K Number
K080042
Date Cleared
2008-04-03

(86 days)

Product Code
Regulation Number
880.6375
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Intended for medical purposes to lubricate body orifices to facilitate entry of diagnostic or therapeutic devices.

Device Description

The Spirus Medical Lubricant is a water-based lubricant intended for lubrication of a body orifice to facilitate entry of a diagnostic or therapeutic device.

AI/ML Overview

The provided text describes a 510(k) premarket notification for the Spirus Medical Lubricant, a Class I patient lubricant. The information given is limited and focuses on the regulatory aspects rather than detailed study results to prove acceptance criteria.

Based on the provided text, here's an analysis of the requested information:

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

Acceptance CriteriaReported Device Performance
Safety:
Biocompatibility"Biocompatibility testing was conducted on the finished device in accordance with ISO 10993." (Implied acceptance met due to "predetermined acceptance criteria")
Effectiveness:
Substantial Equivalence to Predicate Device"Substantial Equivalence for the Spirus Medical Lubricant has been established by comparison of the chemical formula for the proposed device vs. that of the predicate devices." (Implied acceptance met due to "predetermined acceptance criteria")
Lubrication of body orifices to facilitate entry of diagnostic or therapeutic devicesThe device is "intended for lubrication of a body orifice to facilitate entry of a diagnostic or therapeutic device." The conclusion states it "meets all the pre-determined acceptance criteria of the testing performed to confirm safety and effectiveness." This implies the lubricant successfully performs its intended function.

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 does not specify a sample size for any test set or the data provenance. It mentions "biocompatibility testing" and "comparison of the chemical formula" but provides no details on the studies themselves.

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)

This information is not available in the provided document. The submission relies on chemical comparison and biocompatibility testing, not on expert-driven "ground truth" establishment in a diagnostic sense.

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

This information is not available in the provided document. Adjudication methods are typically relevant for studies involving human interpretation or subjective assessment, which is not described here.

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

A multi-reader, multi-case (MRMC) comparative effectiveness study is not mentioned and is not applicable to a patient lubricant. This type of study is typically used for diagnostic devices involving human interpretation (e.g., radiologists analyzing medical images with and without AI assistance).

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

This concept is not applicable to a medical lubricant. A lubricant does not involve an algorithm or "standalone" performance in the way a diagnostic AI would.

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

For biocompatibility testing, the "ground truth" would be established by the biological response of cells/tissues to the lubricant, as defined by the ISO 10993 standards. For substantial equivalence, the ground truth is the chemical formula of the predicate devices. There is no mention of expert consensus, pathology, or outcomes data.

8. The sample size for the training set

This information is not available in the provided document. The device is a lubricant, not a machine learning model, so typical "training set" concepts do not apply.

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

This information is not available and not applicable.


Summary of Device Acceptance:

The Spirus Medical Lubricant "meets all the pre-determined acceptance criteria of the testing performed to confirm safety and effectiveness." The study that proves this is based on:

  • Chemical Comparison: Substantial equivalence was established by comparing the chemical formula of the proposed device to that of predicate devices (K-Y Lubricating Jelly and Probe Personal Lubricant). This comparison is the primary method for demonstrating effectiveness in terms of physical properties expected of a lubricant.
  • Biocompatibility Testing: The device underwent testing in accordance with ISO 10993 standards to ensure safety for patient contact.

The document explicitly states: "The Spirus Medical Lubricant meets all the pre-determined acceptance criteria of the testing performed to confirm safety and effectiveness; the Spirus Lubricant is substantially equivalent to the predicate devices." This concise statement confirms that the studies performed (chemical comparison and biocompatibility) were deemed sufficient to meet the regulatory requirements for a Class I patient lubricant seeking 510(k) clearance. Specific data, sample sizes, and detailed methodology of these tests are not provided in this summary.

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K080042

Section 5-510(k) Summary

General Information

Owner's Name:Spirus Medical, Inc.APR - 3 2008
Address:1063 Turnpike StreetStoughton, MA 02072
Telephone Number:(781) 297-5042
Fax Number:(781) 297-5059
Contact Person:Robert Ailinger
Subject Device Name:Spirus Medical Lubricant
Trade Name:Spirus Medical Lubricant
Common/Usual Name:Patient lubricant
Product Code:KMJ
FDA Regulation:21 CFR 880.6375 - Patient Lubricant
Device Classification:Class I
Predicate Device Names:
Trade Name:K-Y Lubricating Jelly (Johnson & Johnson, Inc.)
Common/Usual Name:Patient lubricant
Product Code:KMJ
FDA Regulation:21 CFR 880.6375 - Patient Lubricant
Device Classification:Class I
Premarket Notification:K810310

Trade Name: Common/Usual Name: Product Code: FDA Regulation: Device Classification: Premarket Notification: Probe Personal Lubricant (Davryan Laboratories, Inc.) Condom & accessories HIS 21 CFR 884.5300 - Condom Class II K952464

Device Description

The Spirus Medical Lubricant is a water-based lubricant intended for lubrication of a body orifice to facilitate entry of a diagnostic or therapeutic device.

Indications for Use

For medical purposes to lubricate body orifices to facilitate entry of diagnostic or therapeutic devices.

Substantial Equivalence

Substantial Equivalence for the Spirus Medical Lubricant has been established by comparison of the chemical formula for the proposed device vs. that of the predicate devices. Biocompatibility testing was conducted on the finished device in accordance with ISO 10993.

Conclusion

The Spirus Medical Lubricant meets all the pre-determined acceptance criteria of the testing performed to confirm safety and effectiveness; the Spirus Lubricant is substantially cquivalent to the predicate devices.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, symbolizing protection and service. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" are arranged in a circular pattern around the eagle.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

APR - 3 2008

Spirus Medical, Incorporated C/O Ms. Pamela Papineau President, Regulatory Affairs Consultant Delphi Medical Device Consulting, Incorporated 5 Whitcomb Avenue Ayer, Massachusetts 01432

Re: K080042

Trade/Device Name: Spirus Medical Lubricant Regulation Number: 880.6375 Regulation Name: Patient Lubricant Regulatory Class: I Product Code: KMJ Dated: December 30, 2008 Received: January 8, 2008

Dear Ms Papineau:

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.

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Page 2 - Ms. Papineau

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 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 (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

Chiu Lin, Ph.D.

Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use Statement

510(k) Number (if known):

Spirus Medical Lubricant Device Name:

Indications for Use:

Intended for medical purposes to lubricate body orifices to facilitate entry of diagnostic or therapeutic devices.

OR Prescription Use _ (Per 21 CFR 801 Subpart D)

.

Over-the -Counter Use X (Per 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)

ans and and and the commender of the commended to the commended to the commended to the commended to the world the world to the world to the world be

(Division Sign-Off) (Division of Anesthesiology, General Hospital nfection Control, Dental Devices

10(k) Number: ________________________________________________________________________________________________________________________________________________________________

§ 880.6375 Patient lubricant.

(a)
Identification. A patient lubricant is a device intended for medical purposes that is used to lubricate a body orifice to facilitate entry of a diagnostic or therapeutic device.(b)
Classification. Class I (general controls). Except when the device is a vaginal patient lubricant or an oral lubricant, it is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 880.9.