K Number
K090098
Date Cleared
2009-01-30

(15 days)

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

Maxim Hygiene Organically Grown Cotton Tampon is a tampon used to absorb menstrual fluid. The intended use of the organic cotton tampon is the same as all other products that are legally marketed.

Device Description

A tampon is used for internally absorbing menstrual flow during a period. A range of absorbencies are available designed to cope with various menstrual flows which differ not only from woman to woman, but also during a woman's menstrual life and during each period.

AI/ML Overview

The provided text describes a 510(k) submission for the Maxim Hygiene Organically Grown Cotton Tampon. This submission focuses on demonstrating substantial equivalence to predicate devices rather than proving performance against specific acceptance criteria through a clinical study involving human subjects or AI algorithms. As such, many of the requested elements for an AI/device performance study are not applicable.

Here's an analysis based on the available information:

1. Table of Acceptance Criteria and Reported Device Performance

The acceptance criteria here are based on physicochemical properties and dimensions matching those of predicate devices. The "reported device performance" is effectively the measured values for the Maxim Hygiene tampon, which are shown to be within the ranges of the predicate devices.

ParametersAcceptance Criteria (Predicate Devices' Range)Maxim Hygiene Products (Reported Performance)
Applicator Tampon Super with Crown End
Total Weight5.0-5.9g5.0-5.9g
Weight without applicator2.7-3.2g2.7-3.2g
Withdrawal Cord115-175 mm115-175 mm
Length with Applicator120-125 mm120-125 mm
Length without Applicator45-50 mm45-50 mm
Diameter with Applicator15.9-16.1g15.9-16.1g
Diameter without Applicator14.2-15.7g14.2-15.7g
Syngina Absorption9.0-12.0g9.0-12.0g
Wadding Material100% organic cotton100% organic cotton
Non Woven Material100% organic cotton100% organic cotton
Withdrawal Cord Material100% organic cotton100% organic cotton
Applicator MaterialCardboardCardboard
Digital Tampon Regular
Weight with Single Packaging2.1-2.5g2.1-2.5g
Weight Tampon2.0-2.4g2.0-2.4g
Length with Single Packaging42-26 mm42-26 mm
Diameter with Single Packaging11.8-12.2 mm11.8-12.2 mm
Withdrawal Cord130-160 mm130-160 mm
Syngina Absorption6.0-9.0g6.0-9.0g
Wadding Material100% organic cotton100% organic cotton
Withdrawal Cord Material100% organic cotton100% organic cotton

2. Sample size used for the test set and the data provenance

The document does not specify a "test set" in the context of an AI or clinical study. The testing performed ("Determination of Absorbency Rate of Tampons - Syngina Test", "Expulsion Force Applicator Tampons", "Fiber Loss ATS Testing Method", "Stability Check on Digital Tampons") would have involved a sample of tampons for physical and absorption testing. The sample size for these specific tests is not provided.

Data provenance is not applicable in the sense of patient data; it refers to the physical tampons manufactured by Maxim Hygiene.

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

This is not applicable as there is no "ground truth" derived from expert review in this type of submission. The ground truth for physical properties is derived from standardized testing methods.

4. Adjudication method for the test set

Not applicable.

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 a medical device for menstrual fluid absorption, not a diagnostic AI device requiring human reader performance studies.

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

Not applicable. This is not an algorithmic device.

7. The type of ground truth used

The "ground truth" for this device is based on physical and chemical properties measured against established standards and validated by comparison to legally marketed predicate devices. This includes:

  • Syngina Absorption: A standardized laboratory test to measure absorbency.
  • Dimensions and Weight: Direct physical measurements.
  • Material Composition: Stated as 100% organic cotton, assumed to be verified through material analysis.
  • Biocompatibility: Demonstrated by reference to predicate devices (K983478 and K914430), implying that the materials used are biocompatible as per those previous clearances.

8. The sample size for the training set

Not applicable. This is not an AI/machine learning device.

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

Not applicable.

§ 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).