K Number
K171172
Date Cleared
2017-08-02

(103 days)

Product Code
Regulation Number
884.5300
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

Skyn Original Polyisoprene Lubricated Male Condom - Flavored is used for contraception and for prophylactic purposes to help reduce the risk of pregnancy and the transmission of sexually transmitted infections (STI's).

Device Description

The Skyn Original Polyisoprene Lubricated Male Condom – Flavored is a male contraceptive and prophylactic device made from synthetic rubber Polyisoprene latex with a lubricant coating containing silicone gel with flavor oil provides a pleasant aroma/flavor for the end user. The condom is a fitted sheath with an integral ring at the open end and a reservoir (nipple end) at the closed end to contain semen. The condom dimensions are length 190±10mm, width 53±2mm, and thickness 0.065-0.075mm. The condom is designed to conform to the requirements of ISO 23409:2011. This product has a 3 year shelf-life.

AI/ML Overview

The provided text describes a 510(k) premarket notification for a medical device, specifically a flavored male condom. This document focuses on demonstrating substantial equivalence to a predicate device rather than presenting a study to prove a device meets acceptance criteria in the typical sense of diagnostic or AI-driven medical devices. Therefore, much of the requested information regarding AI-specific studies (e.g., test sets, ground truth, expert adjudication, MRMC studies) is not applicable or cannot be extracted from this document.

However, I can provide the acceptance criteria and a summary of the performance data as presented for this specific device based on the 510(k) submission.

1. Table of Acceptance Criteria and Reported Device Performance

Acceptance Criteria (from ISO 23409:2011 & FDA Guidance)Reported Device Performance
Mechanical Properties (specifics not detailed)Equivalent to the predicate device
Biocompatibility (Cytotoxicity, Sensitization, Irritation, Acute Systemic Toxicity)Passing results
Shelf-life (3 years)Met its three-year shelf-life specification
Compliance with ISO 23409:2011Designed to conform to the requirements; performance testing followed this standard and FDA Guidance
Safety & Effectiveness (compared to predicate)Substantially equivalent

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

The document does not specify the exact sample sizes for the mechanical property, biocompatibility, or shelf-life tests. It mentions that performance testing was conducted according to ISO 23409:2011 and FDA Guidance Document, "Testing guidance for Male Condoms Made from New Material (Non-Latex)." The provenance of the data is that these were tests conducted by the manufacturer, Ansell Healthcare Products LLC, for their K171172 submission. The tests were likely prospective in nature, specifically designed to support this submission.

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

This information is not applicable and not provided. The "ground truth" for condom performance is established through standardized physical, chemical, and biological testing as per international standards (ISO) and FDA guidance, not through expert consensus or interpretation of medical images/diagnoses.

4. Adjudication method for the test set

This information is not applicable. Adjudication methods like 2+1 or 3+1 are typically used for establishing ground truth in diagnostic studies involving human interpretation or uncertain clinical outcomes. Condom performance tests rely on objective measurements and pass/fail criteria.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, and what was the effect size of how much human readers improve with AI vs without AI assistance

This is not applicable. The device is a physical medical device (condom), not an AI-driven diagnostic tool. Therefore, MRMC studies involving human readers and AI assistance are irrelevant to this submission.

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

This is not applicable as there is no algorithm involved.

7. The type of ground truth used

The "ground truth" for this device's performance is based on objective measurements against established engineering and biological standards (ISO 23409:2011) and regulatory guidance documents from the FDA for condom testing. This includes:

  • Physical properties (e.g., dimensions, strength, integrity) confirmed through laboratory testing.
  • Chemical properties (e.g., lubricant composition, flavor oil compatibility).
  • Biocompatibility assessments based on recognized biological evaluation standards.
  • Shelf-life stability data.

8. The sample size for the training set

This is not applicable. This device is not an AI algorithm requiring a training set.

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

This is not applicable as there is no training set for an AI algorithm.

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

August 2, 2017

Ansell Healthcare Products LLC. Robert Mahler Director. Regulatory Affairs 111 Wood Avenue South, Suite 210 Iselin. NJ 08830

Re: K171172

Trade/Device Name: Skyn Original Polyisoprene Lubricated Male Condom - Flavored Regulation Number: 21 CFR§ 884.5300 Regulation Name: Condom Regulatory Class: II Product Code: MOL Dated: July 7, 2017 Received: July 12, 2017

Dear Robert Mahler:

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.

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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 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 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.

Joyce M. Whang -S

for

Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2020 See PRA Statement below.

510(k) Number (if known) K171172

Device Name

Skyn Original Polyisoprene Lubricated Male Condom - Flavored

Indications for Use (Describe)

Skyn Original Polyisoprene Lubricated Male Condom - Flavored is used for contraception and for prophylactic purposes to help reduce the risk of pregnancy and the transmission of sexually transmitted infections (STI's).

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)

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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510k Summary

Submitter:

Ansell Healthcare Products LLC. 111 Wood Avenue South, Suite 210 Iselin, NJ 08830, USA Phone: 732-345-2174 Rob.mahler@ansell.com

Contact Person:

Robert S. Mahler Director Regulatory Affairs for the Americas Phone: 732-345-2174 Rob.mahler@ansell.com

Date Prepared:

August 1, 2017

Device Name:

Proprietary Name:Skyn Original Polyisoprene Lubricated Male Condom - Flavored
Common Name:Condom, Synthetic
Classification Name:Condom
Regulation:21 CFR 884.5300
Device Class:Class II
Product Code:MOL
Classification Panel:Obstetrics/Gynecology

Predicate Device:

K160399 – Skyn Original Polyisoprene Male Condom

Reason for 510(k) Submission:

The subject device is a modified version of predicate device (K160399). The new lubricant coating of subject device contains flavor oils to improve the aroma and minimize the odor profile of the device for the end user. Four variants would be available; Mango, Coconut, Passion Fruit, and Cherry. The flavor oils have not been utilized previously in the predicate device.

Device Description:

The Skyn Original Polyisoprene Lubricated Male Condom – Flavored is a male contraceptive

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and prophylactic device made from synthetic rubber Polyisoprene latex with a lubricant coating containing silicone gel with flavor oil provides a pleasant aroma/flavor for the end user. The condom is a fitted sheath with an integral ring at the open end and a reservoir (nipple end) at the closed end to contain semen. The condom dimensions are length 190±10mm, width 53±2mm, and thickness 0.065-0.075mm. The condom is designed to conform to the requirements of ISO 23409:2011. This product has a 3 year shelf-life.

Indications for Use:

The Skyn Original Polyisoprene Lubricated Male Condom - Flavored is used for contraception and for prophylactic purposes to help reduce the risk of pregnancy and the transmission of sexually transmitted infections, (STI's).

Technological Characteristics:

The technological characteristics of the Skyn Original Polyisoprene Lubricated Male Condom are identical to the predicate device. The only difference is replacement of flavor oil for the fragrance masking agent to the lubricant coating of subject device. This difference in technological characteristics does not raise different questions of safety or effectiveness as compared to the predicate device.

Performance Data:

Performance testing conducted to assess the addition of flavor oil to the condom lubricant followed ISO 23409:2011, "Male Condoms – Requirements and test methods for condoms made from synthetic materials," and FDA Guidance Document, "Testing guidance for Male Condoms Made from New Material (Non-Latex)." Results of testing showed that the mechanical properties of the subject device were equivalent to the predicate device. Shelflife testing demonstrated the device met its three-year shelf-life specification. In addition, biocompatibility tests conducted to assess the addition of flavor oil to the condom lubricant (cytotoxicity, sensitization, irritation, and acute systemic toxicity) had passing results. The remainder of the performance testing outlined in the guidance document was deemed not needed to support the addition of flavor oil to the condom lubricant.

Conclusion:

Performance data demonstrated that the subject device is substantially equivalent to the predicate device in terms of safety and effectiveness.

§ 884.5300 Condom.

(a)
Identification. A condom is a sheath which completely covers the penis with a closely fitting membrane. The condom is used for contraceptive and for prophylactic purposes (preventing transmission of sexually transmitted infections). The device may also be used to collect semen to aid in the diagnosis of infertility.(b)
Classification. (1) Class II (special controls) for condoms made of materials other than natural rubber latex, including natural membrane (skin) or synthetic.(2) Class II (special controls) for natural rubber latex condoms. The guidance document entitled “Class II Special Controls Guidance Document: Labeling for Natural Rubber Latex Condoms Classified Under 21 CFR 884.5300” will serve as the special control. See § 884.1(e) for the availability of this guidance document.