K Number
K181839
Device Name
CVS Health Dry Mouth Spray, OraLabs Dry Mouth Spray
Manufacturer
Date Cleared
2019-11-21

(498 days)

Product Code
Regulation Number
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Use as needed for instant relief. OraLabs Dry Mouth Pocket Spray helps maintain the oral environment and helps provide protection against dry mouth symptoms.
Device Description
OraLabs Dry Mouth Pocket Spray is a specially formulated water soluble artificial saliva substitute with a pH between 5.20 to 7.20 for use at home in the oral cavity. OraLabs manufactures the products in a 0.25 FL OZ polyethylene bottle with a non-aerosol pump. The formula contains water, moisturizers, thickeners/binders, buffers, flavor, sweetener and preservatives. The combination of ingredients collectively provides moisturizing, lubricating, soothing, and refreshing properties.
More Information

Not Found

No
The device description and performance studies focus on the chemical composition and physical properties of a liquid spray, with no mention of AI or ML.

No
The device is described as an artificial saliva substitute that helps maintain the oral environment and provides relief from dry mouth symptoms, which is a supportive rather than therapeutic function.

No
The device is described as an artificial saliva substitute for instant relief of dry mouth symptoms, indicating a therapeutic or palliative purpose rather than diagnosis.

No

The device description clearly states it is a liquid spray in a bottle, which is a physical product, not software.

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

Here's why:

  • Intended Use: The intended use is to provide instant relief and protection against dry mouth symptoms by maintaining the oral environment. This is a therapeutic or palliative use, not a diagnostic one.
  • Device Description: The device is an artificial saliva substitute applied to the oral cavity. It contains ingredients that provide moisturizing, lubricating, soothing, and refreshing properties. This describes a product that acts on the body to alleviate symptoms, not a product used to test a sample from the body to diagnose a condition.
  • Lack of Diagnostic Function: There is no mention of the device being used to detect, measure, or analyze any substance or characteristic in a sample from the human body for the purpose of providing information for diagnosis, monitoring, or screening.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens (like blood, urine, tissue) to provide information about a person's health. This device is used in vivo (inside the body) to treat symptoms.

N/A

Intended Use / Indications for Use

Use as needed for instant relief. OraLabs Dry Mouth Pocket Spray helps maintain the oral environment and helps provide protection against dry mouth symptoms.

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

LFD

Device Description

OraLabs Dry Mouth Pocket Spray is a specially formulated water soluble artificial saliva substitute with a pH between 5.20 to 7.20 for use at home in the oral cavity. OraLabs manufactures the products in a 0.25 FL OZ polyethylene bottle with a non-aerosol pump.

The formula contains water, moisturizers, thickeners/binders, buffers, flavor, sweetener and preservatives. The combination of ingredients collectively provides moisturizing, lubricating, soothing, and refreshing properties.

OraLabs uses a Natural Mint Blend (PE-116) that is recognized as safe (GRAS) on the FEMA/GRAS list.

OraLabs owns the formula, manufacture, label and packaging of this product.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Oral cavity

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Home

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)

The testing OraLabs selected to perform on OraLabs Dry Mouth Pocket Spray was to objectively prove substantial equivalence in safety and effectiveness of the proposed device to the declared predicate.

OraLabs Dry Mouth Pocket Spray is equivalent to Biotene based on performance testing of visual, sensory, pH, viscosity, moisture deabsorption and biocompatibility.

The results from these tests demonstrate that OraLabs Dry Mouth Pocket Spray is substantially equivalent.

OraLabs Dry Mouth Pocket Spray is substantially equivalent based on performance testing of stability, biocompatibility, anti-bacterial activity, efficacy of preservative, and elemental impurity testing. Biocompatibility testing for Biotene and OraLabs Dry Mouth Pocket Spray exhibited the same result on L929 Direct Contact Cytotoxicity Test. These results were contributed to the presence of the Surfactant Preservatives - Cetylpyridinium Chloride and Sodium Benzoate.

OraLabs Dry Mouth Pocket Spray tested favorably to the predicate device on appearance and sensory properties, pH, viscosity, and moisture absorption.

Stability studies indicate an expiration date of 24 months compared to Biotene's 36 months. USP testing shows the preservatives OraLabs added to OraLabs Dry Mouth Pocket Spray are acceptable for the expiration date.

An elemental impurity test was performed on OraLabs Dry Mouth Pocket Spray with acceptable results.

OraLabs conducted biocompatibility testing as listed in Use of International Standard ISO 10993-1 "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process". Biocompatibility results show the OraLabs Dry Mouth Pocket Spray to be as safe as the predicate product to use to relieve dry mouth symptoms.

OraLabs performed accelerated stability according to ICH requirements. OraLabs Dry Mouth Pocket Spray was filled into individual spray bottles and sealed with the pump assembly. The product was placed into a stability chamber at 40°C/75% Relative Humidity (40_75). The product was tested at Baseline, 3 months, and 6 months for analytical, microbial, and organoleptic properties. Total Aerobic Count, Yeasts & Molds, pH, and organoleptic properties maintained an acceptable result at each stage of testing. Accelerated testing did not significantly alter the pH and the preservatives added to the OraLabs Dry Mouth Pocket Spray were acceptable as no growth was found on Total Aerobic Count and Yeasts & Molds. These results support OraLabs applying a 24 month expiration date.

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.

K123731

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.

November 21, 2019

OraLabs. Inc. Teresa Purdue Vice President of Quality 18685 East Plaza Drive Parker, Colorado 80134

Re: K181839

Trade/Device Name: CVS Health Dry Mouth Spray, OraLabs Dry Mouth Spray Regulatory Class: Unclassified Product Code: LFD Dated: August 20, 2019 Received: August 23, 2019

Dear Teresa Purdue:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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

1

801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Srinivas Nandkumar, Ph.D. Acting Director DHT1B: Division of Dental Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K181839

Device Name OraLabs Dry Mouth Pocket Spray

Indications for Use (Describe)

Use as needed for instant relief. OraLabs Dry Mouth Pocket Spray helps maintain the oral environment and helps provide protection against dry mouth symptoms.

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

Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff PRAStaff@fda.hhs.gov

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

3

Image /page/3/Picture/0 description: The image shows the OraLabs logo. The logo is white text on a blue background. The text is in a sans-serif font and is slightly rounded. There is a registered trademark symbol in the upper right corner of the logo. The background is a rounded rectangle.

510(k) Summary

1. Purpose of the 510(k) Notice

OraLabs requests this 510(k) as it is a new device.

There are no prior submissions for OraLabs Dry Mouth Pocket Spray, or from manufacturer OraLabs for a Dry Mouth Spray.

OraLabs initially submitted documentation in July 2018 and was assigned number K181839. Additional correspondence was submitted in January 2019 and April 2019.

2. Submitter's Information - Name, Address, Telephone Number, Contact Person and Date Prepared

OraLabs, Inc. Gary Schlatter, CEO 18685 East Plaza Drive Parker, CO 80134 Phone:(303) 783-9499, Extension 3202 Fax: (303) 783-5759 www.oralabs.com

This revised summary was prepared on 07/19/19 and any questions shall be addressed to:

Teresa Purdue Vice President of Quality 18685 East Plaza Drive Parker, CO 80134 Phone:(303) 783-9499, Extension 3249 Fax: (303) 783-5759 teresap@oralabs.com www.oralabs.com

3. Device Name

  • Proprietary name Dry Mouth Spray ●
  • Common Name of Device Saliva, artificial ●
  • Classification Name Unclassified ●
  • Classification Product Code LFD ●
  • Review Panel – Dental Device Panel

To my knowledge, the Food and Drug Administration has not classified this device.

4

Image /page/4/Picture/0 description: The image is the logo for OraLabs. The logo is white text on a blue background. The text says "OraLabs".

4. Devices to Which Substantial Equivalence is Claimed:

OraLabs claims equivalence to Biotene®Moisturizing Mouth Spray, 510(k) Number K123731.

Trade NameBiotene® Dry Mouth Spray
Common NameOral Spray
Classification NameSaliva, Artificial
Regulatory ClassificationUnclassified (pre-amendment)
Product CodeLFD
Review PanelDental Devices Panel
510(k) NumberK123731
SubmitterGlaxoSmithKline Consumer Healthcare

5. Device Description

OraLabs Dry Mouth Pocket Spray is a specially formulated water soluble artificial saliva substitute with a pH between 5.20 to 7.20 for use at home in the oral cavity. OraLabs manufactures the products in a 0.25 FL OZ polyethylene bottle with a non-aerosol pump.

The formula contains water, moisturizers, thickeners/binders, buffers, flavor, sweetener and preservatives. The combination of ingredients collectively provides moisturizing, lubricating, soothing, and refreshing properties.

OraLabs uses a Natural Mint Blend (PE-116) that is recognized as safe (GRAS) on the FEMA/GRAS list.

OraLabs owns the formula, manufacture, label and packaging of this product.

6. Performance Data

The testing OraLabs selected to perform on OraLabs Dry Mouth Pocket Spray was to objectively prove substantial equivalence in safety and effectiveness of the proposed device to the declared predicate.

5

Image /page/5/Picture/0 description: The image is a logo for OraLabs. The logo is set on a blue background with rounded corners. The text "OraLabs" is written in white, sans-serif font. There is a registered trademark symbol in the upper right corner of the logo.

OraLabs Dry Mouth Pocket Spray is equivalent to Biotene based on performance testing of visual, sensory, pH, viscosity, moisture deabsorption and biocompatability.

The results from these tests demonstrate that OraLabs Dry Mouth Pocket Spray is substantially equivalent.

OraLabs Dry Mouth Pocket Spray is substantially equivalent based on performance testing of stability, biocompatibility, anti-bacterial activity, efficacy of preservative, and elemental impurity testing. Biocompatibility testing for Biotene and OraLabs Dry Mouth Pocket Spray exhibited the same result on L929 Direct Contact Cytotoxicity Test. These results were contributed to the presence of the Surfactant Preservatives - Cetylpyridinium Chloride and Sodium Benzoate.

The proposed medical device, OraLabs Dry Mouth Pocket Spray, is demonstrated to be substantially equivalent to the predicate device, Biotene Moisturizing Mouth Spray.

7. Comparison Statements

OraLabs Dry Mouth Pocket Spray is substantially equivalent to Biotene® Moisturizing Mouth Spray.

They utilize the same fundamental scientific technology (a mixture of water, moisturizers, thickening/binding agents, buffering agents, sweeteners, flavor, and preservatives).

OraLabs Dry Mouth Pocket Spray is packaged in a smaller size than the Biotene® Moisturizing Mouth Spray, volume of 0.25 FL OZ vs. 1.5 FL OZ.

See next page for a Comparison Table.

6

Image /page/6/Picture/0 description: The image shows the logo for OraLabs. The logo consists of the word "OraLabs" in white text on a blue background. The logo is rectangular with rounded corners and has a registered trademark symbol in the upper right corner.

Trade NamePredicate Device BioteneProposed Device
Moisturizing MouthOraLabs Dry Mouth
SprayPocket Spray
510(k) NumberK123731K181839
Classification NameArtificial SalivaArtificial Saliva
Product CodeLFDLFD
ClassificationUnclassifiedUnclassified
Disease StateXerostomia (Dry Mouth)Xerostomia (Dry Mouth)
Intended Use
Indications for UseSoothing Moisturization.Use as needed for instant
Immediate symptom reliefrelief. OraLabs Dry Mouth
that lasts for up to fourPocket Spray helps
hours. Helps keep mouthmaintain the oral
fresh.environment and helps
provide protection against
dry mouth symptoms.
Dosage FormOral SprayOral Spray
Dosage (Per Use)
Method of UseSpraySpray
Area of UseOral cavityOral Cavity
Applications/davUp to 5 times dailyAs needed for relief of dry
Prescription/OTCmouth symptoms.
Environment of UseOTCOTC
SolventHomeHome
Humectants/MoisturizersWaterWater
Sweeteners/HumectantsGlycerinGlycerin
Xylitol, Sodium SaccharinXylitol, Sodium Saccharin
Thickeners/BindersVP/VA CopolymerVP/VA Copolymer
Xanthan GumXanthan Gum
Surfactant PreservativesCetylpyridinium ChlorideCetylpyridinium Chloride.
Sodium BenzoateSodium Benzoate
Methylparaben
Propylparaben
FlavorMint FlavorMint Flavor
Area of UseOral CavityOral Cavity
Disease StateXerostomia (Dry Mouth)Xerostomia (Dry Mouth)
AppearanceCloudy, semi-viscousCloudy, semi-viscous
pH6.02, 6.115.2 — 7.2
Viscosity7700 mPas; 7820 mPas5120 mPa*s
Moisture Deabsorption8.16%9.97%
SolubilityWater SolubleWater Soluble
Packaging Unit1.5 FL OZ0.25 FL OZ
Packaging Material -
BottleWhite polyethylene
terephthalate (PET)Clear polyethylene
terephthalate (PET)
Packaging Material -
CapPolypropylenePolypropylene
Prescription/OTCOTCOTC
SterilityNon-sterileNon-Sterile
Shelf-Life36 months24 months

7

Image /page/7/Picture/0 description: The image shows the logo for OraLabs. The logo is white text on a blue background. The text is in a sans-serif font and is slightly rounded. There is a registered trademark symbol in the upper right corner of the logo.

Table A - Comparison of Predicate Device to Formula SPY DMS

8. Discussion of Differences

  • . Size and color of container
    OraLabs designed the OraLabs Dry Mouth Pocket Spray to be a pocket spray size that consumers can carry with them. The size of 0.25 fl oz (7.5 ml) is smaller than Biotene's 1.5 fl oz (44.3 ml). OraLabs used a clear plastic bottle instead of a white bottle like the predicate device, Biotene.

  • Preservatives .
    OraLabs uses two preservatives that the predicate device, Biotene has in their formula, Cetylpyridinium Chloride and Sodium Benzoate. Biotene adds methylparaben and propylparaben. OraLabs intentially opted to omit the parabens due to published literature on the use of parabens in cosmetic and OTC drug products. Performance testing (Stability) demonstrated that Cetylpyridinium Chloride and Sodium Benzoate are adequate to support a 24 month expiration date.

  • Expiration date ●
    The predicate device. Biotene, applies a 36 month expiration date. OraLabs stability protocol supports a 24 month expiration date.

9. Bench Testing

OraLabs Dry Mouth Pocket Spray tested favorably to the predicate device on appearance and sensory properties, pH, viscosity, and moisture absorption.

Stability studies indicate an expiration date of 24 months compared to Biotene's 36 months. USP testing shows the preservatives OraLabs added to OraLabs Dry Mouth Pocket Spray are acceptable for the expiration date.

An elemental impurity test was performed on OraLabs Dry Mouth Pocket Spray with acceptable results.

Biocompatibility Test Results

OraLabs conducted biocompatibility testing as listed in Use of International Standard ISO 10993-1 "Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process".

8

Image /page/8/Picture/0 description: The image shows the logo for OraLabs. The logo is set against a blue background. The text "OraLabs" is written in white, with the "R" symbol in a circle next to the "s" in "Labs".

OraLabs found the predicate device, Biotene Dry Mouth Moisturizing Spray, received identical readings for the cytotoxicity testing. As stated in Section 6, Performance Data, in this 510(k) Summary, these results were attributed to the presence of the Surfactant Preservatives - Cetylpyridinium Chloride and Sodium Benzoate.

Biological EffectResult
CytotoxicityOraLabs - Fail
SensitizationOraLabs - Pass
Irritation or Intracutaneous ReactivityOraLabs - Pass
CytotoxicityBiotene - Fail

Biocompatibility results show the OraLabs Dry Mouth Pocket Spray to be as safe as the predicate product to use to relieve dry mouth symptoms.

10. Stability

OraLabs performed accelerated stability according to ICH requirements. OraLabs Dry Mouth Pocket Spray was filled into individual spray bottles and sealed with the pump assembly. The product was placed into a stability chamber at 40°C/75% Relative Humidity (40_75).

The product was tested at Baseline, 3 months, and 6 months for analytical, microbial, and organoleptic properties.

Total Aerobic Count, Yeasts & Molds, pH, and organoleptic properties maintained an acceptable result at each stage of testing.

Accelerated testing did not significantly alter the pH and the preservatives added to the OraLabs Dry Mouth Pocket Spray were acceptable as no growth was found on Total Aerobic Count and Yeasts & Molds.

These results support OraLabs applying a 24 month expiration date.

11. Conclusion

OraLabs Dry Mouth Pocket Spray is substantially equivalent to Biotene Moisturizing Mouth Spray as it has the same intended use and the same fundamental scientific technology as the legally marketed predicate device. Biotene Moisturizing Mouth Spray.

This is demonstrated by comparing the ingredients, and the purpose of each ingredient, in the OraLabs Dry Mouth Pocket Spray and Biotene.

OraLabs Dry Mouth Pocket Spray contains water, moisturizers, thickeners/binders, buffers, flavor, sweetener and preservatives. The combination of ingredients collectively provides moisturizing, lubricating, soothing, and refreshing properties.

Performance testing and biocompatibility assessment further show substantial equivalence.