(27 days)
This device is for use in adult women, over 18 years of age, who experience involuntary urine loss with physical activity (stress urinary incontinence).
The uresta™ Pessary has been modified to be manufactured using an alternate non-latex thermoplastic elastomer rubber. No other changes have been made to the device.
The EastMed Inc. uresta™ Pessary (K083769) is a vaginal pessary designed for adult women experiencing stress urinary incontinence. This 510(k) pertains to a modified version of the device, where the only change is the manufacturing material (an alternate non-latex thermoplastic elastomer rubber).
Here's an analysis of the provided information:
1. Table of Acceptance Criteria and Reported Device Performance:
| Acceptance Criteria | Reported Device Performance |
|---|---|
| Biocompatibility | EastMed Inc. undertook biocompatibility testing to support the safety of the new material. |
2. Sample Size and Data Provenance:
The document does not provide details on sample size, test set, or data provenance (e.g., country of origin, retrospective/prospective) for any specific study. The 510(k) focuses on demonstrating substantial equivalence based on a material change to an already cleared device.
3. Number of Experts and Qualifications:
The document does not mention the use of experts to establish ground truth for any test set. Given the nature of the submission (material change), such an assessment might not have been deemed necessary.
4. Adjudication Method:
The document does not describe any adjudication method.
5. Multi-Reader Multi-Case (MRMC) Comparative Effectiveness Study:
The document does not mention an MRMC comparative effectiveness study, nor does it discuss human reader improvement with or without AI assistance. This device is a physical medical device, not an AI-assisted diagnostic tool.
6. Standalone (Algorithm Only) Performance:
The concept of "standalone performance" for an algorithm is not applicable here, as the uresta™ Pessary is a physical device, not an algorithm.
7. Type of Ground Truth Used:
The document implies that the ground truth for establishing safety of the new material was based on biocompatibility testing standards and results. No other form of "ground truth" (like pathology or outcome data) is mentioned in relation to the material change.
8. Sample Size for Training Set:
The document does not provide any information regarding a training set sample size. As a physical medical device, the concept of a "training set" in the context of an algorithm or machine learning model is not relevant.
9. How Ground Truth for Training Set Was Established:
The document does not address how ground truth for a training set was established, as there is no mention of a training set or an algorithm in this 510(k) submission.
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K083769
Page 1 of 2
EastMed Inc.
uresta" Pessary Special 510(k)
| Manufacturer Name: | EastMed Inc. |
|---|---|
| Contact Name: | Karen Farrell |
| Title: | VP, Regulatory Affairs & Health Education |
| Postal Address: | 1721 Lower Water StreetSuite 301Halifax, Nova Scotia B3J 1S5 |
| Phone Number: | 902-421-5692 |
| Fax: | 902-421-5695 |
| Date: | December 17, 2008 |
510(k) Summary of Safety and EffectivenesgAN 1 4 2009
| Device Proprietary Name: | urestaTM Pessary |
|---|---|
| Device Common or Usual Name: | Vaginal Pessary |
| Classification Name: | Pessary, Vaginal |
| Classification Code | HHW |
| Classification Panel | General Hospital |
| Regulation Number | 884.3575 |
Predicate Device:
Substantial equivalence is claimed to the following devices:
- uresta™ Pessary, K081385, EastMed Inc. �
- Instead Softcup Feminine Protection Cup, K971303, Ultrafem Inc. o
Description of the Device
The uresta™ Pessary has been modified to be manufactured using an alternate non-latex thermoplastic elastomer rubber. No other changes have been made to the device.
Intended Use of the Device
The urestaTM Pessary is designed for adult women who experience involuntary urine loss from the most common type of incontinence; stress incontinence, from physical activity such as coughing, laughing and/or exercising.
Performance
EastMed Inc. has undertaken biocompatibility testing to support the safety of the new material.
Substantial Equivalence
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uresta™ Pessary Special 510(k)
K083769
Page 2 of 2.
16
EastMed Inc.
i Conclusion
.
Based on the information provided in this 510(k) premarket notification, the modified uresta™ Pessary is substantially equivalent in terms of safety and effectiveness to the predicate devices identified above.
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DEPARTMENT OF HEALTH & HUMAN SERVICES
Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES USA" around the perimeter. Inside the circle is a stylized symbol that resembles a caduceus, which is a traditional symbol of medicine. The symbol features a staff with two snakes coiled around it, and a pair of wings at the top.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
JAN 1 4 2009
EastMed, Inc. c/o Ms. Roshana Ahmed Manager, Regulatory Affairs (Devices) CanReg, Inc. 4 Innovation Drive Dundas, Ontario CANADA L9H 7P3
K083769 Re:
Trade/Device Name: uresta™ Pessary Regulation Number: 21 CFR §884.3575 Regulation Name: Vaginal pessary Regulatory Class: II Product Code: HHW Dated: December 17, 2008 Received: December 18, 2008
Dear Ms. Ahmed:
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, the refore, 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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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 that I Dr. I 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 os 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 11 you t 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 892.xxx | (Radiology) | (240) 276-0120 |
| Other | (240) 276-0100 |
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Inay consumer on 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.suppot/index.html.
Sincerely yours,
Janine M. Morris
Acting Director. Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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EastMed Inc.
uresta™ Pessary Special 510(k)
Indications for Use Statment
510(k) Number:
K 083769
Device Name:
uresta™ Pessary
Indication for Use:
This device is for use in adult women, over 18 years of age, who experience involuntary urine loss with physical activity (stress urinary incontinence).
X Prescription Use (21 CFR Part 801 Subpart D) And/Or
Over the Counter Use (21 CFR Part 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE; CONTINUE ON ANOTHER PAGE IF NEEDED)
Concurrence of CDRH, Office of Device Evaluation (ODE)
Division Sign-Off
Office of Device Evaluation
510(k)_
(Division Sign-Off) Division of Reproductive, Abdominal, and Radiological Devices
510(k) Number K083109
§ 884.3575 Vaginal pessary.
(a)
Identification. A vaginal pessary is a removable structure placed in the vagina to support the pelvic organs and is used to treat conditions such as uterine prolapse (falling down of uterus), uterine retroposition (backward displacement), or gynecologic hernia.(b)
Classification. Class II (performance standards).