic ToxicityNo systemic toxicity
Comparison StatementThe applicant device has same performance safety as the predicate device

Premarket Notification 510(k) Submission—510(k) Summary

X4

4

rket Notification 510(k) Submission-510(k) Summission-510(k) Summit No.: A20060121

SULT OF COMPARIS

same performano The applican device has same classion information, same intended use, similar product design,

Conclusion

The applicant device is Substantially Equivalent (SE) to the predicate device which is US legally market device. Therefore is applicant device in the spelicant device in the

5

Effectiveness and Safety Considerations 7.

Effectiveness:

All the variant models of the applicant device have a capacity of over 1.5 ml in each case well. And the inner height of the all well exceeds 8.5 mm. With regard to the Center Thickness the normal hydrophilic and hydrophobic contact lens will not outnumber 8.5 mm, of the capacity is sufficient for contact lens to be fully immersed under use condition.

Safety Considerations:

The test results of biocompatibility of Polypropylene (PP) contact lens (SL-884 is sampled for the test) are presented as Table IV-5 for the consideration of Biological Specifications.

The test results of biocompatibility of Acrylonitrile - butadiene - styrene copolymer (ABS) contact for the test) are presented as Table IV-6 for the lens case (SL-800 is sampled consideration of Biological Specifications

The test results of biocompatibility Polypropylene (PP) contact lens case with colorant Carbazole is sampled for the test) are presented as (SL-295 vjolet (Pigment Violet 23) IV-7 for the consideration of Biological Specifications. Table

Per 21 CFR 73.3107, Carbazole violet (Pigment Violet 23) (CAS Reg. No. 6358-30-1, Color Index No. 51319) is exempt from the certification requirement of 721(c) of FD&C Act.

Conclusion: The all conducted Biological Evaluation Tests are in compliance with the standards of ISO 10993, "Biological Evaluation of Medical Devices". The compatibility of all the possible skin-contact component material in the finished product meets the requirement of Biocompatibility

The applicant device is Substantially Equivalent (SE) to the predicate device which is US legally market device. Therefore, the applicant device is determined as safe and effectiveness.

6

Public Health Service

Image /page/6/Picture/2 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 eagle with three tail feathers, representing the three levels of government: federal, state, and local. The eagle is surrounded by the words "DEPARTMENT OF HEALTH & HUMAN SERVICES. USA" in a circular arrangement.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

Ningbo Kaida Rubber and Plastic Technology Co., Lt c/o Marc M. Mouser Underwriters Laboratories, Inc. Laboratory and Testing 2600 NW Lake Rd. Camas, WA 98607

MAY - I 2007

Re: K071081

Trade/Device Name: Contact Lens Case (Multiple Brand Names) Regulation Number: 21 CFR 886.5928 Regulation Name: Soft (hydrophilic) contact lens care products Regulatory Class: Class II Product Code: LRX Dated: March 1, 2007 Received: April 17, 2007

Dear Mr. Mouser:

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.

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Page 2 - Marc M. Mouser

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. Eichelman, M.D.

Malvina B. Evdelman, 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

ා දූ

Pending KO7/08) 510(k) Number:________________________________________________________________________________________________________________________________________________________________

Device Name: _Contact Lens Case

Indications for Use:

The Applicant contact lens case is a lens care product to be used by the contact lens wearer or practitioner for storing soft, rigid gas permeable or hard contact lenses while not being worn. Not designed for heat disinfecting system. Use only with chemical disinfection.

| Prescription Use
(Part 21 CFR 801 Subpart D) | AND/OR | Over-The-Counter Use
(21 CFR 801 Subpart C) | √ |

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

(Division Sign-Off)

Division of Ophthalmic Ear, Nose and Throat Devises

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