K Number
K191654
Device Name
SILICONE Personal Lubricant
Date Cleared
2020-04-14

(299 days)

Product Code
Regulation Number
884.5300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
SILICONE Personal Lubricant is a personal lubricant, for penile and/or vaginal application, intended to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. This product is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms.
Device Description
SILICONE Personal Lubricant is a non-sterile, clear and odorless siliconebased personal lubricant for use during intimate sexual activity. This device is compatible with natural rubber latex and polyisoprene condoms. This device is not compatible with polyurethane condoms. Its formulation consists of dimethicone and dimethiconol. The product is packed into a 3.38 oz (100 mL) bottle.
More Information

Not Found

No
The device description and performance studies focus on the chemical composition, physical properties, and biocompatibility of a personal lubricant. There is no mention of any software, algorithms, or data processing that would indicate the use of AI or ML.

No.
A therapeutic device is typically intended to treat or alleviate a medical condition, whereas this product is a personal lubricant intended to enhance sexual activity and supplement natural lubrication.

No

This device is a personal lubricant intended to enhance comfort during sexual activity, not to diagnose any medical condition.

No

The device description clearly states it is a silicone-based personal lubricant, which is a physical substance, not software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostic devices are used to examine specimens taken from the human body (like blood, urine, or tissue) to provide information about a person's health. This testing is done outside of the body (in vitro).
  • Device's Intended Use: The intended use of this device is clearly stated as a personal lubricant for penile and/or vaginal application to enhance sexual activity. It is applied to the body, not used to test specimens from the body.
  • Lack of Diagnostic Function: The device does not perform any diagnostic tests or provide information about a person's health status based on analyzing biological samples.

The information provided describes a personal lubricant, which is a medical device, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

SILICONE Personal Lubricant is a personal lubricant, for penile and/or vaginal application, intended to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. This product is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms.

Product codes

NUC

Device Description

SILICONE Personal Lubricant is a non-sterile, clear and odorless siliconebased personal lubricant for use during intimate sexual activity. This device is compatible with natural rubber latex and polyisoprene condoms. This device is not compatible with polyurethane condoms. Its formulation consists of dimethicone and dimethiconol. The product is packed into a 3.38 oz (100 mL) bottle.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

penile and/or vaginal

Indicated Patient Age Range

Adult

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

Shelf life:
SILICONE Personal Lubricant has a one-year-and-six-month (18 months) shelf life based on the results of an accelerated aging study. The results of the shelf life study demonstrated that the subject device met all device specifications at baseline and throughout the proposed shelf life.

Condom Compatibility:
The compatibility of the SILICONE Personal Lubricant with male condoms was tested in accordance with ASTM D7661-10 Standard Test Method for Determining Compatibility of Personal Lubricants with Natural Rubber Latex Condoms. Condom compatibility testing was performed with three different brands of natural rubber latex, one brand of polyisoprene, and one brand of polyurethane condoms. The results indicate that SILICONE Personal Lubricant is compatible with natural rubber latex and polyisoprene condoms and is not compatible with polyurethane condoms.

Biocompatibility:
The biocompatibility evaluation for the SILICONE Personal Lubricant was conducted in accordance with the FDA Guidance "Use of International Standard ISO 10993-1, 'Biological evaluation of medical devices - Part 1: Evaluation and testing within a risk management process", June 2016, and International Standard ISO 10993-1 "Biological Evaluation of Medical Devices - Part 1: Evaluation and Testing Within a Risk Management Process," as recognized by FDA.
The evaluation included the following tests:

  • Cytotoxicity (ISO 10993-5:2009) .
  • Sensitization (ISO 10993-10:2010) .
  • Vaginal Irritation (ISO 10993-10:2010) .
  • Acute Systemic Toxicity (ISO 10993-11:2017) .
    The results of this testing demonstrated that the subject lubricant is noncytotoxic, non-irritating, non-sensitizing, and not systemically toxic.

Key Metrics

Not Found

Predicate Device(s)

K110690

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 884.5300 Condom.

(a)
Identification. A condom is a sheath which completely covers the penis with a closely fitting membrane. The condom is used for contraceptive and for prophylactic purposes (preventing transmission of sexually transmitted infections). The device may also be used to collect semen to aid in the diagnosis of infertility.(b)
Classification. (1) Class II (special controls) for condoms made of materials other than natural rubber latex, including natural membrane (skin) or synthetic.(2) Class II (special controls) for natural rubber latex condoms. The guidance document entitled “Class II Special Controls Guidance Document: Labeling for Natural Rubber Latex Condoms Classified Under 21 CFR 884.5300” will serve as the special control. See § 884.1(e) for the availability of this guidance document.

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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: a symbol on the left and the FDA name and title on the right. The symbol on the left is a stylized representation of a human figure, while the text on the right reads "FDA U.S. FOOD & DRUG ADMINISTRATION" in blue letters.

April 14, 2020

Bath Concept Cosmetics (Dongguan) Co., Ltd % Wei Zhang, Ph.D., RAC Regulatory Manager RGLM Consulting LLC 3302 171 St Pl SE Bathell, WA 98012

Re: K191654

Trade/Device Name: SILICONE Personal Lubricant Regulation Number: 21 CFR 884.5300 Regulation Name: Condom Regulatory Class: II Product Code: NUC Dated: March 10, 2020 Received: March 13, 2020

Dear Wei Zhang:

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

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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) 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 (OS) 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 mediation-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,

Monica D. Garcia, Ph.D. Acting Assistant Director DHT3B: Division of Reproductive. Gynecology and Urology Devices OHT3: Office of GastroRenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K191654

Device Name SILICONE Personal Lubricant

Indications for Use (Describe)

SILICONE Personal Lubricant is a personal lubricant, for penile and/or vaginal application, intended to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. This product is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms.

Type of Use (Select one or both, as applicable)
-------------------------------------------------
Registration (Part 21 CFR 201, Subpart D)
Over-The-Counter (Part 21 CFR 201, Subpart G)

__ Prescription Use (Part 21 CFR 801 Subpart D)

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

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510(k) Summary – K191654

SILICONE Personal Lubricant

A. General Information

| Submitter | Bath Concept Cosmetics (Dongguan) Co., Ltd
No.2, Dushang Industrial Zone, DaFen, WanJiang
District, Dongguan city, Guangdong, China |
|------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------|
| Contact Person
(Preparer) | Wei Zhang, PhD RAC
RGLM consulting LLC
Regulatory Manager
Tel: 425-236-4274
Email: wei@rglm-fda.com |
| Date prepared | April 13, 2020 |

B. Device

Propriety NameSILICONE Personal Lubricant
Common NamePersonal Lubricant
Product CodeNUC (Lubricant, Personal)
Regulatory ClassII
Regulation Number21 CFR §884.5300
Regulation NameCondom

C. Predicate Device

NameONE® SILICONE Personal Lubricant
OwnerONE®, 12 Channel Street Boston, MA 02210
510(k) numberK110690

The predicate device has not been subject to a design-related recall.

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D. Description of the Device

SILICONE Personal Lubricant is a non-sterile, clear and odorless siliconebased personal lubricant for use during intimate sexual activity. This device is compatible with natural rubber latex and polyisoprene condoms. This device is not compatible with polyurethane condoms. Its formulation consists of dimethicone and dimethiconol. The product is packed into a 3.38 oz (100 mL) bottle. Device specifications are listed in Table 1 below:

PropertySpecification
AppearanceClear Gel
ColorColorless
OdorOdorless
Viscosity (@ 25°C) per USP300-700cps
Total aerobic microbial count (TAMC) per USP
Escherichia coliAbsence
Pseudomonas aeruginosaAbsence
Staphylococcus aureusAbsence
Salmonella Enterica subsp.Absence
Candida albicansAbsence
Clostridium sporogenesAbsence
Bile-tolerant Gram-negative BacteriaAbsence

Table 1. Subject Device Specifications

E. Indications for Use

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SILICONE Personal Lubricant is a personal lubricant, for penile and/or vaginal application, intended to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. This product is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms.

Subject DevicePredicate Device
ProductSILICONE Personal LubricantONE® SILICONE Personal
Lubricant
SponsorBath Concept Cosmetics
(Dongguan) Co., LtdONE®
510(k) numberK191654K110690
Regulation No.21 CFR §884.530021 CFR §884.5300
Product CodeNUCNUC
ClassIIII
Intended useSILICONE Personal Lubricant
is an over-the-counter personal
lubricant.ONE® SILICONE Personal
Lubricant is an over-the-
counter personal lubricant.
Indications for
UseSILICONE Personal Lubricant
is a personal lubricant, for
penile and/or vaginal
application, intended to
moisturize and lubricate, to
enhance the ease and comfort
of intimate sexual activity and
supplement the body's natural
lubrication. This product is
compatible with natural rubberONE® SILICONE Personal
Lubricant is a personal
lubricant, for penile and/or
vaginal application, intended
to moisturize and lubricate, to
enhance the ease and
comfort of intimate sexual
activity and supplement the
body's natural lubrication.
This product is compatible
latex and polyisoprene
condoms. This product is not
compatible with polyurethane
condoms.with natural rubber latex,
polyisoprene, and
polyurethane condoms.
OTC use?YesYes
Primary
ingredientsDimethicone
DimethiconolDimethicone
Dimethiconol
Targeted
populationAdultAdult
AppearanceClearClear
ColorColorlessColorless
OdorNo OdorNo Odor
Viscosity (25°C)300-700cps300-400 cps
Total aerobic
microbial count
(TAMC)