K Number
K171447
Device Name
OxyPure Color Silicone Hydrogel Soft Contact Lenses
Manufacturer
Date Cleared
2017-12-05

(203 days)

Product Code
Regulation Number
886.5925
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The OxyPure Color Spherical Silicone Hydrogel Soft Contact Lenses are indicated as daily wear single use soft contact lens for the correction of refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes who exhibit refractive astigmatism of 1.00D or less where the astigmatism does not interfere with visual acuity. Eyecare 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 disinfection system only.
Device Description
The OxyPure Color Silicone Hydrogel Soft Contact Lenses is a daily wear lens in spherical design. It may be prescribed as daily wear. It is a copolymer of 1-vinyl-2-pyrrolidinone (NVP) and Siloxane macromer. The water content is 47%. A benzotriazole UV absorbing monomer is used to block UV radiation. OxyPure Color Silicone Hydrogel Soft Contact Lenses contain a pigmented area that will alter or enhance the appearance of the natural iris. The lens is colored with one or more of the following color additives: iron oxides, titanium dioxide, phythalocyanine green and carbazole violet. Lenses are supplied sterile in sealed blister packs containing isotonic buffered saline solution. The compatibility and package integrity of the blister pack packaging system has been demonstrated and successfully used for other marketed lens products, and packaged lenses are effectively steam sterilized in a validated autoclave. Blister pack containers are labeled with the lens parameters, lot number and product expiration date. The expiration date has been established through stability studies that have assessed the chemical stability of the lens and package integrity (ability to maintain sterility). Shelf-life studies are ongoing to establish and extend the labeled expiration date.
More Information

Not Found

No
The device description and performance studies focus on the material properties, manufacturing process, and clinical performance of a contact lens, with no mention of AI or ML technologies.

No.
Explanation: The device is a soft contact lens intended for the correction of refractive ametropia (myopia and hyperopia) and to alter or enhance the appearance of the natural iris, not for therapeutic purposes.

No

Explanation: The device is a soft contact lens for vision correction, specifically for refractive ametropia (myopia and hyperopia), and does not gather or analyze data to diagnose medical conditions.

No

The device description clearly states it is a physical contact lens made of specific materials and supplied in blister packs. It is a hardware device, not software.

No, this device is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD Definition: In Vitro Diagnostics are devices intended for use in the collection, preparation, and examination of specimens taken from the human body (such as blood, urine, or tissue) to provide information for the diagnosis, treatment, or prevention of disease.
  • Device Description and Intended Use: The description clearly states that these are contact lenses intended to be worn on the eye for the correction of refractive errors (myopia and hyperopia) and to alter or enhance the appearance of the iris. They are placed directly on the surface of the eye, not used to test specimens taken from the body.
  • Lack of Specimen Testing: There is no mention of collecting or testing any biological specimens.
  • Focus on Vision Correction and Appearance: The primary function is to improve vision and change eye color, which are not diagnostic activities.

Therefore, based on the provided information, the OxyPure Color Spherical Silicone Hydrogel Soft Contact Lenses are a medical device, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The OxyPure Color Spherical Silicone Hydrogel Soft Contact Lenses are indicated as daily wear single use soft contact lens for the correction of refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes who exhibit refractive astigmatism of 1.00D or less where the astigmatism does not interfere with visual acuity.

Eyecare 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 disinfection system only.

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

LPL, MVN

Device Description

The OxyPure Color Silicone Hydrogel Soft Contact Lenses is a daily wear lens in spherical design. It may be prescribed as daily wear. It is a copolymer of 1-vinyl-2-pyrrolidinone (NVP) and Siloxane macromer. The water content is 47%. A benzotriazole UV absorbing monomer is used to block UV radiation. OxyPure Color Silicone Hydrogel Soft Contact Lenses contain a pigmented area that will alter or enhance the appearance of the natural iris. The lens is colored with one or more of the following color additives: iron oxides, titanium dioxide, phythalocyanine green and carbazole violet. Lenses are supplied sterile in sealed blister packs containing isotonic buffered saline solution. The compatibility and package integrity of the blister pack packaging system has been demonstrated and successfully used for other marketed lens products, and packaged lenses are effectively steam sterilized in a validated autoclave. Blister pack containers are labeled with the lens parameters, lot number and product expiration date. The expiration date has been established through stability studies that have assessed the chemical stability of the lens and package integrity (ability to maintain sterility). Shelf-life studies are ongoing to establish and extend the labeled expiration date.

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

Eyecare 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)

Non-clinical tests were performed for biocompatibility and performance, meeting the requirements of FDA Recognized Consensus Standards. All tests passed, demonstrating substantial equivalence to the predicate device. This 510(k) submission does not utilize clinical study for establishing substantial equivalence.

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.

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.

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Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo, which is a blue square with the letters "FDA" in white. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

December 5, 2017

Visco Vision Inc. Evan Huang Director of Global QA No. 1. Xingve St.. Guishan Dist.. Taoyuan City, 33341 TW

Re: K171447

Trade/Device Name: OxyPure Color Silicone Hydrogel Soft Contact Lenses Regulation Number: 21 CFR 886.5925 Regulation Name: Soft (Hydrophilic) Contact Lens Regulatory Class: Class II Product Code: LPL, MVN Dated: October 23, 2017 Received: October 31, 2017

Dear Evan Huang:

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.

1

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 devicerelated 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.

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.

For comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Denise L. Hampton -S

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) K171447

Device Name

OxyPure Color Silicone Hydrogel Soft Contact Lenses

Indications for Use (Describe)

The OxyPure Color Spherical Silicone Hydrogel Soft Contact Lenses are indicated as daily wear single use soft contact lens for the correction of refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes who exhibit refractive astigmatism of 1.00D or less where the astigmatism does not interfere with visual acuity.

Eyecare 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 disinfection system only.

X Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary

Company Name:Visco Vision Inc
Company Address:No. 1, Xingye St., Guishan Dist.,
Taoyuan City, 33341, TAIWAN
Telephone:+886-3-359-6868
Fax:+886-3-349-0202
Contact Person:Evan Huang
Summary Preparation Date:2017.4.17
Trade Name:OxyPure Color Silicone Hydrogel Soft Contact Lenses
ClassificationSoft (hydrophilic) contact lens.
Name: Regulation886.5925
Number: ProductLPL, MVN
Code: DeviceClass 2
Class: Panel:Ophthalmic

PREDICATE DEVICE:

K141348, VISCO SOFT CONTACT LENS

Device Description

The OxyPure Color Silicone Hydrogel Soft Contact Lenses is a daily wear lens in spherical design. It may be prescribed as daily wear. It is a copolymer of 1-vinyl-2-pyrrolidinone (NVP) and Siloxane macromer. The water content is 47%. A benzotriazole UV absorbing monomer is used to block UV radiation. OxyPure Color Silicone Hydrogel Soft Contact Lenses contain a pigmented area that will alter or enhance the appearance of the natural iris. The lens is colored with one or more of the following color additives: iron oxides, titanium dioxide, phythalocyanine green and carbazole violet. Lenses are supplied sterile in sealed blister packs containing isotonic buffered saline solution. The compatibility and package integrity of the blister pack packaging system has been demonstrated and successfully used for other marketed lens products, and packaged lenses are effectively steam sterilized in a validated autoclave. Blister pack containers are labeled with the lens parameters, lot number and product expiration date. The expiration date has been established through stability studies that have assessed the chemical stability of the lens and package integrity (ability to maintain sterility). Shelf-life studies are ongoing to establish and extend the labeled expiration date. Intended Use:

4

The OxyPure Color Spherical Silicone Hydrogel Soft Contact Lenses are indicated as daily wear single use soft contact lens for the correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes who exhibit refractive astigmatism of 1.00D or less where the astigmatism does not interfere with visual acuity.

Eyecare 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 disinfection system only.

All comparison table for applied devices are as following, and the substantial equivalence determination is based on the 510(k) Substantial Equivalence Decision-Making Process Flowchart which includes the comparison and discussion of indications for use, technology, and performance specifications.

| Category | OxyPure Color Silicone
Hydrogel Soft Contact
Lenses
New device | VISCO SOFT
CONTACT LENS
K141348 | Result of
Comparasion |
|--------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------|
| Applicant | Visco Vision Inc | Visco Vision Inc | Same |
| Classification | class II | class II | Same |
| Regulation
number | 886.5925 | 886.5925 | Same |
| Product code | LPL, MVN | LPL, MVN | Same |
| Indication | Daily Wear or Daily
Disposable, Soft
(hydrophilic) Contact Lens
for Myopia, Hyperopia, | Daily Wear or Daily
Disposable, Soft
(hydrophilic) Contact Lens
for Myopia | Same |
| Intended use | The OxyPure Color Spherical
Silicone Hydrogel Soft
Contact Lenses are indicated
as daily wear single use soft
contact lens for the correction
of refractive ametropia
(myopia and hyperopia) in
phakic or aphakic persons
with non-diseased eyes who | The VISCO Soft
(Hydrophilic) Contact
Lenses is indicated for
daily wear for the
correction of refractive
ametropia (myopia and
hyperopia) in phakic or
aphakic persons with
non-diseased eyes who | Same |
| Category | OxyPure Color Silicone
Hydrogel Soft Contact
Lenses
New device | VISCO SOFT
CONTACT LENS
K141348 | Result of
Comparasion |
| | exhibit refractive astigmatism
of 1.00D or less where the
astigmatism does not interfere
with visual acuity. | exhibit refractive
astigmatism of 2.00D or
less where the astigmatism
does not interfere with
visual acuity. Eyecare
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
disinfection system only.
The VISCO Soft
(Hydrophilic) Contact
Lenses help protect against
transmission of harmful
UV radiation to the cornea
and into the eye. | |
| | Eyecare 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
disinfection system only. | | |
| USAN Name | Olifilcon A | Olifilcon A | Same |
| FDA Category
(Group) | Group 1
Non-ionic, Low water | Group 1
Non-ionic, Low water | Same |
| Manufacturing
Method | Cast Molded | Cast Molded | Same |
| Tint process | Pad printing | No Pad Printing | Different |
| Print Zone | Corresponds to the iris | N/A | Different |
| Category | OxyPure Color Silicone
Hydrogel Soft Contact
Lenses
New device | VISCO SOFT
CONTACT LENS
K141348 | Result of
Comparasion |
| Location of
printing | embedded between HEMA
(Sandwich Process) | embedded between HEMA
(Sandwich Process) | Same |
| Lens Design | Spherical | Spherical | Same |
| Water Content | 47% | 47% | Same |
| Light
Transmittance | >94% | >94% | Same |
| Refractive Index | 1.410 (hydrated) | 1.410 (hydrated) | Same |
| Oxygen
Permeability
(DK, 35°C) | 150
(Fatt method) | 150
(Fatt method) | Same |
| Diameter Range | 13 to 15 mm | 13 to 15 mm | Same |
| Power Range | - 20.00D to +20.00D in 0.25
steps | - 20.00D to +20.00D in
0.25 steps | Same |
| Center
Thickness | 0.08mm @ -3.00D (Varies
with Power) | 0.08mm @ -3.00D (Varies
with Power) | Same |
| Base Curve | 8.0 mm to 9.2 mm | 8.0 mm to 9.2 mm | Same |
| Blue handling
tint | No | Yes, reactive Blue19 | Different |
| Color Additives
in dye | ● Iron oxide
● Titanium dioxide
● Phthalocyanine green
● Carbazole violet | Reactive Blue19 | Different |
| Leachability | no leachable monomers and
addictive residues | no leachable monomers
and addictive residues | Same |
| Single Use | No, Frequent/ Planned
Replacement | No, Frequent/ Planned
Replacement | Same |
| Packaging | Blister Pack | Blister Pack | Same |
| Packaging
Solution | sterile isotonic Borate
buffered saline | sterile isotonic phosphate
buffered saline | Same |
| Sterilization
method | Steam | Steam | Same |
| Category | OxyPure Color Silicone
Hydrogel Soft Contact
Lenses
New device | VISCO SOFT
CONTACT LENS
K141348 | Result of
Comparasion |
| Shelf Life | 5 years | 5 years | Same |
| Sterility of
Device | SAL= 10-6 | SAL= 10-6 | Same |
| Tensile strength
(Mpa) | 0.78±0.2 | 0.5±0.2 | Different |
| Modulus (Mpa) | 0.60 ± 0.1 | 0.60±0.1 | Same |
| Elongation at
break (%) | 195 ± 20% | 100± 20% | Different |
| Toughness
(J/m3) | 0.87±0.05 | 0.25±0.05 | Different |
| Compliance standard | | | |
| Biocompatibility | ISO10993-1 | ISO10993-1 | Same |
| | ISO10993-5 | ISO10993-5 | |
| | ISO10993-10 | ISO10993-10 | |
| | ISO10993-11 | ISO10993-11 | |
| Sterilization and
Shelf life | ISO 17665-1 | ISO 17665-1 | Same |
| | ISO11737-1 | ISO11737-1 | |
| | ISO 11987 | ISO 11987 | |
| performance | ISO18369-3 | ISO18369-3 | Same |
| | ISO18369-4 | ISO18369-4 | |
| | ISO11986 | ISO11986 | |
| | ASTM D792-13 | ASTM D792-13 | |

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Image /page/5/Picture/0 description: The image shows the logo for VISCO, a company that specializes in silicone hydrogel. The word "VISCO" is written in large, bold, blue letters. Below the company name is the tagline "The Silicone Hydrogel Expert" in a smaller, gray font.

6

Image /page/6/Picture/0 description: The image contains the word "VISCO" in large, bold, blue letters. Below that, in smaller, gray letters, is the phrase "The Silicone Hydrogel Expert". The text is centered and the background is white.

7

Image /page/7/Picture/0 description: The image shows the logo for VISCO. The logo is in blue and gray. The text below the logo says "The Silicone Hydrogel Expert".

Substantial Equivalence Comparison

The OxyPure Color Silicone Hydrogel Soft Contact Lenses, and the VISCO SOFT CONTACT LENS have same indication, intended use, classification name/ product code, lens design, lens materials/packaging materials and saline, manufacturing and sterilization method, tint process, perfomance parameter ranges, physical properties, mechanical properties, biocompatibility and shelf life. The differences between those two devices are mechanical properties and color additives, but other reference devices have same technical characteristic as new devices to support the substantial equivalence.

8

Non-clinical tests

The safety tests, such as biocompatibility have been performed and meet the requirement of following FDA Recognized Consensus Standards.

Regarding the performance, the bench tests were performed in accordance with following FDA Recognized Consensus Standards. All tests passed the requirement to demonstration that new device is as substantial equivalent as the predicate device.

  • ISO18369-3 Ophthalmic optics - Contact lenses - Part 3: Measurement Methods
  • ISO18369-4 Ophthalmic optics Contact lenses Part 4: Physicochemical properties of ● contact lens materials
  • ISO18369-2 Ophthalmic optics - Contact lenses - Part 2: Tolerances
  • ISO11986 Ophthalmic optics -- Contact lenses and contact lens care products -- Guidelines for etermination of preservation uptake and release
  • ISO11987 Ophthalmic optics -- Contact lenses and contact lens care products --Determination of physical compatibility of contact lens care products with contact lenses
  • ISO17665-2 terilization Of Health Care Products - Moist Heat - Part 2: Guidance on the Application of ISO 17665-1. (Sterility)
  • ISO17665-1 Sterilization of health care products -- Moist heat -- Part 1: Requirements for the development, validation and routine control of a sterilization process for medical devices
  • ISO11980 Ophthalmic optics -- Contact lenses and contact lens care products -- Guidance for clinical investigations
  • ASTM D792-13 Standard Test Methods For Density And Specific Gravity (Relative ● Density) Of Plastics By Displacement. (Materials)

Clinical study

This 510(k) submission does not utilize clinical study for establishing substantial equivalence therefore this section does not apply.

Conclusions:

OxyPure Color Silicone Hydrogel Soft Contact Lenses has the same intended use and similar technological characteristics as the above predicate devices. Moreover, information contained in this submission supplied demonstrates that any differences in their characteristics do not raise any new questions of safety or effectiveness. Thus, OxyPure Color Silicone Hydrogel Soft Contact Lenses is substantially equivalent to the predicate devices with respect to its intended use, technological

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Image /page/9/Picture/0 description: The image shows the word "VISCO" in large, bold, blue letters. Below the word, in smaller, gray letters, is the phrase "The Silicone Hydrogel Expert". The text is centered and the background is white.

characteristics and performance characteristics.