K Number
K172028
Device Name
Gebauer’s Pain Ease Topical Anesthetic Skin Refrigerant (Mist Spray and Medium Spray)
Manufacturer
Date Cleared
2017-10-27

(114 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Gebauer's Pain Ease Topical Anesthetic Skin Refrigerant (Mist Spray and Medium Spray): a vapocoolant (skin refrigerant) intended for topical application to skin, mucous membranes and minor open wounds. Gebauer's Pain Ease controls pain associated with minor surgical procedures (such as lancing boils, incisions, drainage of small abscesses, and sutures), injections (venipuncture, IV starts, cosmetic procedures) and the temporary relief of minor sports injuries (sprains, bruising, cuts and abrasions). The Medium Spray is also intended for the treatment of myofascial pain caused by trigger points, restricted motion and muscle tension.
Device Description
Gebauer's Pain Ease (Mist and Medium Spray) Topical Anesthetic Skin Refrigerant is a prescription device designed to deliver HFC 245fa high purity (1,1,1,3,3-Pentafluoropropane) and HFC 134a pharmaceutical grade (1,1,1,2-Tetrafluoroethane) in a mist and medium spray. This mixture self-propels itself from the delivery system. which is designed to account for its low vapor pressure. The device delivery system is specifically designed to deliver a medium and mist spray of the Gebauer's Pain Ease (Mist Spray and Stream Spray) mixture. The medium and mist spray is an appropriate mode of application when users follow directions for use, cooling the skin through rapid evaporation of the non-medicated volatile propellants. The new device, Gebauer's Pain Ease, is identical in all aspects to the predicate device, Gebauer's Pain Ease (Mist Spray and Medium Spray) 510(k) K032671, except that the product can be applied to the skin for pre-injection anesthesia by cotton swab or gauze on intact skin. (If the skin is breached use this application method only with STERILE, disposable cotton balls, cotton swabs or gauze. The cotton balls, cotton swabs or gauze are not supplied with the device.)
More Information

Not Found

No
The device description and intended use focus on the physical properties and delivery of a chemical mixture for topical cooling, with no mention of AI or ML technologies.

Yes
The device is described as controlling pain, relieving pain from minor sports injuries, and treating myofascial pain, all of which are therapeutic indications.

No

This device is intended to control pain and for treatment, not for diagnosing a medical condition.

No

The device description clearly describes a physical delivery system (spray can) containing chemical propellants, which is a hardware component, 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 Description and Intended Use: The description clearly states that Gebauer's Pain Ease is a topical anesthetic skin refrigerant applied directly to the skin, mucous membranes, and minor open wounds. It works by cooling the skin through rapid evaporation.
  • Lack of Biological Sample Analysis: There is no mention of analyzing any biological samples from the patient. The device's function is purely external and physical (cooling).

Therefore, Gebauer's Pain Ease falls under the category of a medical device but not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

Gebauer's Pain Ease Topical Anesthetic Skin Refrigerant (Mist Spray and Medium Spray): a vapocoolant (skin refrigerant) intended for topical application to skin, mucous membranes and minor open wounds. Gebauer's Pain Ease controls pain associated with minor surgical procedures (such as lancing boils, incisions, drainage of small abscesses, and sutures), injections (venipuncture, IV starts, cosmetic procedures) and the temporary relief of minor sports injuries (sprains, bruising, cuts and abrasions). The Medium Spray is also intended for the treatment of myofascial pain caused by trigger points, restricted motion and muscle tension.

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

MLY

Device Description

Gebauer's Pain Ease (Mist and Medium Spray) Topical Anesthetic Skin Refrigerant is a prescription device designed to deliver HFC 245fa high purity (1,1,1,3,3-Pentafluoropropane) and HFC 134a pharmaceutical grade (1,1,1,2-Tetrafluoroethane) in a mist and medium spray. This mixture self-propels itself from the delivery system. which is designed to account for its low vapor pressure. The device delivery system is specifically designed to deliver a medium and mist spray of the Gebauer's Pain Ease (Mist Spray and Stream Spray) mixture. The medium and mist spray is an appropriate mode of application when users follow directions for use, cooling the skin through rapid evaporation of the non-medicated volatile propellants. The new device, Gebauer's Pain Ease, is identical in all aspects to the predicate device, Gebauer's Pain Ease (Mist Spray and Medium Spray) 510(k) K032671, except that the product can be applied to the skin for pre-injection anesthesia by cotton swab or gauze on intact skin. (If the skin is breached use this application method only with STERILE, disposable cotton balls, cotton swabs or gauze. The cotton balls, cotton swabs or gauze are not supplied with the device.) Both the new and predicate devices are indicated for use to control pain for pre-injection anesthesia, minor surgery, and minor sports injuries. The Medium Spray for the new device, like the predicate medium spray device, is also indicated for the management of myofascial pain caused by trigger points. restricted motion and muscle tension by using the Spray and Stretch® technique.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

skin, intact mucous membranes (oral cavity, nasal passage ways and the lips) and minor open wounds.

Indicated Patient Age Range

As the safety for use of the device in pediatric patients has not been established, it is recommended the device should not be used on patients under four without consultation of a pediatrician.

Intended User / Care Setting

Not Found

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)

Study Type: Bench Testing
Sample Size: Not Found
AUC: Not Found
MRMC: Not Found
Standalone Performance: Not Found
Key Results: Comparative testing was conducted to demonstrate equivalence between direct topical application via spraving and topical application using cotton ball, cotton swab or gauze. The testing was conducted to determine the temperature and output of the predicate and subject devices. Based on the temperature data generated, the subject device was found to have a safety and effectiveness profile that is similar to the predicate device.

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.

K032671

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

N/A

0

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.

October 27, 2017

Gebauer Company Brittney Schmies Regulatory Affairs Specialist 4444 East 153rd Street Cleveland, Ohio 44128

Re: K172028

Trade/Device Name: Gebauer's Pain Ease Topical Anesthetic Skin Refrigerant (Mist Spray and Medium Spray) Regulatory Class: Unclassified Product Code: MLY Dated: September 25, 2017 Received: September 26, 2017

Dear Ms. Schmies:

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 forth in the quality systems (QS) regulation (21 CFR Part 820);

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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 (DICE) 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 (DICE) 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.

Vivek J. Pinto -S

for Carlos L. Peña, PhD, MS Director Division of Neurological and Physical Medicine Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K172028

Device Name

Gebauer's Pain Ease Topical Anesthetic Skin Refrigerant (Mist Spray and Medium Spray)

Indications for Use (Describe)

Gebauer's Pain Ease Topical Anesthetic Skin Refrigerant (Mist Spray and Medium Spray): a vapocoolant (skin refrigerant) intended for topical application to skin, mucous membranes and minor open wounds. Gebauer's Pain Ease controls pain associated with minor surgical procedures (such as lancing boils, incisions, drainage of small abscesses, and sutures), injections (venipuncture, IV starts, cosmetic procedures) and the temporary relief of minor sports injuries (sprains, bruising, cuts and abrasions). The Medium Spray is also intended for the treatment of myofascial pain caused by trigger points, restricted motion and muscle tension.

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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GEBAUER COMPANY

510(k) Summary - K172028

This 510(k) Summary is being submitted in accordance of 21 CFR Part 807.92.

I. SUBMITTER

| Owner: | Gebauer Company
4444 East 153rd Street
Cleveland, OH 44128
(216) 581-3030 |
|-----------------|--------------------------------------------------------------------------------------|
| Contact Person: | Brittney Schmies
Gebauer Company
4444 East 153rd Street
Cleveland, OH 44128 |

Date Prepared:

October 27, 2017

(216) 581-3030

II. DEVICE

Trade Name:

Skin Refrigerant (Mist Spray and Medium Spray)

Gebauer's Pain Ease Topical Anesthetic

Refrigerant Topical, Vapocoolant

Common Name:

Classification Name:

Product Code:

MLY

Cold Spray

III. PREDICATE DEVICE:

| Primary: | Gebauer's Pain Ease (Mist Spray and
Medium Spray) |
|----------|------------------------------------------------------|
| | K032671 |
| | Legally marketed medical device |

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IV. DESCRIPTION

Gebauer's Pain Ease (Mist and Medium Spray) Topical Anesthetic Skin Refrigerant is a prescription device designed to deliver HFC 245fa high purity (1,1,1,3,3-Pentafluoropropane) and HFC 134a pharmaceutical grade (1,1,1,2-Tetrafluoroethane) in a mist and medium spray. This mixture self-propels itself from the delivery system. which is designed to account for its low vapor pressure. The device delivery system is specifically designed to deliver a medium and mist spray of the Gebauer's Pain Ease (Mist Spray and Stream Spray) mixture. The medium and mist spray is an appropriate mode of application when users follow directions for use, cooling the skin through rapid evaporation of the non-medicated volatile propellants. The new device, Gebauer's Pain Ease, is identical in all aspects to the predicate device, Gebauer's Pain Ease (Mist Spray and Medium Spray) 510(k) K032671, except that the product can be applied to the skin for pre-injection anesthesia by cotton swab or gauze on intact skin. (If the skin is breached use this application method only with STERILE, disposable cotton balls, cotton swabs or gauze. The cotton balls, cotton swabs or gauze are not supplied with the device.) Both the new and predicate devices are indicated for use to control pain for pre-injection anesthesia, minor surgery, and minor sports injuries. The Medium Spray for the new device, like the predicate medium spray device, is also indicated for the management of myofascial pain caused by trigger points. restricted motion and muscle tension by using the Spray and Stretch® technique.

V. INDICATIONS FOR USE

The indications for Use are the same as the predicate device.

Gebauer's Pain Ease Topical Anesthetic Skin Refrigerant (Mist Spray and Medium Spray): a vapocoolant (skin refrigerant) intended for topical application to skin, intact mucous membranes (oral cavity, nasal passage ways and the lips) and minor open wounds. Gebauer's Pain Ease controls pain associated with minor surgical procedures (such as lancing boils, incisions, drainage of small abscesses, and sutures), injections (venipuncture. IV starts, cosmetic procedures) and the temporary relief of minor sports injuries (sprains, bruising, cuts and abrasions). The Medium Spray is also intended for the treatment of myofascial pain caused by trigger points, restricted motion and muscle tension.

VI. - TECHNICAL SUMMARY

As with the predicate device, the cooling action experienced by the patient is caused by the evaporation of the chemical mixture from the patient's skin. The user applies pressure to the nozzle to dispense the aerosol product onto the skin, or saturates a

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cotton ball, cotton swab or gauze with the product and applies to the skin. The material is contained in a can, filled under pressure, and dispensed using standard aerosol nozzle technology. See table below for the comparison between the subject device and the predicate:

Comparison Chart – Technological Characteristics
Trade NameGebauer's Pain Ease
PredicateGebauer's Pain Ease
Subject Device
Product DesignPressurized dispensing
container which includes
the vapocoolant, aerosol
can, valve and actuator.Pressurized dispensing
container which includes
the vapocoolant, aerosol
can, valve and actuator.
Intended UseA vapocoolant (skin
refrigerant) intended for
topical application to
skin, mucous
membranes and minor
open wounds.
Gebauer's Pain Ease
controls pain associated
with minor surgical
procedures (such as
lancing boils, incisions,
drainage of small
abscesses, and sutures),
injections
(venipuncture, IV starts,
cosmetic procedures)
and the temporary relief
of minor sports injuries
(sprains, bruising, cuts
and abrasions). The
Medium Spray is also
intended for the
treatment of myofascial
pain caused by trigger
points, restricted motion
and muscle tension.A vapocoolant (skin
refrigerant) intended for
topical application to
skin, mucous
membranes and minor
open wounds.
Gebauer's Pain Ease
controls pain associated
with minor surgical
procedures (such as
lancing boils, incisions,
drainage of small
abscesses, and sutures),
injections
(venipuncture, IV starts,
cosmetic procedures)
and the temporary relief
of minor sports injuries
(sprains, bruising, cuts
and abrasions). The
Medium Spray is also
intended for the
treatment of myofascial
pain caused by trigger
points, restricted motion
and muscle tension.
Product Fill Volume3.5 oz. (103.5 mL)3.5 oz. (103.5 mL)
Vapocoolant Composition1,1,1,3,3
Pentafluoropropane (HFC
245fa high purity) and
1,1,1,2 Tetrafluoroethane1,1,1,3,3
Pentafluoropropane (HFC
245fa high purity) and
1,1,1,2 Tetrafluoroethane
(HFC 134a pharmaceutical grade).(HFC 134a pharmaceutical grade).
Energy DeliveredThermal energy via
Refrigerant Spray.Thermal energy via
Refrigerant Spray.
Vapocoolant Discharge
MethodDepress the actuator to
release the vapocoolant.Depress the actuator to
release the vapocoolant
Method of ApplicationDirect spray application to
intact skin, intact oral
mucous membranes and
minor open wounds.Direct spray application to
intact skin, intact oral
mucous membranes, and
minor open wounds, or
application via cotton ball,
cotton swab or gauze on
intact skin only. If the skin
is breached this application
method is to be used only
with STERILE, disposable
cotton balls, cotton swabs
or gauze.
Environmental
CompatibilityNon-Flammable.Non-Flammable.
Mechanical SafetyMechanism has positive
shut-off release.Mechanism has positive
shut-off release.
Manufacturing
EnvironmentControlled EnvironmentControlled Environment
Microbial Limits TestingTested in accordance with
USP and .Tested in accordance with
USP and .
Biocompatibility TestingIn accordance with ISO
10993 for dermal irritation,
sensitization, cytotoxicity,
oral mucosal irritation,
acute dermal toxicity.In accordance with ISO
10993 for dermal irritation,
sensitization, cytotoxicity,
oral mucosal irritation,
acute dermal toxicity.
Target PopulationGeneralAs the safety for use of the
device in pediatric patients
has not been established, it
is recommended the device
should not be used on
patients under four without
consultation of a
pediatrician.
Boiling Point44.6°F (7.0°C)44.6°F (7.0°C)
Storage TemperatureDo not store at temperatures
above 50°C (120°F)Do not store at temperatures
above 50°C (120°F)
Shelf Life3 years3 years

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DETERMINATION OF SUBSTANTIAL EQUIVELANCE VII.

This premarket notification 510(k) is being submitted to expand the application methods in the instructions for use for Gebauer's Pain Ease, Mist and Medium Stream. There is demonstrated equivalency in basic product design and technology, in indications for use, target population, and risk factors.

As stated above, the new device is identical in formulation, delivery system and packaging to the predicate device Gebauer's Pain Ease, Mist and Medium Stream previously cleared for market under 510(k) K032671. The new device has expanded instructions for use to apply the product by either spraying directly on the skin or saturating a cotton ball, cotton swab or gauze on intact skin. (If the skin is breached use this application method only with STERILE, disposable cotton balls, cotton swabs or gauze. The cotton balls, cotton swabs or gauze are not supplied with the device.) Both the new and predicate devices are indicated for use to temporarily control pain associated with pre-injection anesthesia, minor surgery and minor sports injuries. The medium stream spray for both the predicate and new device has the identical indication for the treatment of myofascial pain caused by trigger points, restricted motion and muscle tension.

VIII. PERFORMANCE DATA

The predicate and subject devices use the same materials, design and energy source and no technological differences exist. Tests were selected and performed to ensure the subject device's performance, with the new method of application, is equivalent as the predicate. To demonstrate equivalence the following test was performed:

Side-by-Side Temperature & Output Bench Testing

Comparative testing was conducted to demonstrate equivalence between direct topical application via spraving and topical application using cotton ball, cotton swab or gauze. The testing was conducted to determine the temperature and output of the predicate and subject devices

Summarv

Based on the temperature data generated, the subject device was found to have a safety and effectiveness profile that is similar to the predicate device.

CONCLUSION IX.

Based on the information above and within this submission, it is concluded that the subiect Pain Ease device is safe and effective for its intended use and is substantially equivalent to the predicate device.