K Number
K112176
Device Name
SILICONE SPHERES
Date Cleared
2011-09-15

(49 days)

Product Code
Regulation Number
886.3320
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Silicone eye sphere implants are permanent implants that occupy the eye cavity when it becomes necessary to surgically remove the eye (enucleation), the contents of the eye sac (evisceration), or the space left after the removal of another ocular implant (used as a secondary implant). It is used to replace volume and possibly, given the surgical method, to impart motion to the eventual ocular prosthesis.
Device Description
Silicone eye sphere implants are permanent implants that occupy the eye cavity when it becomes necessary to surqically remove the eye (enucleation), the contents of the eve sac (evisceration), or the space left after the removal of another ocular implant (used as a secondary implant). It is used to replace volume and possibly, given the surgical method, to impart motion to the eventual ocular prosthesis. Silicone eye spheres have been used for decades and still are. As for any implant, spheres are single use. Users are ophthalmologists who are very qualified to use eve spheres. Furthermore, we provide instructions for use with each device. These instructions include: Description, Appearance, Indications, Silicone sphere, Mode of action, Contra-indications, Adverse effects, Recommendation for use, Precautions for use. They are available by units in a wide range of sizes, from 12 to 22mm.
More Information

Not Found

No
The device description and intended use are for a physical silicone implant used for volume replacement after eye removal. There is no mention of software, data processing, or any technology that would involve AI or ML.

No

The device replaces volume and imparts motion to an ocular prosthesis, but it does not treat or cure a disease or condition. It is a prosthetic implant.

No

The device is described as a permanent implant used to replace volume and potentially impart motion to an ocular prosthesis after surgical removal of the eye or its contents. It does not perform any diagnostic function.

No

The device description clearly states it is a physical implant made of silicone, not software.

Based on the provided information, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices intended to be used in vitro for the examination of specimens, including blood, tissue, and urine, from the human body to provide information for diagnostic, monitoring, or compatibility purposes.
  • Device Function: The description clearly states that this device is a permanent implant used to replace volume in the eye cavity after surgical removal of the eye or its contents. It is a physical implant placed within the body.
  • Lack of Specimen Examination: There is no mention of this device being used to examine any biological specimens outside of the body.
  • Intended Use: The intended use is to replace volume and potentially impart motion to an ocular prosthesis, not to diagnose a condition or provide information based on the analysis of a specimen.

Therefore, this silicone eye sphere implant falls under the category of a surgical implant, not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

Silicone eye sphere implants are permanent implants that occupy the eye cavity when it becomes necessary to surgically remove the eye (enucleation), the contents of the eye sac (evisceration), or the space left after the removal of another ocular implant (used as a secondary implant). It is used to replace volume and possibly, given the surgical method, to impart motion to the eventual ocular prosthesis.

Product codes

HPZ

Device Description

Silicone eye sphere implants are permanent implants that occupy the eye cavity when it becomes necessary to surgically remove the eye (enucleation), the contents of the eye sac (evisceration), or the space left after the removal of another ocular implant (used as a secondary implant). It is used to replace volume and possibly, given the surgical method, to impart motion to the eventual ocular prosthesis. They are available by units in a wide range of sizes, from 12 to 22mm.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Ocular globe replacement or filling.

Indicated Patient Age Range

All ages.

Intended User / Care Setting

Users are ophthalmologists. Operating rooms in hospitals.

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)

No performance standards applicable to SPHERE, EYE IMPLANT has been assigned by FDA. However, a risk assessment has been performed against ISO 14971.

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

Not Found

Predicate Device(s)

K040689

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.3320 Eye sphere implant.

(a)
Identification. An eye sphere implant is a device intended to be implanted in the eyeball to occupy space following the removal of the contents of the eyeball with the sclera left intact.(b)
Classification. Class II (special controls). The device, when it is an ocular peg which is supplied sterile only, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

0

Premarket Notification (510k)

5- 510(k) Summary

SEP 1 5 2011

OCULOPLASTIK

200, rue Sauvé ouest, Montreal, Quebec H3L 1Y9 Canada Tel (514) 381-3292 Fax (514) 381-1164 Toll-free Tel (888) 381-3292 Fax (800) 879-1849

July 26th, 2011

Food and Drug Administration Center for Devices and Radiological Health Document Mail Center (HFZ-401) 9200 Corporate Boulevard Rockville, Maryland 20850 USA

RE: Premarket notification modification - Special 510(k)

Device name: Requlation number: Regulatory Class: Product code: Establishment reg:

Silicone Eye sphere implants 21 CFR 886.3320 Class II HPZ 8022166

Contact person:

Sylvain Desrosiers, QM (514)381-3292 sdesrosiers@oculoplastik.com

This is a submission for a special 510(k) for our Silicone Eye sphere implants, which were previously cleared by FDA in 2004 (K040689). The basis for this submission is change of material grade and supplier, as the resin's manufacturer is discontinuing the current silicone grade. There is also a change for labeling and packaging. According to guidance "Deciding When to submit a 510(k) for a Change to an Existing Device" (CDRH, 1997), we determined that this change must be submitted to FDA prior to market in USA (paragraph C3).

This material change does not affect the intended use, and does not alter the fundamental scientific technology of the device, therefore we are eligible to Special 510(k) approach.

We have determined that both silicone elastomers are equivalent and do not represent additional risk for the user.

Description of the device

1/4

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Intended use

Silicone eye sphere implants are permanent implants that occupy the eye cavity when it becomes necessary to surqically remove the eye (enucleation), the contents of the eve sac (evisceration), or the space left after the removal of another ocular implant (used as a secondary implant). It is used to replace volume and possibly, given the surgical method, to impart motion to the eventual ocular prosthesis.

Image /page/1/Picture/4 description: The image shows a circle with the word "SILICONE" written around the top of the circle. There is a curved shape inside the circle. The circle has a shadow on the bottom right.

Silicone eye spheres have been used for decades and still are. As for any implant, spheres are single use. Users are ophthalmologists who are very qualified to use eve spheres. Furthermore, we provide instructions for use with each device. These instructions include:

  • · Description
  • · Appearance
  • · Indications
  • · Silicone sphere
  • · Mode of action
  • · Contra-indications
  • · Adverse effects
  • Recommendation for use
  • · Precautions for use

They are available by units in a wide range of sizes, from 12 to 22mm.

RadiusVol.WeightProduct no
12mm0.9cc1.0 g11-212E
13mm1.2cc1.3 g11-213E
14mm1.4cc1.7 g11-214E
15mm1.8cc2.0 g11-215E
16mm2.1cc2.5 g11-216E
17mm2.6cc3.0 g11-217E
18mm3.1cc3.5 g11-218E
19mm3.6cc4.1 g11-219E
20mm4.2cc4.8 g11-220E
21mm4.8cc5.6 g11-221E
22mm5.6cc6.4 g11-222E

Intended use

Intended use

Silicone eye sphere implants are permanent implants that occupy the eye cavity when it becomes necessary to surgically remove the eye (enucleation), the contents of the eye sac

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(evisceration), or the space left after the removal of another ocular implant (used as a secondary implant). It is used to replace volume and possibly, given the surgical method, to impart motion to the eventual ocular prosthesis.

The new device is substantially equivalent to the predicate device. The comparison is established against our previous 510(k). The following comparison table shows similarities and differences between both devices.

Predicate deviceNew device
510(k) numberK040689K112176
FDA Product
ClassClass IISame.
Indications for
useFor enucleation, evisceration,
or as secondary implant.Same.
Target
populationAll ages.Same.
DesignSilicone elastomer Eye
SphereSame.
MaterialMedical gradeMedical too but different grade
PerformanceNo performance standards
applicable to SPHERE, EYE
IMPLANT has been assigned
by FDA.Same.
Size Range12, 13, 14, 15, 16, 17, 18 and
19mm12 to 22mm
SterilityNon sterile.Same. Must be sterilized by steam
autoclave by the user.
BiocompatibilityThe silicone manufacturer
has done many
biocompatibility tests on their
resin.Equivalent. The silicone manufacturer
has done same biocompatibility tests
with same results. In addition, we have
performed 2 other tests on finished
device.
Mechanical
safetySilicone in its solid state is
well documented by
manufacturers of silicon
resins, and well known by
ophthalmologists.Same.
Chemical
safetySilicone is an inert material.Same.
Anatomical
sitesOcular globe replacement or
filling.Same.
Human factorsUsers are ophthalmologists.Same.
Energy used
and/or
deliveredNo energy involved for this
type of procedure.Same.
Compatibility
with
environment
and other
devicesIn use for decades.Same.
Where usedOperating rooms in hospitals.Same.
Standards metNone.ISO 14971
Electrical
safetyNo electricity involved for this
type of procedure.Same.
Thermal safetyCan be autoclaved or gassed
(ETO)Same. Highly resistant.
Radiation
safetyNo radiation involved for this
type of procedure.Same.
Color additivesNon applicable. No color
additives used in the
manufacturing process.Same.
SoftwareNon applicable. No software
involved for this device.Same.

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No performance standards applicable to SPHERE, EYE IMPLANT has been assigned by FDA. However, a risk assessment has been performed against ISO 14971.

Sterility

Silicone spheres are sold «Non Sterile». The labels clearly mention that they are not sterilized. Sterilization of these implants is required before surgery.

Pyrogens

Non applicable. These devices are labeled as non-sterile and need to be sterilized by the user.

Sterilization by User

The standard accepted sterilization method is to be performed in the hospitals that will purchase the implants. We provide detailed validated steam sterilization instructions in our labeling for the silicone spheres.

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Image /page/4/Picture/1 description: The image shows a logo with a stylized bird in flight. The bird is composed of three curved lines that suggest movement and elevation. Encircling the bird is text, which appears to be part of the logo's official branding. The text is arranged in a circular fashion, following the contour of the logo.

l ood and Dag Admin. Cahon 10903 New Hampshire Avenue Document Control Room -- WO66-G609 Silver Spring, MD 20993-0002

Oculo -Plastik, Inc. c/o Mr. Sylvain Desrosiers Quality Manager 200 rue Sauvé ouest Montreal, Quebec H3L LY9 Canada

Re: K112176

Trade/Device Name: Silicone Spheres Regulation Number: 21 CFR 886.3320 Regulation Name: Eye Sphere Implant Regulatory Class: Class II Product Code: HPZ Dated: August 25, 2011 Received: September 6. 2011

ccp 15 2011

Dear Mr. Derosiers:

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. Please note: CDRH does not evaluate information related to contractly and this warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to 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.

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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

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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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.html for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). 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/ReportalProblem/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) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely vours.

Kesia Alexander

Image /page/5/Picture/7 description: The image shows a handwritten word, "for", in cursive script. The "f" is elongated with a loop extending below the baseline, and the "o" and "r" are connected with a smooth stroke. The writing appears to be done with a pen or fine-tipped marker, and the overall impression is one of casual, flowing handwriting.

Malvina B. Eydelman, M.D. Director Division of Ophthalmic. Neurological and Ear. Nose and Throat Devices Office of Device Evaluation

Center for Devices and Radiological Health

Enclosure

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K112176

4- Indication for use statement

510(k) Number (if known):

Device Name: Silicone Eye Sphere Implants

Indication for use

Silicone eye sphere implants are permanent implants that occupy the eye cavity when it becomes necessary to surgically remove the eye (enucleation), the contents of the eye sac (evisceration), or the space left after the removal of another ocular implant (used as a secondary implant). It is used to replace volume and possibly, given the surgical method, to impart motion to the eventual ocular prosthesis.

S Over-The-Counter Use _________________________________________________________________________________________________________________________________________________________ Prescription Use _ AND/OR (21 CFR 807 Subpart C) (Part 21 CFR 801 Subpart D)

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Denise Hampton

(Division Sign-Off) Division of Ophthalmic, Neurological and Ear, Nose and Throat Devices

510(k) Number K112176