(56 days)
Precision1 (verofilcon A) Spherical and Precision1 Asphere (verofilcon A) soft contact lenses are indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes and approximately 1.50 diopters of astigmatism that does not interfere with visual acuity.
Precision1 for Astigmatism (verofilcon A) toric soft contact lenses are indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes and 6.00 diopters (D) or less of astigmatism.
Precision1 Multifocal (verofilcon A) multifocal soft contact lenses are indicated for the optical correction of presbyopia with or without refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and have up to approximately 1.50 diopters of astigmatism.
Precision1 Multifocal Toric (verofilcon A) soft contact lenses are indicated for the optical correction of presbyopia with or without refractive ametropia (myoeropia) in phakic or aphakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and who may have up to 6.00 diopters (D) of astigmatism.
The lenses are to be prescribed for single use, daily disposable wear, as recommended by the eye care professional. The lenses are not intended to be cleaned or disinfected and should be discarded after a single use.
The subject device, Precision1™ (verofilcon A) soft contact lenses, are made from a silicone containing hydrogel lens material that is approximately 51% water and 49% verofilcon A. The color additive Reactive Blue 247 is added to the lens material to create a light blue edge-to-edge color to make it easier to see when handling. In addition, lenses contain a benzotriazole UVabsorbing monomer to block UVA and UVB radiation.
Verofilcon A represents a Group V silicone hydrogel contact lens material ('enhanced oxygen permeable materials') according to ISO 18369-1:2006/Amd.1:2009 Ophthalmic optics - Contact lenses - Part 1: Vocabulary, classification system and recommendations for labelling specifications. The 2017 revision of the standard further classifies silicone hydrogels into subgroups. According to ISO 18369-1:2017 the verofilcon A silicone hydrogel material is in the soft contact lens material group classification as follows: Group Suffix 5B, Hydrogel Material High water subgroup, Description A subgroup of Group 5 which contains more than 50 % water and no ionic monomer or oligomer at pH 6 to pH 8.
Verofilcon A lens designs include spherical, asphere, toric, multifocal and multifocal toric lenses in the following parameter ranges: Diameter Range: 13.0 to 15.0 mm, Base Curve Range: 8.0 to 9.2 mm, Power Range: -20.00 D to +20.00 D, Center Thickness: varies with design and power (Example: 0.09 mm for -3.00 D spherical).
Lenses have the following properties: Refractive index: 1.4 (hydrated), Water content : 51% by weight in normal saline, Oxygen permeability: 90 x 10 -11 . [(cm2 /sec)(ml O2 /mlommHg)] measured at 35 °C (intrinsic Dk-Coulometric method), Light transmittance: > 90 %, UV Transmittance: The transmittance characteristics are less than 1% in the UVB range of 280 nm to 315 nm and less than 10% in the UVA range of 316 to 380 nm for the entire power range.
Verofilcon A contact lenses are supplied sterile in sealed blister packs containing isotonic phosphate buffered saline solution (PBS) with approximately 0.3% of polymeric wetting agents consisting of copolymers of polyamidoamine and poly (acrylamide-acrylic) acid.
The provided text describes the 510(k) premarket notification for the Precision1™ contact lenses (verofilcon A). It details the device, its comparison to a predicate device, and the testing conducted to demonstrate its substantial equivalence, including nonclinical and clinical performance testing. However, the document does not explicitly define acceptance criteria in terms of specific performance metrics (e.g., minimum accuracy percentages, sensitivity, specificity thresholds) that the device must meet. Instead, the study aims to demonstrate "similar clinical performance" and "substantial equivalence" of the Precision1™ lens compared to the predicate device (Alcon® DAILIES TOTAL1®).
Therefore, I cannot provide a table of acceptance criteria with specific numeric thresholds as they are not explicitly stated in the document. The document focuses on demonstrating comparable safety and performance.
Here's an analysis of the study information based on your request:
Acceptance Criteria and Study for Precision1™ (verofilcon A) Contact Lenses
As stated above, the document does not explicitly list quantitative acceptance criteria with specific performance thresholds. Instead, the primary goal of the clinical study was to demonstrate substantial equivalence and similar clinical performance between the subject device (Precision1™) and the predicate device (Alcon® DAILIES TOTAL1®) in terms of safety and efficacy.
The "acceptance criteria" can be inferred to be the demonstration of non-inferiority or comparable performance in the following areas:
| Acceptance Criteria (Inferred) | Reported Subject Device Performance |
|---|---|
| Safety: No adverse impact on ocular health compared to predicate device. | "A series of in vitro and in vivo biocompatibility evaluations...confirm that verofilcon A contact lenses are non-toxic and biocompatible." "Product safety was assessed based on adverse events, device deficiencies and biomicroscopy findings." "The study results showed similar clinical performance between the test verofilcon A and control delefilcon A lenses in the clinically relevant areas of vision, comfort, fit, handling and health..." "The risks of the subject device are the same as those normally attributed to the wearing of silicone hydrogel contact lenses..." |
| Performance (Vision): Comparable visual acuity to predicate device. | "The primary effectiveness endpoint was logMAR VA at distance." "Additional endpoints include refraction, keratometry, lens fit, surface characteristics and subjective ratings of vision..." "The study results showed similar clinical performance between the test verofilcon A and control delefilcon A lenses in the clinically relevant areas of vision..." |
| Performance (Comfort): Comparable comfort to predicate device. | "Additional endpoints include...subjective ratings of...comfort..." "The study results showed similar clinical performance between the test verofilcon A and control delefilcon A lenses in the clinically relevant areas of...comfort..." |
| Performance (Fit & Handling): Comparable fit and handling characteristics to predicate device. | "Additional endpoints include...lens fit, surface characteristics and subjective ratings of...handling." "The study results showed similar clinical performance between the test verofilcon A and control delefilcon A lenses in the clinically relevant areas of...fit, handling..." |
| Technological Characteristics: Similar material properties and design to predicate device, with differences not adversely affecting safety/effectiveness. | Nonclinical bench testing established physicochemical properties (e.g., refractive index, oxygen permeability, water content, mechanical properties, transmittance). "Any differences which may exist between the subject device (verofilcon A soft contact lenses) and the predicate device or other daily disposable, silicone hydrogel soft contact lenses do not adversely affect the safety and effectiveness of the subject device." |
Here's the detailed information about the study:
-
Sample size used for the test set and the data provenance:
- Sample Size: A total of 107 subjects (214 eyes) were enrolled. Of these, 105 subjects completed the study. There were 69 subjects in the verofilcon A (test) group and 36 subjects in the delefileon A (control) group (2:1 ratio).
- Data Provenance: The study was conducted at six (6) study sites in the US. It was a prospective, randomized, stratified, controlled, double-masked, parallel group study.
-
Number of experts used to establish the ground truth for the test set and the qualifications of those experts:
- This was a clinical study involving human subjects wearing contact lenses, not an AI or diagnostic device study requiring "expert" establishment of ground truth in the traditional sense. The "ground truth" for clinical endpoints like visual acuity, comfort, fit, and ocular health was established through direct measurement and assessment by eye care professionals (presumably optometrists or ophthalmologists at the study sites) and subjective feedback from the subjects themselves. The document does not specify the number or specific qualifications of these clinicians, beyond implying they are "eye care professionals."
-
Adjudication method (e.g., 2+1, 3+1, none) for the test set:
- The document states it was a double-masked study. This means that neither the subjects nor the investigators/assessors knew which lens (test or control) each subject was wearing. This masking serves as a form of bias reduction during assessment, but it is not an adjudication method in the sense of multiple experts reviewing and reaching consensus on findings (like 2+1 or 3+1). The "adjudication" of outcomes would have been based on direct clinical measurements and standardized subjective questionnaires.
-
If a multi reader multi case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance:
- No, this was not an MRMC study, nor does it involve AI assistance for human readers. This study evaluated the performance of a medical device (contact lenses) worn directly by subjects, not a diagnostic imaging device interpreted by human readers.
-
If a standalone (i.e. algorithm only without human-in-the loop performance) was done:
- No, this was not an AI algorithm standalone performance study. It was a clinical trial evaluating the performance of a physical medical device (contact lenses) in human subjects.
-
The type of ground truth used (expert consensus, pathology, outcomes data, etc.):
- The "ground truth" for efficacy was based on direct clinical measurements (e.g., logMAR VA, refraction, keratometry, biomicroscopy findings for ocular health, lens fit) and subjective reports from the patients (e.g., comfort, vision, handling). For safety, adverse events and device deficiencies were monitored. This is effectively a form of outcomes data directly collected from the subjects.
-
The sample size for the training set:
- This was a clinical trial comparing a new device to a predicate, not an AI study involving a training set. Therefore, there is no "training set" in this context. The nonclinical testing serves a similar purpose of characterizing the device properties before clinical evaluation.
-
How the ground truth for the training set was established:
- As there was no training set for an AI algorithm, this question is not applicable. The device's characteristics were established through nonclinical (biocompatibility, physical-chemical) testing and then validated in the clinical comparative study.
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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). The logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA logo on the right. The FDA logo is in blue and includes the letters "FDA" followed by the words "U.S. Food & Drug Administration".
December 11, 2018
Alcon Laboratories, Inc. Alicia Plesnarski Director, Global Regulatory Affairs, Vision Care 6201 South Freeway Fort Worth, TX 76134-2099
Re: K182902
Trade/Device Name: Precision1TM Regulation Number: 21 CFR 886.5925 Regulation Name: Soft (Hydrophilic) Contact Lens Regulatory Class: Class II Product Code: LPL, MVN Dated: October 16, 2018 Received: October 16, 2018
Dear Alicia Plesnarski:
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.
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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 (reporting of medical devicerelated adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see
https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm.
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/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 yours.
J. Angelo Green
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) K182902
Device Name Precision1
Indications for Use (Describe)
Precision1 (verofilcon A) Spherical and Precision1 Asphere (verofilcon A) soft contact lenses are indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes and approximately 1.50 diopters of astigmatism that does not interfere with visual acuity.
Precision1 for Astigmatism (verofilcon A) toric soft contact lenses are indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes and 6.00 diopters (D) or less of astigmatism.
Precision1 Multifocal (verofilcon A) multifocal soft contact lenses are indicated for the optical correction of presbyopia with or without refractive ametropia (myopia and hyperopia) in phakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and have up to approximately 1.50 diopters of astigmatism.
Precision1 Multifocal Toric (verofilcon A) soft contact lenses are indicated for the optical correction of presbyopia with or without refractive ametropia (myoeropia) in phakic or aphakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and who may have up to 6.00 diopters (D) of astigmatism.
The lenses are to be prescribed for single use, daily disposable wear, as recommended by the eye care professional. The lenses are not intended to be cleaned or disinfected and should be discarded after a single use.
| 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 K182902
This 510(k) summary document has been prepared in accordance with section 21 CFR 807.92.
Submitter of the 510(k) I.
| Company: | Alcon Laboratories, Inc.6201 South FreewayFort Worth, TX 76134-2099, USA |
|---|---|
| Primary Contact Person: | Alicia M. Plesnarski, RAC |
| Phone: | 678 415-3924 |
| Fax: | N/A |
| Email: | alicia.plesnarski@alcon.com |
| Back up Contact Person: | Sherri Lakota |
| Phone: | 817 615-5472 |
| Fax: | 817 302-4574 |
| Email: | sherri.lakota@alcon.com |
| Date Prepared: | 05 December 2018 |
II. Devices Subject to this 510(k)
| Trade name (brand): | Precision1™ |
|---|---|
| Common name: | (verofilcon A) One-Day Contact Lens |
| Classification name: | Soft (hydrophilic) Contact Lens |
| Device classification: | 21 CFR 886.5925 (b) (1) |
| Product code: | LPL; MVN |
III. Predicate Device
The predicate device is the Alcon® DAILIES TOTALI® (delefilcon A) soft contact lens. Delefilcon A represents a Group V silicone hydrogel contact lens material ('enhanced oxygen permeable materials') according to ISO 18369-1:2006/Amd.1:2009 Ophthalmic optics - Contact lenses - Part 1: Vocabulary, classification system and recommendations for labelling specifications. The 2017 revision of the standard further classifies silicone hydrogels into sub
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groups. According to ISO 18369-1:2017 the delefilcon A silicone hydrogel material is in the soft contact lens material group classification as follows:
| Group Suffix | Hydrogel Material | Description |
|---|---|---|
| 5C | Low water subgroup | A subgroup of Group 5 which contains less than 50 % water and no ionic monomer or oligomer at pH 6 to pH 8 |
The predicate device has US FDA Premarket Notification 510(k) clearance for daily disposable wear (K113168, March 30, 2012).
IV. Device Description
The subject device, Precision1™ (verofilcon A) soft contact lenses, are made from a silicone containing hydrogel lens material that is approximately 51% water and 49% verofilcon A. The color additive Reactive Blue 247 is added to the lens material to create a light blue edge-to-edge color to make it easier to see when handling. In addition, lenses contain a benzotriazole UVabsorbing monomer to block UVA and UVB radiation.
Verofilcon A represents a Group V silicone hydrogel contact lens material ('enhanced oxygen permeable materials') according to ISO 18369-1:2006/Amd.1:2009 Ophthalmic optics - Contact lenses - Part 1: Vocabulary, classification system and recommendations for labelling specifications. The 2017 revision of the standard further classifies silicone hydrogels into subgroups. According to ISO 18369-1:2017 the verofilcon A silicone hydrogel material is in the soft contact lens material group classification as follows:
| Group Suffix | Hydrogel Material | Description |
|---|---|---|
| 5B | High water subgroup | A subgroup of Group 5 which contains more than 50 % water and no ionic monomer or oligomer at pH 6 to pH 8 |
Verofilcon A lens designs include spherical, asphere, toric, multifocal and multifocal toric lenses in the following parameter ranges:
| • Diameter Range: | 13.0 to 15.0 mm |
|---|---|
| • Base Curve Range: | 8.0 to 9.2 mm |
| • Power Range: | -20.00 D to +20.00 D |
| • Center Thickness: | varies with design and power(Example: 0.09 mm for -3.00 D spherical) |
Lenses have the following properties:
- Refractive index: ● 1.4 (hydrated)
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- Water content : 51% by weight in normal saline ●
- Oxygen permeability: 90 x 10 -11 . [(cm2 /sec)(ml O2 /mlommHg)] measured at 35 °C (intrinsic Dk-Coulometric method)
- Light transmittance: > 90 %
- UV Transmittance: The transmittance characteristics are less than 1% in the UVB ● range of 280 nm to 315 nm and less than 10% in the UVA range of 316 to 380 nm for the entire power range.
Verofilcon A contact lenses are supplied sterile in sealed blister packs containing isotonic phosphate buffered saline solution (PBS) with approximately 0.3% of polymeric wetting agents consisting of copolymers of polyamidoamine and poly (acrylamide-acrylic) acid. The compatibility and package integrity of the blister pack packaging system have 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).
Indications for Use V.
Precision1 (verofilcon A) spherical and Precision1 Asphere (verofilcon A) soft contact lenses are indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes and approximately 1.50 diopters of astigmatism that does not interfere with visual acuity.
Precision1 for Astigmatism (verofilcon A) toric soft contact lenses are indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with nondiseased eyes and 6.00 diopters (D) or less of astigmatism.
Precision1 Multifocal (verofilcon A) multifocal soft contact lenses are indicated for the optical correction of presbyopia with or without refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and have up to approximately 1.50 diopters of astigmatism.
Precision1 Multifocal Toric (verofilcon A) soft contact lenses are indicated for the optical correction of presbyopia with or without refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and who may have up to 6.00 diopters (D) of astigmatism.
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The lenses are to be prescribed for single use, daily disposable wear, as recommended by the eye care professional. The lenses are not intended to be cleaned or disinfected and should be discarded after a single use.
VI. Comparison to Technological Characteristics with the Predicate Device
Table 1 provides a side-by-side comparison of the device as compared to the predicate device in terms of intended use and technological information.
| Predicate Device | Subject Device | |
|---|---|---|
| Trade Name (brand) | DAILIES TOTAL1® | Precision1™ |
| Submission Number | K113168 | K182902 |
| Device ClassificationName | Daily Wear Soft Contact Lens21 CFR 886.5925 (b)(1) | Same |
| Intended Use | Vision correction | Same |
| Mode of Action | When hydrated and placed on thecornea, lenses act as a refractingmedium to focus light rays on theretina. | When hydrated and placed on thecornea, lenses act as a refractingmedium to focus light rays on theretina.The lenses contain a UV blocker tohelp protect against transmission ofharmful UV radiation to the corneaand into the eye.* |
| Wearing Schedule | Daily disposable wear | Same |
| ReplacementSchedule | Daily | Same |
| MaterialClassification | Group 5C, low water siliconehydrogel according toISO 18369-1:2017 | Group 5B, high water siliconehydrogel according toISO 18369-1:2017 |
| Lens Material | Delefilcon A | Verofilcon A |
| Surface Treatment | In-process Coating (IPC) | Same |
| ManufacturingMethod | LightStream (molded) | DSM-FLEX (molded) |
| Visibility Tint | Light blue | Same |
| Table 1. Substantial Equivalence Comparison | ||
|---|---|---|
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| Predicate Device | Subject Device | |
|---|---|---|
| Lens Designs | Spherical, toric, multifocal,multifocal toric | Spherical, asphere, toric, multifocal,multifocal toric |
| Power Range | +20.00 to -20.00 D | Same |
| Base Curve Range | 8.0 to 9.2 mm | Same |
| Diameter Range | 13.0 to 15.0 mm | Same |
| Water Content | 33% | 51% |
| Refractive Index | 1.4 | Same |
| Oxygen Permeability | 140 barrer units** | 90 barrer units |
| Sterilization | Steam sterilization, validatedautoclave | Same |
| Packaging | Tear drop blister pack | Same |
| Package StorageSaline Solution | Phosphate buffered saline (PBS)with polymeric wetting agents | Same |
Table 1. Substantial Equivalence Comparison
*UV absorbers are commonly found in numerous US legally commercialized contact lenses (examples K151918; K100349; K131378)
**1 barrer = x 10 -11 (cm2/sec)(ml O2 /ml x mm Hg)
Verofilcon A soft contact lenses are equivalent to the predicate lens and similar to other daily disposable wear soft contact lenses in terms of technological characteristics and intended use.
Any differences which may exist between the subject device (verofilcon A soft contact lenses) and the predicate device or other daily disposable, silicone hydrogel soft contact lenses do not adversely affect the safety and effectiveness of the subject device.
VII. Performance Data
A series of nonclinical tests and a clinical study were performed to characterize and demonstrate the substantial equivalence of verofilcon A contact lenses to the predicate device. All testing was conducted in accordance with the May 1994 FDA guideline titled Premarket Notification 510(k) Guidance Document for Class II Contact Lenses and ISO standards, as applicable. In addition, nonclinical biocompatibility testing was conducted in accordance with the GLP regulation (21 CFR Part 58).
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Biocompatibility Testing
As listed below, a series of in vitro and in vivo biocompatibility evaluations, including cytotoxicity, ocular irritation, sensitization, systemic and genotoxicity testing, confirm that verofilcon A contact lenses are non-toxic and biocompatible.
- Cytotoxicity Study Using the ISO Direct Contact Method ●
- Cytotoxicity Study Using the ISO Elution Method ●
- Cytotoxicity Study Using the ISO Modified Method Elution Method ●
- Cytotoxicity Study Using the Cell Growth Inhibition Method ●
- 22 Day Contact Lens Study in Rabbits ●
- . ISO Ocular Irritation Study in Rabbits
- ISO Acute Systemic Toxicity Study in Mice
- Guinea Pig Maximization Sensitization Study ●
- Bacterial Reverse Mutation Study
- In Vitro Chromosomal Aberration Study in Chinese Hamster Ovary Cell
Biocompatibility testing was conducted in accordance with the US Good Laboratory Practice (GLP) for Nonclinical Laboratory Studies regulation (21 CFR Part 58) and relevant ISO 10993 series of biocompatibility standards.
Physical-Chemical Testing
The following nonclinical bench testing, conducted using GxP conditions and, where applicable ISO 18369-2, -3, -4 standards, established the physicochemical properties of verofilcon A contact lenses:
- Refractive Index
- · Oxygen Permeability
- · Ion Permeability
- Mechanical Properties
- Wetting Contact Angle
- Transmittance Properties (luminous, light, UV class) ●
- . Percent Water Content
- Residuals and Extractables ●
- Lens Parameters (BCE, DIA, PWR, CT) ●
- Package Saline Properties (pH and osmolality) .
Solution Compatibility Testing
Verofilcon A contact lenses are for single use, daily disposable wear only. Although for daily disposable wear no lens care products are needed (lenses disposed of after each daily wearing period), occasional use of contact lens saline solutions and/or rewetting drops may occur. Therefore, compatibility of verofilcon A contact lenses with preserved or unpreserved commercial contact lens saline and rewetting drops was confirmed following the methodology described in ISO 11981:
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- Systane® Preservative-Free Lubricant Eye Drops ●
- . Sensitive Eyes® Rewetting Drops
- Sensitive Eyes® Plus Saline Solution ●
- Systane® Contacts Lubricant Eye Drops
- Blink-N-Clean® Eye drops (formerly known as COMPLETE Lubricating and Rewetting ● Drops)
Verofilcon A contact lenses were also analyzed for uptake and release of preservatives found in various lens care products. Uptake and release profiles were comparable to the control lenses tested:
- Polyquad (PQ) containing lens drop (i.e., Systane® Contacts Lubricant Eye Drops) .
- . Polyhexamethylene biguanide (PHMB) containing lens drop (i.e., Blink-N-Clean® Eye drops formerly known as COMPLETE Lubricating and Rewetting Drops)
Sterilization and Stability Testing
Verofilcon A contact lenses in saline solution are provided sterile in sealed blister packs. Results of an ongoing stability study demonstrate that package lenses remain sterile and stable for the labeled expiration date.
The results of all nonclinical testing demonstrate:
- The lens material, lens extracts and package saline of the device are non-toxic, non-irritating . and non-sensitizing.
- Lens physical and material properties of the device are consistent with industry-marketed . lenses and equivalent to the predicate lens.
- Like the predicate device, the device is compatible with commonly available contact lens saline . solutions and rewetting drops.
- Successful stability testing supports the labeled expiration date for the device. .
Clinical Performance Testing
A three-month clinical study, conducted according to the May 1994 FDA 510(k) contact lens guidance document for a new contact lens material and ISO 11980, assessed the safety and performance of Precision1™ (verofilcon A) soft contact lenses for single use, daily disposable wear as compared to a predicate control lens (2:1 ratio test to control). Product safety was assessed based on adverse events, device deficiencies and biomicroscopy findings.
Six (6) study sites in the US enrolled a total of one hundred and seven (107) subjects in this prospective, randomized, stratified (by corneal curvature radius), controlled, double-masked, parallel group study. Of the 107 subjects (214 eyes) enrolled into the study, 105 subjects completed the study. The study evaluated 69 verofilcon A (test) subjects and 36 delefileon A (control) subjects. Contact lenses were worn bilaterally in a daily disposable modality for approximately 3 months each. The primary effectiveness endpoint was logMAR VA at distance.
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Additional endpoints include refraction, keratometry, lens fit, surface characteristics and subjective ratings of vision, comfort and handling.
The study results showed similar clinical performance between the test verofilcon A and control delefilcon A lenses in the clinically relevant areas of vision, comfort, fit, handling and health when worn on a daily disposable wear basis.
The clinical study demonstrated the substantial equivalence of the subject device with the predicate, control lens.
Risk and Benefits
The risks of the subject device are the same as those normally attributed to the wearing of silicone hydrogel contact lenses in a single use, daily wear basis. The benefits to the patient are the same as those for other silicone hydrogel contact lenses.
VIII. Conclusions
Verofilcon A soft contact lenses are substantially equivalent to the predicate lens and similar to other daily disposable wear soft contact lenses in terms of technological characteristics and intended use.
Any differences which may exist between the subject device (verofilcon A soft contact lenses) and the predicate device or other daily disposable, silicone hydrogel soft contact lenses do not adversely affect the safety and effectiveness of the subject device.
§ 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.