K Number
K091287
Device Name
VS-SENSE TEST
Manufacturer
Date Cleared
2009-08-31

(122 days)

Product Code
Regulation Number
862.1550
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The VS-SENSE™ TEST is a qualitative, visually-read swab for clinicians who wish to evaluate women with vaginal symptoms. The device is a vaginal pH indicator swab intended to be used in conjunction with other clinical examinations, such as the Amsel criteria or the Nugent Gram stain, to aid in determining conditions characterized by elevated vaginal pH, such as bacterial vaginosis.
Device Description
The VS-SENSE™ comprises a regular vaginal swab with its tip coated by an indicating polymer. When the indicating tip has been in contact with vaginal secretion, with elevated pH level, the user will observe a blue or green stain on the yellow background of the tip. The stains on the tip are caused by the sensitivity of a proprietary polymer, which coats the tip and contains the traditional indicator - Nitrazine Yellow. The VS-SENSE™ polymer matrix has a specific composition of ingredients that changes color when the pH of the vaginal discharge is greater than 4.7 +0.3/-0.2.
More Information

Not Found

No
The device description details a chemical reaction based on pH change, and there is no mention of AI, ML, image processing, or training/test sets typically associated with AI/ML technologies.

No
The device is a diagnostic tool designed to evaluate vaginal pH levels to aid in determining conditions like bacterial vaginosis; it does not provide any form of therapy or treatment.

Yes

The device is intended to "aid in determining conditions characterized by elevated vaginal pH, such as bacterial vaginosis," which aligns with the definition of a diagnostic device.

No

The device description clearly states it comprises a physical vaginal swab with a coated tip, which is a hardware component.

Yes, this device is an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The device is intended to be used "in conjunction with other clinical examinations... to aid in determining conditions characterized by elevated vaginal pH, such as bacterial vaginosis." This clearly indicates it's used to analyze a sample (vaginal secretion) taken from the human body to provide information about a physiological state or condition.
  • Device Description: The device works by reacting with vaginal secretion and changing color based on the pH level. This is a classic example of an in vitro diagnostic test where a sample is analyzed outside the body.
  • Mechanism of Action: The color change is a chemical reaction between the vaginal secretion and the indicating polymer on the swab tip. This is an in vitro process.

The definition of an IVD generally includes devices used to examine specimens derived from the human body to provide information for diagnostic purposes. The VS-SENSE™ TEST fits this definition perfectly.

N/A

Intended Use / Indications for Use

The VS-SENSE™ TEST is a qualitative, visually-read swab for clinicians who wish to evaluate women with vaginal symptoms. The device is a vaginal pH indicator swab intended to be used in conjunction with other clinical examinations, such as the Amsel criteria or the Nugent Gram stain, to aid in determining conditions characterized by elevated vaginal pH, such as bacterial vaginosis.

Product codes (comma separated list FDA assigned to the subject device)

CEN

Device Description

The VS-SENSE™ comprises a regular vaginal swab with its tip coated by an indicating polymer. When the indicating tip has been in contact with vaginal secretion, with elevated pH level, the user will observe a blue or green stain on the yellow background of the tip. The stains on the tip are caused by the sensitivity of a proprietary polymer, which coats the tip and contains the traditional indicator - Nitrazine Yellow. The VS-SENSE™ polymer matrix has a specific composition of ingredients that changes color when the pH of the vaginal discharge is greater than 4.7 +0.3/-0.2.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vagina

Indicated Patient Age Range

women

Intended User / Care Setting

clinicians

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)

Sensitivity: Stand-alone 86.3%
Specificity: Stand-alone 93.9%

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

Sensitivity: Stand-alone 86.3%, As 2nd test of the Amsel Criteria procedure 97%
Specificity: Stand-alone 93.9%, As 2nd test of the Amsel Criteria procedure 43.5%

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K960648

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 862.1550 Urinary pH (nonquantitative) test system.

(a)
Identification. A urinary pH (nonquantitative) test system is a device intended to estimate the pH of urine. Estimations of pH are used to evaluate the acidity or alkalinity of urine as it relates to numerous renal and metabolic disorders and in the monitoring of patients with certain diets.(b)
Classification. Class I (general controls). The device is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to § 862.9.

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K091287

Section 5. 510(k) Summary

AUG 3 1 2009

5.1. 510(k) summary information:

  • 5.1.1.
  • 5.1.1.1. Submitter's name: Common Sense Ltd
  • 5.1.1.2. Address: 7 Haeshel St, Caesarea 38900, POB 3567, Israel
  • Telephone: 972-4-6277101, Fax: 972-4-6277103 5.1.1.3.
  • Contact person: Ms. Natasha Leskovsek, US Regulation Consultant 5.1.1.4.
  • Date: August 21, 2009 5.1.1.5.

5.1.2.

  • Name of the device: VS-SENSETM 5.1.2.1.
  • 5.1.2.2. Classification name: Paper, Obstetric pH
  • Identification of the legally marketed predicate device: 5.1.3. PHEM-CHEKTM, 510(k) no: K960648

A description of the device: The VS-SENSE™ comprises a regular vaginal swab with its tip coated by an indicating polymer. When the indicating tip has been in contact with vaginal secretion, with elevated pH level, the user will observe a blue or green stain on the yellow background of the tip. The stains on the tip are caused by the sensitivity of a proprietary polymer, which coats the tip and contains the traditional indicator - Nitrazine Yellow. The VS-SENSE™ polymer matrix has a specific composition of ingredients that changes color when the pH of the vaginal discharge is greater than 4.7 +0.3/-0.2.

The intended use of the device: The VS-SENSE™ TEST is a qualitative, visually-read swab for clinicians who wish to evaluate women with vaginal symptoms. The device is a vaginal pH indicator swab intended to be used in conjunction with other clinical examinations, such as the Amsel criteria or the Nugent Gram stain, to aid in determining conditions characterized by elevated vaginal pH, such as bacterial vaginosis.

1

CharacteristicVS-SENSETMPHEM-CHEKTM
Sample collecting
deviceSwabSwab
Sample collecting
MethodInsert into vagina and come
in contact with vaginal
secretionInsert into vagina and come in
contact with vaginal secretion
Duration of test10 seconds10 seconds + comparing to
color scale
Chemical
parameterspHpH
Other parameters
that affect the assayBuffer capacityNA
Result readingBlue or green stain on
yellow backgroundComparing to a color scale
SensitivityStand-alone 86.3%
As 2nd test of the Amsel
Criteria procedure 97%
Based on pivotal study
resultsStand-alone 91%
As 2nd test of the Amsel
Criteria procedure 99%
Based on pivotal study results
SpecificityStand-alone 93.9%
As 2nd test of the Amsel
Criteria procedure 43.5%
Based on pivotal study
resultsStand-alone 84.2%
As 2nd test of the Amsel
Criteria procedure 43.42%
Based on pivotal study results

Technological characteristics comparison of VS-SENSE™ vs. Predicate Device: 5.1.4.

(*) PHEM-CHEK™ reads pH levels in the same manner as pH paper does, thus pH readings in our study were used to simulate the results of using PHEM-CHEK.

2

Image /page/2/Picture/0 description: The image shows the logo for the Department of Health & Human Services (HHS). The logo features a stylized eagle with its wings spread, symbolizing protection and care. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES · USA" is arranged in a circular pattern around the eagle, indicating the department's name and national affiliation. The logo is simple, using a black and white color scheme.

DEPARTMENT OF HEALTH & HUMAN SERVICES

Food and Drug Administration 10903 New Hampshire Avenue Document Mail Center - WO66-0609 Silver Spring, MD 20993-0002

Common Sense Ltd. c/o Natasha Leskovsek Cooley Godward Kronish LLP 777 610 Street NW Suite 1100 Washington, District of Columbia 20001

AUG 8 1 2009

Re: K091287

Trade Name: VS-SENSE™ Regulation Number: 21 CFR §862.1550 Regulation Name: Urinary pH (non-quantitative) test system Regulatory Class: Class I, meets limitation of exemption 862.9(b)(6) Product Codes: CEN Dated: July 17, 2009 Received: July 21, 2009

Dear Ms. Leskovsek:

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 Title 21, Code of Federal Regulations (CFR), Parts 800 to 895. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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 miust comply with all the Act's requirements, including, but not limited to: registration and listing (21. CFR Part 807); labeling (21 CFR Parts 801 and 809); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); and good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820).

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Page 2

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of In Vitro Diagnostic Device Evaluation and Safety at. (301) 796-5450. 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 Biometric's (OSB's) Division of Postmarket Surveillance at (301) 796-5760. For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 ) 796-5680 or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

G.C.H.

Courtney C. Harper, Ph.D. Acting Director Division of Chemistry and Toxicology Office of In Vitro Diagnostic Device Evaluation and Safety Center for Devices and Radiological Health

Enclosure

4

Indications for Use Form

510(k) Number (if known): KO 9128

Device Name: VS-SENSE™

Indications For Use: The VS-SENSE™ TEST is a qualitative, visually-read swab for clinicians who wish to evaluate women with vaginal symptoms. The device is a vaginal pH indicator swab intended to be used in conjunction with other clinical examinations, such as the Amsel criteria or the Nugent Gram stain, to aid in determining conditions characterized by elevated vaginal pH, such as bacterial vaginosis.

Over-The-Counter Use Prescription Use Prescription Use
(Part 21 CFR 801 Subpart D) AND/OR (21 CFR 801 Subpart C)

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

Concurrence of CDRH, Office of In Vitro Diagnostic Devices (OIVD)

Carol C. Beniam

Division Sign-Off Office of In Vitro Diagnostic Device Evaluation and Safety

510(k) K091287

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