K Number
K080775
Manufacturer
Date Cleared
2008-09-10

(175 days)

Product Code
Regulation Number
884.5470
Panel
OB
Reference & Predicate Devices
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
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.

AI/ML Overview

Here's a breakdown of the acceptance criteria and study information based on the provided text, focusing on what is explicitly stated or can be reasonably inferred.

Note: This document is a 510(k) Summary of Safety and Effectiveness for a menstrual tampon. As such, the "device performance" and "acceptance criteria" presented here refer to the performance characteristics required for regulatory equivalence rather than a clinical efficacy study typically associated with AI/software devices. The questions in the prompt, especially those regarding AI, experts, and ground truth, are geared towards AI/ML devices. Therefore, many categories will indicate "Not Applicable" or "Not Provided" as this document does not pertain to an AI/ML device.

Acceptance Criteria and Reported Device Performance

Acceptance Criteria CategoryAcceptance CriteriaReported Device Performance
Technological CharacteristicsAbsorbency characteristics not significantly different from predicate devices such that safety is compromised. Specifically, the syngyna test method (21 CFR 801.430) is used to quantify absorbency, and any changes must not introduce new safety concerns or alter the intended function beyond acceptable limits for a menstrual tampon. The general safety and efficacy of menstrual tampons, including material composition and design, are implicitly assumed to be similar to legally marketed predicate devices.The absorbency has increased to 15-18 grams, as measured by the syngyna test method (21 CFR 801.430). This increase was accomplished by slight increases in the weight and dimensions of the tampons. This change is considered within an acceptable range as the device is deemed "substantially equivalent" to predicate devices, implying that this altered absorbency does not introduce new safety or effectiveness concerns.
BiocompatibilityMaterials must be biocompatible and not elicit adverse biological reactions when in contact with human tissue (intravaginal use). This is typically demonstrated through a series of ISO 10993 compliant tests (e.g., cytotoxicity, sensitization, irritation) and/or comparison to predicate devices with a known history of safe use. Microbiological testing must also demonstrate that the materials and finished product do not pose an undue risk of infection.Biocompatibility and microbiological testing have 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. The specific tests mentioned included "Microbiological testing" and "Clinical Testing," suggesting a comprehensive evaluation against established safety standards for similar devices.
Intended UseThe device must be suitable for its intended use of intravaginal absorption of menstrual or other vaginal discharge without presenting new or increased risks compared to predicate devices. For applicator versions, the applicator must facilitate correct and safe placement.The intended use is clearly stated as "intravaginal absorption of menstrual or other vaginal discharge." For the plastic applicator version, its function is "for easing the placement of the tampon correctly into the vagina." This aligns directly with the established intended use of predicate menstrual tampons and is deemed acceptable.
Safety and Effectiveness (Overall)The device must be as safe and effective as legally marketed predicate devices. This is the overarching criterion for substantial equivalence. Any modifications should not raise new questions of safety or effectiveness."Results of preclinical and clinical testing indicate that the safety of the modified tampon is comparable to current legally marketed, commercial tampons." This statement summarizes the overall finding of substantial equivalence, indicating that all relevant criteria were met.

Study Details (Most are Not Applicable for this type of submission)

2. Sample size used for the test set and the data provenance (e.g. country of origin of the data, retrospective or prospective)

  • Sample Size: Not specified for biocompatibility, microbiological, or clinical testing. Details regarding the number of tampons tested in the syngyna absorbency test are also not provided in this summary.
  • Data Provenance: The manufacturer is Tosama d.d., located in Slovenia. The specific country of origin for the data (e.g., where clinical testing was performed) is not provided. The terms "retrospective or prospective" are not applicable given the nature of the tests (biocompatibility, product performance).

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)

  • Not Applicable. This is a medical device 510(k) submission for a tampon, not an AI/ML diagnostic or prognostic device that relies on expert interpretation for ground truth. The evaluation involves standardized physical and biological tests.

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

  • Not Applicable. As above, this is not a study requiring human adjudication of results in the traditional sense of clinical imaging or AI performance. The tests are objective (e.g., syngyna absorbency, microbiological assays).

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

  • Not Applicable. This is not a study involving human readers or AI assistance.

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

  • Not Applicable. This is not an algorithm or AI device.

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

  • For Absorbency: The "ground truth" is established by the standardized syngyna test method (21 CFR 801.430), which is a reproducible laboratory measurement of fluid retention capacity.
  • For Biocompatibility/Microbiological: The "ground truth" is defined by the passing criteria of accepted international standards (e.g., ISO for biocompatibility) and regulatory guidelines for microbiological safety. Pathological or outcomes data would relate to clinical trials, which are referenced as "Clinical Testing" but no specifics provided. Ultimately, the "ground truth" for showing equivalence rests on meeting established safety profiles of predicate devices.

8. The sample size for the training set

  • Not Applicable. This is not an AI/ML device that requires a training set.

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

  • Not Applicable. This is not an AI/ML device that requires a training set or associated ground truth.

§ 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).