K Number
K160245
Device Name
Visco (olifilcon A) soft contact lens
Manufacturer
Date Cleared
2016-10-24

(266 days)

Product Code
Regulation Number
886.5925
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The VISCO (olifilcon A) Toric Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) with astigmatism in aphakic and non-aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters and astigmatic corrections are from -0.75 to -2.25 diopters. The VISCO (olifilcon A) Multifocal Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) and emmetropia with presbyopia in aphakic and non-aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters with add powers from +0.75 to +2.75 diopters. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less where the astigmatism does not interfere with visual acuity. Eye care practitioners may prescribe the lens for either single-use daily disposable wear, or for frequent/planned replacement wear, with cleaning, disinfection, and scheduled replacement. When prescribed for frequent replacement, the lens may be disinfected using a chemical disinfection system only.
Device Description
The VISCO (olifilcon A) toric/multifocal soft contact lenses are manufactured in toric or multifocal configurations with UV blocker. The lens material, olifilcon A, is a silicon hydrogel with water content 47%. The VISCO Soft Contact Lens is light blue tinted with "reactive Blue19" for handling visibility purpose. A benzotriazole UV absorbing monomer is used to block UV radiation. The transmittance characteristics are less than 5% in the UVB range of 280-315nm and less than 50% in the UVA range of 316-380mm. The lens is supplied in a sterile state, packaged in a buffered saline solution containing Sodium Hyaluronate and Sodium Alginate
More Information

Not Found

No
The 510(k) summary describes a standard soft contact lens with specific material properties and indications for use. There is no mention of AI, ML, or any computational processing that would suggest the use of such technologies. The performance studies focus on physiochemical properties and equivalence to a predicate device.

No
The device corrects vision (ametropia, astigmatism, presbyopia) rather than treating a disease or therapeutic condition.

No

The device is a contact lens used for vision correction, not for diagnosing medical conditions.

No

The device is a physical contact lens made of a silicon hydrogel material, 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 tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The VISCO (olifilcon A) Toric/Multifocal Soft Contact Lenses are medical devices intended to be worn on the surface of the eye to correct vision problems (ametropia, astigmatism, presbyopia). They do not analyze samples from the body to provide diagnostic information.
  • Intended Use: The intended use clearly states the correction of vision, not the diagnosis of any disease or condition.
  • Device Description: The description focuses on the physical properties and materials of the contact lens itself.
  • Performance Studies: The performance studies mentioned are related to the physical, optical, chemical, and biocompatibility properties of the lens, not diagnostic accuracy.

Therefore, the VISCO (olifilcon A) Toric/Multifocal Soft Contact Lenses fall under the category of medical devices, specifically contact lenses, and not in vitro diagnostics.

N/A

Intended Use / Indications for Use

The VISCO (olifilcon A) Toric Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) with astigmatism in aphakic and non-aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters and astigmatic corrections are from -0.75 to -2.25 diopters.

The VISCO (olifilcon A) Multifocal Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) and emmetropia with presbyopia in aphakic and non-aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters with add powers from +0.75 to +2.75 diopters. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less where the astigmatism does not interfere with visual acuity.

Eye care practitioners may prescribe the lens for either single-use daily disposable wear, or for frequent/planned replacement wear, with cleaning, disinfection, and scheduled replacement. When prescribed for frequent replacement, the lens may be disinfected using a chemical disinfection system only.

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

LPL, MVN

Device Description

The VISCO (olifilcon A) toric/multifocal soft contact lenses are manufactured in toric or multifocal configurations with UV blocker. The lens material, olifilcon A, is a silicon hydrogel with water content 47%. The VISCO Soft Contact Lens is light blue tinted with "reactive Blue19" for handling visibility purpose. A benzotriazole UV absorbing monomer is used to block UV radiation. The transmittance characteristics are less than 5% in the UVB range of 280-315nm and less than 50% in the UVA range of 316-380mm. The lens is supplied in a sterile state, packaged in a buffered saline solution containing Sodium Hyaluronate and Sodium Alginate

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Eyes

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Eye care practitioners

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)

Nonclinical Tests Performed: Physiochemical studies were conducted according to ISO 18369 First edition 2006-08-15, Ophthalmic optics - Contact lenses (Ophthalmic). The physical, optical and chemical properties of the lens are within established specifications for the lenses. Toxicology studies show that the lenses are non-toxic and biocompatibility result is acceptable in ocular environment.

Clinical Studies: The technical characteristic, formulation, manufacturing, and sterilization processes of the subject device are equivalent to the VISCO (olifilcon A) soft contact lens currently available (K 141348). Therefore, the clinical data is not required.

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

Not Found

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.

K052560, K141348

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

§ 886.5925 Soft (hydrophilic) contact lens.

(a)
Identification. A soft (hydrophilic) contact lens is a device intended to be worn directly against the cornea and adjacent limbal and scleral areas of the eye to correct vision conditions or act as a therapeutic bandage. The device is made of various polymer materials the main polymer molecules of which absorb or attract a certain volume (percentage) of water.(b)
Classification. (1) Class II if the device is intended for daily wear only.(2) Class III if the device is intended for extended wear.
(c)
Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before a device described in paragraph (b)(2) of this section may be commercially distributed. See § 886.3.

0

Image /page/0/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized caduceus symbol, which is often associated with healthcare. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the symbol. The logo is simple and recognizable, and it is used to represent the U.S. Department of Health & Human Services.

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

October 24, 2016

Visco Vision Inc. % Ms. Jennifer Ting Manager Jens Medical Consulting Ltd. 6F. No. 39. Jixian Rd. Luzhou Dist. New Taipei City, TW 247

Re: K160245

Trade/Device Name: VISCO (olifilcon A) Soft Contact Lens Regulation Number: 21 CFR 886.5925 Regulation Name: Soft (Hydrophilic) Contact Lens Regulatory Class: Class II Product Code: LPL, MVN Dated: September 12, 2016 Received: September 14, 2016

Dear Ms. Ting:

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

1

forth in the quality systems (OS) 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 contact the Division of Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification"

(21 CFR 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/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 Industry and Consumer Education at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

Kesia Alexander

for Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose, and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K160245

Device Name VISCO (olifilcon A) Soft Contact Lens

Indications for Use (Describe)

The VISCO (olifilcon A) Toric Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) with astigmatism in aphakic and non-aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters and astigmatic corrections are from -0.75 to -2.25 diopters.

The VISCO (olifilcon A) Multifocal Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) and emmetropia with presbyopia in aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters with add powers from +0.75 diopters. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less where the astigmatism does not interfere with visual acuity.

Eye care practitioners may prescribe the lens for either single-use daily disposable wear, or for frequent/planned replacement wear, with cleaning, disinfection, and scheduled replacement. When prescribed for frequent the lens may be disinfected using a chemical disinfection system only.

Type of Use (Select one or both, as applicable)

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

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510(K) SUMMARY

Preparation Date: Sep. 12, 2016

Establishment Information: 1.1

NameVisco Vision Inc.
AddressNo. 1, Xingye St., Guishan Dist., Taoyuan City 33341 Taiwan
ContactEvan Huang
Phone No.886-3-3596868
Fax No.886-3-3490202

1.2 Contact Person:

CompanyJens Medical Consulting Ltd.
NameJennifer TING
Phone No886-2-82823192
Fax No886-2-82867686
e-mail:jen.medical@msa.hinet.net

Device Identification: 1.3

Proprietary NameVISCO (olifilcon A) Soft Contact Lens
Common NameSoft (hydrophilic) Contact Lenses
Classification NameLenses, Soft Contact, Daily Wear
(21 CFR 886.5925, Product Code LPL)
Lenses, Soft Contact, Daily Wear (Disposable),
(21 CFR 886.5925, Product Code MVN)
ClassificationII

Legally Marketed Equivalent Device: 1.4

Predicate Device NameBiofinity (comfilcon A), K052560, CooperVision Inc.
VISCO (olifilcon A), K141348, Visco Vision Inc.
Product CodeLPL, MVN

1.5 Device Description

The VISCO (olifilcon A) toric/multifocal soft contact lenses are manufactured in toric or multifocal configurations with UV blocker. The lens material, olifilcon A, is a silicon hydrogel with water content 47%. The VISCO Soft Contact Lens is light blue tinted with "reactive Blue19" for handling visibility purpose. A benzotriazole UV absorbing

4

monomer is used to block UV radiation. The transmittance characteristics are less than 5% in the UVB range of 280-315nm and less than 50% in the UVA range of 316-380mm. The lens is supplied in a sterile state, packaged in a buffered saline solution containing Sodium Hyaluronate and Sodium Alginate

1.6 Indication for Use:

The VISCO (olifilcon A) Toric Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) with astigmatism in aphakic and non-aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters and astigmatic corrections are from -0.75 to -2.25 diopters.

The VISCO (olifilcon A) Multifocal Soft Contact lenses are indicated as daily wear for the correction of ametropia (myopia and hyperopia) and emmetropia with presbyopia in aphakic and non-aphakic persons with non-diseased eyes and whose powers are from -20.00 to +20.00 diopters with add powers from +0.75 to +2.75 diopters. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less where the astigmatism does not interfere with visual acuity.

Eye care practitioners may prescribe the lens for either single-use daily disposable wear, or for frequent/planned replacement wear, with cleaning, disinfection, and scheduled replacement. When prescribed for frequent replacement, the lens may be disinfected using a chemical disinfection system only.

1.7 Technological characteristics

The optical lens design specification:

Power Range20.00D to +20.00D
Add Power (Multifocal)Low (+0.75D ~ +1.25D)
Mid (+1.50D ~ +2.00D)
High (+2.25D ~ +2.75D)
Cylinder Power (Toric)-0.75D, -1.25D, -1.75D, -2.25D
Axis from 10° to 180° (in 10° increments)
Diameter13.0 mm to 15.0 mm
Center Thickness0.08mm @ -3.00D (Varies with Power)
Base Curve8.0 mm to 9.2 mm

The physical properties of the lenses are:

• Refractive index:1.410 (hydrated)
---------------------------------------
  • Light transmittance: > 94%

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  • Water content: 47% by weight in normal saline 150 x 10-11 Oxygen permeability ●
    • (cm²/sec)(ml O2/ml.mmHg) measured at 35°C

(intrinsic Dk-Colormetric method)

1.8 Comparison table:

The characteristic comparison to predicate device is summarized in the following table.

Similarities
ItemDevicePredicate
(K052560)predicate
(K141348)
Product NameVISCO (olifilcon A) Toric
Soft Contact Lens
VISCO (olifilcon A)
Multifocal Soft Contact
LensBIOFINITY Toric
(comfilcon A) Soft Contact
Lens
BIOFINITY Multifocal
(comfilcon A) Soft Contact
LensVisco (olifilcon A) soft
contact lens
ManufacturerVisco Vision Inc.CooperVision Inc.Visco Vision Inc.
Intended UseMyopia, Hyperopia,
PrysbyopiaThe sameMyopia, Hyperopia
Replacement
ScheduleDaily wear (monthly) or
Daily Disposable (Single
use)daily wear (monthly) or
extended wearDaily wear (monthly)
or Daily Disposable
(Single use)
USAN Nameolifilcon Acomfilcon Aolifilcon A
MaterialSilicone HydrogelSilicone HydrogelSilicone Hydrogel
Lens Designtoric or multifocalSpheric, aspheric, toric or
multifocalspheric
ClassificationClass II,The sameThe same
TypeGroup I (low water,
nonionic)The sameThe same
Water Content47 %48 %47%
Oxygen
Permeability
(DK, 35°C )150
(Fatt method)128
(Fatt method)150
(Fatt method)
Base Curve
Range8.0~9.28.0~9.58.0~9.2
Diameter (mm)13.0~15.013.5~15.013.0~15.0
Center ThicknessVaries with power (0.08
mm at -3.00D)0.05 mm – 0.50 mmVaries with power
(0.08 mm at -3.00D)
Powers-20.00D to +20.00D
in 0.25 stepsThe same-20.00D to +20.00D
in 0.25 steps
Add Power
(Multifocal)Low (+0.75D ~ +1.25D)
Mid (+1.50D ~ +2.00D)
High (+2.25D ~ +2.75D)+0.50D to +3.00DNA
Cylinder Power
(Toric)-0.75D, -1.25D, -1.75D,
-2.25D
Axis from 10° to 180° (in
10° increments)-0.25D -5.00D
Axis from 0° to 180°NA
Refractive Index1.4101.401.410
Light
Transmittance94%>97%94%
Method of
ManufactureCast-MoldedThe sameThe same
Surface TreatmentNoNoNo
SterilizationsteamThe sameThe same
PackagingBlister packThe sameThe same
Blue handling tintYes, reactive Blue19Yes, Phthalocyanine BlueYes, reactive Blue19
Indication for UseToric
The VISCO (olifilcon A)
Toric Soft Contact lenses
are indicated as daily wear
for the correction of
ametropia (myopia and
hyperopia) with
astigmatism in aphakic and
non-aphakic persons with
non-diseased eyes and
whose powers are from
-20.00 to +20.00 diopters
and astigmatic corrections
are from -0.75 to -2.25
diopters.Toric
Biofinity (comfilcon A)
toric soft contact lenses are
indicated for the correction
of ametropia (myopia or
hyperopia with
astigmatism) in aphakic
and non-aphakic persons
with non-diseased eyes in
powers from -20.00 to
+20.00 diopters and
astigmatic corrections
from -0.25 to -5.00
diopters.NA
MultifocalMultifocal
The VISCO (olifilcon A)Biofinity (comfilcon A)
Multifocal Soft Contactmultifocal lenses are
lenses are indicated asindicated for the correction
daily wear for theof refractive ametropia
correction of ametropia(myopia and hyperopia)
(myopia and hyperopia)and emmetropia with
and emmetropia withpresbyopia in aphakic and
presbyopia in aphakic andnon-aphakic persons with
non-aphakic persons withnon-diseased eyes in
non-diseased eyes andpowers from -20.00 to
whose powers are from+20.00 diopters and with
-20.00 to +20.00 dioptersadd powers from +0.50 to
with add powers from+3.00 diopters. The lenses
+0.75 to +2.75 diopters.may be worn by persons
The lenses may be wornwho exhibit astigmatism of
by persons who exhibit2.00 diopters or less that
astigmatism of 1.00does not interfere with
diopters or less where thevisual acuity.
astigmatism does not
interfere with visual acuity.
Eye care practitioners mayEye care practitioners mayEye care practitioners
may prescribe the lens
for either single-use
disposable wear, or for
frequent/planned
replacement wear,
with cleaning,
disinfection, and
scheduled
replacement. When
prescribed for frequent
replacement, the lens
may be disinfected
using a chemical
prescribe the lens for eitherprescribe the lens for
single-use daily disposablefrequent replacement wear,
wear, or forwith cleaning, disinfecting
frequent/plannedand scheduled
replacement wear, withreplacements.
cleaning, disinfection, and
scheduled replacement.
When prescribed for
frequent replacement, the
lens may be disinfected
using a chemical
disinfection system only.disinfection system only.
disinfection system
only.The VISCO Soft
(Hydrophilic) Contact
Lenses help protect
against transmission of
harmful UV radiation
to the cornea and into
the eye.
NASpherical and AsphericalSpherical
Biofinity (comfilcon A)The VISCO Soft
sphere and Asphere soft(Hydrophilic) Contact
contact lenses are indicatedLenses is indicated for
for the correction ofdaily wear for the
ametropia (myopia andcorrection of refractive
hyperopia) in aphakic andametropia (myopia and
non-aphakic persons withhyperopia) in phakic
non-diseased eyes inor aphakic persons
powers from -20.00 towith non-diseased eyes
+20.00 diopters. Thewho exhibit refractive
lenses may be worn byastigmatism of 2.00D
persons who exhibitor less where the
astigmatism of 2.00astigmatism does not
diopters or less that doesinterfere with visual
not interfere with visualacuity.
acuity.
NAThe Biofinity (comfilcon
A) soft (hydrophilic)
contact lenses have been
approved for extended
wear for up to 6 nights/7
days of continuous wear. It
is recommended that the
contact lens wearer first be
evaluated on a daily wear
schedule. If successful,
then a gradual introduction
of extended wear can be
followed as determined by
the prescribing eye care
practitioner.

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7

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1.9 Nonclinical Tests Performed

Physiochemical studies were conducted according to ISO 18369 First edition 2006-08-15, Ophthalmic optics - Contact lenses (Ophthalmic). The physical, optical and chemical properties of the lens are within established specifications for the lenses. Toxicology studies show that the lenses are non-toxic and biocompatibility result is acceptable in ocular environment.

1.10 Clinical Studies

The technical characteristic, formulation, manufacturing, and sterilization processes of the subject device are equivalent to the VISCO (olifilcon A) soft contact lens currently available (K 141348). Therefore, the clinical data is not required.

1.11 Conclusion

The established safety profile of the device is equivalent to the predicate device, Biofinity (comfilcon A) soft contact lens (K052560), VISCO (olifilcon A) soft contact lens (K141348) in terms of optical property, physical, chemical and pre-clinical toxicology. It is concluded that the lenses are as safe, as effective and perform as well as the predicate devices.