K Number
K183175
Device Name
BostonSight Scleral
Manufacturer
Date Cleared
2019-01-04

(49 days)

Product Code
Regulation Number
886.5916
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
BostonSight Scleral daily wear contact lenses are indicated for the correction of refractive ametropia (myopia, hyperopia, astigmatism and presbyopia) in aphakic and non aphakic persons. Also, the lenses may be prescribed in eyes that require a rigid contact lens for the management of irregular corneal conditions such as keratoconus, pellucid marginal degeneration, keratoglobus, post-LASIK ectasia, or following penetrating keratoplasty or refractive surgery. Furthermore, eves suffering from certain ocular surface disorders may benefit from the physical protection, aqueous hydrated environment and the saline bath provided by scleral lens designs. BostonSight Scleral daily wear contact lenses are indicated for therapeutic use for the management of irregular and distorted corneal surfaces where the subject: 1. cannot be adequately corrected with spectacle lenses 2. requires a rigid gas permeable contact lens surface to improve vision 3. is unable to wear a corneal rigid gas permeable lens due to corneal distortion or surface irregularities Common causes of corneal distortion include, but are not limited to, corneal infections, trauma, tractions as a result of scar formation secondary to refractive surgery (e.g. LASIK or radial keratotomy) or corneal transplantation. Causes may also include corneal degeneration (e.g. keratoconus, keratoclobus, pellucid marginal degeneration, Salzmann's nodular degeneration) and corneal dystrophy (e.g., lattice dystrophy, granular corneal dystrophy, Reis-Bucklers dystrophy, Cogan's dystrophy). The BostonSight Scleral daily wear contact lenses are also indicated for therapeutic use in eyes with ocular surface disease including, but not limited to, ocular Graft-versus-Host disease, Sjögren's syndrome, dry eye syndrome and Filamentary Keratitis, limbal stem cell deficiency (e.g. Stevens-Johnson syndrome, chemical radiation and thermal burns), disorders of the skin (e.g. atopy, ectodermal dysplasia), neurotrophic keratitis (e.g. Herpes simplex, Herpes zoster, Familial Dysautonomia), and corneal exposure (e.g. anatomic, that might benefit from the presence of an expanded tear reservoir and protection against an adverse environment. When prescribed for therapeutic use for a distorted cornea or ocular surface disease, the BostonSight Scleral daily wear contact lenses may concurrently provide correction of refractive error. The lenses may be disinfected using a chemical disinfection (not heat) system only.
Device Description
The BostonSight Scleral daily wear contact lenses are manufactured with a large diameter RGP lens design that vaults over the cornea and rests on the conjunctiva overlying the sclera. The BostonSight Scleral daily wear contact lenses are lathe cut and fabricated from one of the following fluoro-silicone acrylate rigid gas permeable (RGP) lens materials: - roflufocon D supplied by Contamac Ltd. - roflufocon E supplied by Contamac Ltd. - oprifocon A supplied by Bausch and Lomb, Inc. - hexafocon B supplied by Bausch and Lomb, Inc. The BostonSight Scleral daily wear contact lenses may be shipped "dry" or "wet" in a polypropylene contact lens case. The primary container for shipping the BostonSight Scleral daily wear contact lenses is the Bausch & Lomb Frequent Replacement Contact Lens Case, with clearance under 510(k) K896685. When shipped "wet", The BostonSight Scleral daily wear contact lenses manufactured from material supplied by Bausch & Lomb, inc. may be packaged and shipped in Boston Advance Comfort Formula Conditioning Solution (K974466) or Boston SIMPLUS Multi-Action solution (K024289). The BostonSight Scleral daily wear contact lenses manufactured from material supplied by Contamac, Ltd. may be packaged and shipped "wet" in in the OPTIMUM by Lobob Cleaning and Disinfecting Storage solution, with clearance under 510(k) K014162.
More Information

No
The document describes a physical contact lens and its materials, with no mention of software, algorithms, or AI/ML capabilities.

Yes
The "Intended Use / Indications for Use" section explicitly states "BostonSight Scleral daily wear contact lenses are indicated for therapeutic use for the management of irregular and distorted corneal surfaces" and "The BostonSight Scleral daily wear contact lenses are also indicated for therapeutic use in eyes with ocular surface disease".

No

The device is a type of contact lens used for correction of refractive ametropia and therapeutic management of irregular corneal conditions and ocular surface disorders. It is a treatment device, not a diagnostic one.

No

The device is a physical contact lens made from specific materials, not a software program. The description details the materials, manufacturing process, and packaging of a tangible medical device.

Based on the provided text, the BostonSight Scleral daily wear contact lenses are not an In Vitro Diagnostic (IVD) device.

Here's why:

  • IVD Definition: An IVD is a medical device used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • Device Function: The description clearly states that these are contact lenses designed to be worn on the eye. Their function is to correct vision, manage irregular corneal conditions, and provide therapeutic benefits to the ocular surface. They do not perform any tests on bodily samples.
  • Intended Use: The intended use is for vision correction and therapeutic management of eye conditions, not for diagnostic testing.

Therefore, the BostonSight Scleral daily wear contact lenses fall under the category of medical devices, specifically contact lenses, but not In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

BostonSight Scleral daily wear contact lenses are indicated for the correction of refractive ametropia (myopia, hyperopia, astigmatism and presbyopia) in aphakic and non aphakic persons. Also, the lenses may be prescribed in eyes that require a rigid contact lens for the management of irregular corneal conditions such as keratoconus, pellucid marginal degeneration, keratoglobus, post-LASIK ectasia, or following penetrating keratoplasty or refractive surgery.
Furthermore, eyes suffering from certain ocular surface disorders may benefit from the physical protection, aqueous hydrated environment and the saline bath provided by scleral lens designs. BostonSight Scleral daily wear contact lenses are indicated for therapeutic use for the management of irregular and distorted corneal surfaces where the subject:

    1. cannot be adequately corrected with spectacle lenses
    1. requires a rigid gas permeable contact lens surface to improve vision
    1. is unable to wear a corneal rigid gas permeable lens due to corneal distortion or surface irregularities
      Common causes of corneal distortion include, but are not limited to, corneal infections, trauma, tractions as a result of scar formation secondary to refractive surgery (e.g. LASIK or radial keratotomy) or corneal transplantation. Causes may also include corneal degeneration (e.g. keratoconus, keratoclobus, pellucid marginal degeneration, Salzmann's nodular degeneration) and corneal dystrophy (e.g., lattice dystrophy, granular corneal dystrophy, Reis-Bucklers dystrophy, Cogan's dystrophy).
      The BostonSight Scleral daily wear contact lenses are also indicated for therapeutic use in eyes with ocular surface disease including, but not limited to, ocular Graft-versus-Host disease, Sjögren's syndrome, dry eye syndrome and Filamentary Keratitis, limbal stem cell deficiency (e.g. Stevens-Johnson syndrome, chemical radiation and thermal burns), disorders of the skin (e.g. atopy, ectodermal dysplasia), neurotrophic keratitis (e.g. Herpes simplex, Herpes zoster, Familial Dysautonomia), and corneal exposure (e.g. anatomic, that might benefit from the presence of an expanded tear reservoir and protection against an adverse environment. When prescribed for therapeutic use for a distorted cornea or ocular surface disease, the BostonSight Scleral daily wear contact lenses may concurrently provide correction of refractive error.
      The lenses may be disinfected using a chemical disinfection (not heat) system only.

Product codes

HOD

Device Description

The BostonSight Scleral daily wear contact lenses are manufactured with a large diameter RGP lens design that vaults over the cornea and rests on the conjunctiva overlying the sclera. The BostonSight Scleral daily wear contact lenses are lathe cut and fabricated from one of the following fluoro-silicone acrylate rigid gas permeable (RGP) lens materials:

  • · roflufocon D supplied by Contamac Ltd.
  • · roflufocon E supplied by Contamac Ltd.
  • · oprifocon A supplied by Bausch and Lomb, Inc.
  • · hexafocon B supplied by Bausch and Lomb, Inc.
    The BostonSight Scleral daily wear contact lenses may be shipped "dry" or "wet" in a polypropylene contact lens case. The primary container for shipping the BostonSight Scleral daily wear contact lenses is the Bausch & Lomb Frequent Replacement Contact Lens Case, with clearance under 510(k) K896685.
    When shipped "wet", The BostonSight Scleral daily wear contact lenses manufactured from material supplied by Bausch & Lomb, inc. may be packaged and shipped in Boston Advance Comfort Formula Conditioning Solution (K974466) or Boston SIMPLUS Multi-Action solution (K024289). The BostonSight Scleral daily wear contact lenses manufactured from material supplied by Contamac, Ltd. may be packaged and shipped "wet" in in the OPTIMUM by Lobob Cleaning and Disinfecting Storage solution, with clearance under 510(k) K014162.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

eyes, ocular surface, cornea, conjunctiva, sclera

Indicated Patient Age Range

Not Found

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

Non-Clinical Studies: The purpose of this application is to modify the labeling of previously FDA cleared RGP contact lenses/materials to include therapeutic indications for use. Non-clinical testing to demonstrate the safety and effectiveness of contact lenses manufactured from roflufocon D, roflufocon E. oprifocon A and hexafocon B materials has been addressed in previous applications.
Clinical Studies: Clinical performance data to demonstrate the safety and effectiveness of contact lenses manufactured from roflufocon D, roflufocon E, oprifocon A and hexafocon B has been previously addressed.

Key Metrics

Not Found

Predicate Device(s)

K171404, K180616, K161461

Reference Device(s)

K896685, K974466, K024289, K014162

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.5916 Rigid gas permeable contact lens.

(a)
Identification. A rigid gas permeable contact lens is a device intended to be worn directly against the cornea of the eye to correct vision conditions. The device is made of various materials, such as cellulose acetate butyrate, polyacrylate-silicone, or silicone elastomers, whose main polymer molecules generally do not absorb or attract 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.

0

Image /page/0/Picture/0 description: The image shows the logo for 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.

January 4, 2019

BostonSight % Bret Andre Principal Consultant EyeReg Consulting, Inc. 6119 Canter Ln West Linn. OR 97068

Re: K183175

Trade/Device Name: BostonSight Scleral Regulation Number: 21 CFR 886.5916 Regulation Name: Rigid Gas Permeable Contact Lens Regulatory Class: Class II Product Code: HOD Dated: November 13, 2018 Received: November 16, 2018

Dear Bret Andre:

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/cfpmp/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.

U.S. Food & Drug Administration 10903 New Hampshire Avenue Silver Spring, MD 20993 www.fda.qov

1

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 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/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.html; 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 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 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

2

Indications for Use

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

510(k) Number (if known) K183175

Device Name BostonSight Scleral

Indications for Use (Describe)

BostonSight Scleral daily wear contact lenses are indicated for the correction of refractive ametropia (myoropia, astigmatism and presbyopia) in aphakic persons. Also, the lenses may be prescribed in eyes that require a rigid contact lens for the management of irregular corneal conditions such as keratoconus, pellucid marginal degeneration, keratoglobus, post-LASIK ectasia, or following penetrating keratoplasty or refractive surgery.

Furthermore, eyes suffering from certain ocular surface disorders may benefit from the physical protection, aqueous hydrated environment and the saline bath provided by scleral lens designs.

BostonSight Scleral daily wear contact lenses are indicated for the management of irregular and distorted corneal surfaces where the subject:

    1. cannot be adequately corrected with spectacle lenses
    1. requires a rigid gas permeable contact lens surface to improve vision
    1. is unable to wear a corneal rigid gas permeable lens due to corneal distortion or surface irregularities

Common causes of corneal distortion include, but are not limited to, corneal infections as a result of scar formation secondary to refractive surgery (e.g. LASIK or radial keratotomy) or corneal transplantation. Causes may also include corneal degeneration (e.g. keratoconus, keratoglobus, pellucid marginal degeneration, Salzmann's nodular degeneration) and corneal dystrophy (e.g., lattice dystrophy, granular corneal dystrophy, Reis-Bucklers dystrophy, Cogan's dystrophy).

The BostonSight Scleral daily wear contact lenses are also indicated for therapeutic use in eyes with ocular surface disease including, but not limited to, ocular Graft-versus-Host disease, Sjögren's syndrome, dry eye syndrome and Filamentary Keratitis, limbal stem cell deficiency (e.g. Stevens-Johnson syndrome, chemical radiation and thermal burns), disorders of the skin (e.g. atopy, ectodermal dysplasia), neurotrophic keratitis (e.g. Herpes simplex, Herpes zoster, Familial Dysautonomia), and corneal exposure (e.g. anatomic, paralytic) that might benefit from the presence of an expanded tear reservoir and protection against an adverse environment. When prescribed for therapeutic use for a distorted cornea or ocular surface disease, the BostonSight Scheral daily wear contact lenses may concurrently provide correction of refractive error.

The lenses may be disinfected using a chemical disinfection (not heat) system only.

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

2 Prescription Use (Part 21 CFR 801 Subpart D)

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

CONTINUE ON A SEPARATE PAGE IF NEEDED.

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Image /page/3/Picture/1 description: The image shows the logo for Boston Sight at the top. Below the logo, the text "510(K) Premarket Notification" is displayed in a large, bold font. The text indicates that the document is related to a 510(K) premarket notification, which is a type of submission required by the U.S. Food and Drug Administration (FDA) for certain medical devices.

510 (k) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

The assigned 510(k) number is: 183175

I. SUBMITTER

Date Prepared:November 13th, 2018
Name:
Address:BostonSight
464 Hillside Avenue, Suite 205
Needham, MA 02494
Contact Person:
Phone number:Gene P. Guselli
President and CEO
781-726-7337
Consultant:
Phone number:Bret Andre
EyeReg Consulting, Inc.
6119 Canter Ln.
West Linn, OR 97068
(503) 372-5226

II. DEVICE

Trade Name:BostonSight Scleral
Common
Name:Daily wear rigid gas permeable contact lens
Classification
Name:Rigid gas permeable contact lens. (21 CFR 886.5916)
Regulatory
Class:Class II
Product Code:HOD

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Image /page/4/Picture/1 description: The image shows the Boston Sight logo at the top, which is a stylized sunburst design. Below the logo, the text "510(K) Premarket Notification" is displayed in a clear, bold font. The text indicates that the document is related to a premarket notification, likely for a medical device or product.

Reason for Submission Labeling Changes - Expanded Indications for Use

III. PREDICATE DEVICE

BostonSight Scleral daily wear contact lenses are substantially equivalent to the following predicate devices:

  • 트 "Boston XO® (hexafocon A) and Boston XO2® (hexafocon B) Rigid Gas Permeable Contact Lens" By Bausch + Lomb Inc. 510(k) number; K171404
  • 트 "OPTIMUM GP (Roflufocon D, Roflurocon E) Daily Wear Contact Lens" By Contamac Ltd. 510(k) number: K180616
  • 트 "BostonSight PD Prosthetic Device" By BostonSight 510(k) number; K161461

IV. DEVICE DESCRIPTION

The BostonSight Scleral daily wear contact lenses are manufactured with a large diameter RGP lens design that vaults over the cornea and rests on the conjunctiva overlying the sclera. The BostonSight Scleral daily wear contact lenses are lathe cut and fabricated from one of the following fluoro-silicone acrylate rigid gas permeable (RGP) lens materials:

  • · roflufocon D supplied by Contamac Ltd.
  • · roflufocon E supplied by Contamac Ltd.
  • · oprifocon A supplied by Bausch and Lomb, Inc.
  • · hexafocon B supplied by Bausch and Lomb, Inc.

The BostonSight Scleral daily wear contact lenses may be shipped "dry" or "wet" in a polypropylene contact lens case. The primary container for shipping the BostonSight Scleral daily wear contact lenses is the Bausch & Lomb Frequent Replacement Contact Lens Case, with clearance under 510(k) K896685.

When shipped "wet", The BostonSight Scleral daily wear contact lenses manufactured from material supplied by Bausch & Lomb, inc. may be packaged and shipped in Boston Advance Comfort Formula Conditioning Solution (K974466) or Boston SIMPLUS Multi-Action solution (K024289). The BostonSight Scleral daily wear contact lenses manufactured from material supplied by Contamac, Ltd. may be packaged and shipped "wet" in in the OPTIMUM by Lobob Cleaning and Disinfecting Storage solution, with clearance under 510(k) K014162.

5

roflufocon Droflufocon Eoprifocon Ahexafocon B
Refractive Index1.43331.43321.42301.4240
Light Transmission
(clear)>97%>97%>95%>95%
Light Transmission
(tinted)>90%>90%>90%>83%
Specific Gravity1.1661.1551.241.19
Oxygen
Permeability
(Dk)$100 \times 10^{-11}$
(cm²/sec) (ml O₂/ml x
mm Hg @ 35°C)$125 \times 10^{-11}$
(cm²/sec) (ml O₂/ml x
mm Hg @ 35°C)$85 \times 10^{-11}$ (cm²/sec)
(ml O₂/ml x mm Hg @
35°C)$141 \times 10^{-11}$
(cm²/sec) (ml O₂/ml x
mm Hg @ 35°C)
Visitint lenses
contain one or more
of the following
color additives
conforming to:
21 CFR Part 73 &
74, Subpart DD & C Green No.
6, FD & C Red
No. 17,
CI Solvent
Yellow 18D & C Green No.
6, FD & C Red
No. 17,
CI Solvent
Yellow 18D&C Green No.6
and D&C Yellow
No.10D&C Green No.
6; C.I. Solvent
Yellow No. 18;
D&C Violet No.
2; D&C Red No.
17; C.I. Solvent
Yellow No.18
UV Light Blocking
(UVB - 280nm -
315nm; UVA 316nm
  • 380nm) | >98% UVB

95% UVA | >98% UVB
95% UVA | >95% UVB
97% UVA | >95% UVB
97% UVA |
| Dynamic Receding
Contact Angle | 3° | 6° | 56° | 40° |

The physical properties of the BostonSight Scleral daily wear contact lenses are as follows:

The BostonSight Scheral daily wear contact lenses are available in the following lens parameters:

ParameterRangeTolerance
Base Curve5.00mm to 9.00mm± 0.05 mm
Center Thickness0.05mm to 0.60mm± 0.02 mm
Diameter8.00mm to 26.00mm± 0.10mm
Spherical Power-25.00 D to +35.00 D
(in 0.25D steps)± 0.12 (0 to = 5D)