K Number
K080042
Device Name
SPIRUS MEDICAL SURGICAL INSTRUMENT
Date Cleared
2008-04-03

(86 days)

Product Code
Regulation Number
880.6375
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
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.
More Information

No
The device description and performance studies focus on the biocompatibility and lubrication properties of a water-based lubricant, with no mention of AI or ML.

No.
The device is a lubricant intended to facilitate the entry of diagnostic or therapeutic devices, but it is not itself a therapeutic device. Its purpose is to aid other devices, not to provide therapy directly.

No
The device is a lubricant intended to facilitate the entry of other devices, not to diagnose a condition itself.

No

The device description clearly states it is a "water-based lubricant," which is a physical substance, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is to "lubricate body orifices to facilitate entry of diagnostic or therapeutic devices." This describes a physical action performed on the body, not a test performed on a sample taken from the body.
  • Device Description: The device is described as a "water-based lubricant." This is a substance applied externally or internally to reduce friction, not a reagent or instrument used to analyze a biological sample.
  • Lack of IVD Characteristics: The description does not mention any of the typical characteristics of an IVD, such as:
    • Analyzing biological samples (blood, urine, tissue, etc.)
    • Detecting or measuring specific substances (analytes)
    • Providing diagnostic information based on the analysis of a sample

The device's function is purely mechanical – to reduce friction during the insertion of other medical devices. This falls under the category of a medical device, but not specifically an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

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

Product codes

KMJ

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.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

body orifices

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 (study type, sample size, AUC, MRMC, standalone performance, key results)

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.
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.

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

Not Found

Predicate Device(s)

K810310

Reference Device(s)

K952464

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 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.

0

K080042

Section 5-510(k) Summary

General Information

Owner's Name:Spirus Medical, Inc.APR - 3 2008
Address:1063 Turnpike Street
Stoughton, 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.

1

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.

2

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

3

Image /page/3/Picture/0 description: The image shows a handwritten string of characters. The string starts with the letter 'K', followed by '080042'. The characters are written in a simple, slightly messy style, giving the impression of quick handwriting.

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: ________________________________________________________________________________________________________________________________________________________________