K Number
K080775
Device Name
MAXIM PLASTIC APPLICATOR & NON-APPLICATOR TAMPONS
Manufacturer
Date Cleared
2008-09-10

(175 days)

Product Code
Regulation Number
884.5470
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The MAXIM tampons (both types) are unscented tampons for: - Women's personal hygiene with respect to intra vaginal absorption of . menstrual or other vaginal discharge. . - The plastic applicator is for easing the placement of the tampon correctly into . the vagina (only the MAXIM Plastic Applicator Tampon).
Device Description
The Maxim tampons are used to absorb menstrual fluid. The Maxim series tampons comes with plastic applicator and without in sizes: Regular, Super, Super plus, Ultra. The Maxim tampons are made of commercial cotton and rayon, a polyethylene/polyester cover, and cotton or rayon string.
More Information

TAMPAX COMPAK, o.b.® Non-applicator Tampons.

Not Found

No
The summary describes a standard tampon and its materials, with no mention of AI or ML technology.

No
The device is described as a tampon used for personal hygiene and absorption of menstrual or vaginal discharge, not for treating a disease or condition.

No

Explanation: The device is a tampon, intended for absorbing menstrual fluid and vaginal discharge. Its purpose is hygiene and absorption, not the diagnosis of a disease or condition.

No

The device description clearly states the device is a physical tampon made of cotton, rayon, and other materials, with or without a plastic applicator. It is 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 for "Women's personal hygiene with respect to intra vaginal absorption of menstrual or other vaginal discharge." This describes a physical absorption function for personal hygiene, not a diagnostic test performed in vitro (outside the body).
  • Device Description: The device is a tampon made of absorbent materials. It does not contain reagents, test strips, or any components designed to detect or measure substances in a biological sample for diagnostic purposes.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples, detecting biomarkers, or providing any kind of diagnostic information.
  • Predicate Devices: The predicate devices are other tampons, which are also not IVDs.

IVDs are devices used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for the diagnosis, monitoring, or treatment of diseases or conditions. This tampon does not fit that description.

N/A

Intended Use / Indications for Use

The MAXIM tampons (both types) are unscented tampons for:

  • Women's personal hygiene with respect to intra vaginal absorption of . menstrual or other vaginal discharge. .
  • The plastic applicator is for easing the placement of the tampon correctly into . the vagina (only the MAXIM Plastic Applicator Tampon).

Product codes

HEB

Device Description

The Maxim tampons are used to absorb menstrual fluid.
The Maxim series tampons comes with plastic applicator and without in sizes: Regular, Super, Super plus, Ultra.
The Maxim tampons are made of commercial cotton and rayon, a polyethylene/polyester cover, and cotton or rayon string.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

intra vaginal

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Women's personal hygiene

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)

Results of preclinical and clinical testing indicate that the safety of the modified tampon is comparable to current legally marketed, commercial tampons.

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

Not Found

Predicate Device(s)

TAMPAX COMPAK, COMPACT PLASTIC APPLI. SUPER TAMPO, o.b.® Non-applicator Tampons.

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.5470 Unscented menstrual tampon.

(a)
Identification. An unscented menstrual tampon is a device that is a plug made of cellulosic or synthetic material that is inserted into the vagina and used to absorb menstrual or other vaginal discharge. This generic type of device does not include menstrual tampons treated with scent (i.e., fragrance materials) or those with added antimicrobial agents or other drugs.(b)
Classification. Class II (performance standards).

0

SEP 1 0 2008

510(k) Summary of Safety and Effectiveness

| Device name
(trade names): | Maxim Compact, plastic Applicator, Regular & Super
Maxim Compact, plastic Applicator, Super plus & Ultra
Maxim Non Applicator, Regular & Super
Maxim Non Applicator, Super plus & Ultra |
|------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Classification name | Unscented menstrual tampons |
| Device description | The Maxim tampons are used to absorb menstrual fluid.
The Maxim series tampons comes with plastic applicator and without in
sizes: Regular, Super, Super plus, Ultra.
The Maxim tampons are made of commercial cotton and rayon, a
polyethylene/polyester cover, and cotton or rayon string. |
| Equivalence to a
legally marketed
device | The Maxim tampons are substantially equivalent to current commercial
TAMPAX COMPAK, COMPACT PLASTIC APPLI. SUPER TAMPO
And o.b.® Non-applicator Tampons. |
| Intended use | The Maxim unscented menstrual tampon is intended for intravaginal
absorption of menstrual or other vaginal discharge.
This is the same intended use as current commercial tampons. |
| Technological | The only difference between the modified ob® tampons and the predicate
characteristics tampons is the absorbency has increased to 15-18 grams
absorbency measured by the syngyna test method (21 CFR 801.430). This
is accomplished by slight increases in the weight and dimensions of the
tampons |
| Biocompatibility | Biocompatability and microbiological testing has been conducted on
tampons made with these commercial materials. The results of these tests
demonstrate that the Maxim tampons are equivalent to legally marketed
tampons. This testing included :

  • Microbiological testing
  • Clinical Testing |
    | Conclusion | Results of preclinical and clinical testing indicate that the safety of the
    modified tampon is comparable to current legally marketed, commercial
    tampons. |
    | Contact | Submitted by Tosama d.d., Saranoviceva cesta 35, Vir, 1230 Domzale,
    Slovenia
    Contact person: Antonija Vidensek / +386 (0) 1 729 03 70 |
    | Date | This Summary was prepared on October 20., 2007 |

Avelin-

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Image /page/1/Picture/1 description: The image shows the logo for the Department of Health & Human Services USA. The logo features a stylized eagle with three swooping lines representing its wings and body. The eagle is positioned to the right of a circular border containing the text "DEPARTMENT OF HEALTH & HUMAN SERVICES USA".

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

SEP 1 0 2008

Tosama d.d. % Mr. Harry van Vugt Responsible Third Party Official KEMA Quality B. V. 4377 County Line Road CHALFONT PA 18914

Re: K080775

Trade Name: MAXIM Plastic Applicator Tampon & MAXIM Non-Applicator Tampon Regulation Number: 21 CFR 884.5470 Regulation Name: Unscented menstrual tampon Regulatory Class: II Product Code: HEB Dated: August 21, 2008 Received: August 26, 2008

Dear Mr. van Vugt:

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

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 (OS) 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 one of the following numbers, based on the regulation number at the top of this letter:

21 CFR 876.xxx(Gastroenterology/Renal/Urology)240-276-0115
21 CFR 884.xxx(Obstetrics/Gynecology)240-276-0115
21 CFR 894.xxx(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 Biometrics' (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 yours,

Arne M. Whang

Joyce M. Whang, Ph.D. Acting Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

3

INDICATIONS FOR USE

K080775 510K Number (if known):

MAXIM Plastic Applicator Tampon & MAXIM non-Applicator Tampon Device Name:

Indications for Use:

The MAXIM tampons (both types) are unscented tampons for:

  • Women's personal hygiene with respect to intra vaginal absorption of . menstrual or other vaginal discharge. .
  • The plastic applicator is for easing the placement of the tampon correctly into . the vagina (only the MAXIM Plastic Applicator Tampon).
Prescription Use
(Part 21CFR 801 Subpart D)

AND/OR

Over-The Counter UseX
(Part 21CFR 801 Subpart C)
(Optional Format 1-2-96)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Hulu

Anden-

(Division Sign-Off) Division of Reproductive, Abdominal and Radiological Devic 510(k) Number

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