K Number
K213220
Device Name
Revaree Plus Vaginal Suppositories
Manufacturer
Date Cleared
2022-06-21

(265 days)

Product Code
Regulation Number
884.5300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
Revaree plus vaginal suppositories are a personal lubricant, for 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 not compatible with natural rubber latex, polyurethane, and polyisoprene condoms.
Device Description
Farma-Derma's Revaree plus vaginal suppositories is a non-sterile solid preparation personal lubricant containing hyaluronic acid, sweet almond oil, and glycerides. It is presented in the form of vaginal suppositories, 2 g in weight. Each vaginal suppository is individually packed in a polyvinyl chloride (PVC)/polyethylene (PE) blister. The device is available for sale in a pack containing 10 vaginal suppositories (two blisters of 5 vaginal suppositories each) while the sample pack contains 3 vaginal suppositories (one blister). Due to its shape the device can be easily introduced into the vaginal cavity by finger. When the vaginal suppository is in contact with the vaginal mucosa, it melts due to body temperature and becomes a viscous mass which remains in contact with the vaginal mucosa, creating a moist environment to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication.
More Information

Not Found

No
The device description and performance studies focus on the physical properties and biocompatibility of a suppository, with no mention of AI or ML.

No
The device is described as a "personal lubricant" intended to "moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication." It is not indicated for treating or diagnosing any medical condition.

No

Explanation: The device is described as a "personal lubricant" intended to "moisturize and lubricate" for "ease and comfort of intimate sexual activity and supplement the body's natural lubrication." It does not mention diagnosing any condition.

No

The device is a physical vaginal suppository containing chemical ingredients, not software.

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

Here's why:

  • Intended Use: The intended use clearly states that the device is a "personal lubricant, for 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 describes a physical function for comfort and lubrication, not a diagnostic test performed on a sample from the body.
  • Device Description: The description details a solid suppository that melts and provides lubrication. It doesn't mention any components or mechanisms for detecting or measuring substances in a biological sample.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples (like vaginal fluid), detecting biomarkers, or providing information for diagnosis, monitoring, or screening of a disease or condition.

IVD devices are specifically designed to perform tests on samples taken from the human body (like blood, urine, tissue, etc.) to provide information about a person's health status. This device does not fit that description.

N/A

Intended Use / Indications for Use

Revaree plus vaginal suppositories are a personal lubricant, for 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 not compatible with natural rubber latex, polyurethane, and polyisoprene condoms.

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

NUC

Device Description

Farma-Derma's Revaree plus vaginal suppositories is a non-sterile solid preparation personal lubricant containing hyaluronic acid, sweet almond oil, and glycerides. It is presented in the form of vaginal suppositories, 2 g in weight. Each vaginal suppository is individually packed in a polyvinyl chloride (PVC)/polyethylene (PE) blister. The device is available for sale in a pack containing 10 vaginal suppositories (two blisters of 5 vaginal suppositories each) while the sample pack contains 3 vaginal suppositories (one blister).

Due to its shape the device can be easily introduced into the vaginal cavity by finger.

When the vaginal suppository is in contact with the vaginal mucosa, it melts due to body temperature and becomes a viscous mass which remains in contact with the vaginal mucosa, creating a moist environment to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

vaginal

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Over-The-Counter Use

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)

Biocompatibility studies including cytotoxicity, sensitization, vaginal irritation, and acute systemic toxicity were performed in accordance with the 2020 FDA guidance document, Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices – Part 1: Evaluation and testing within a risk management process", and ISO 10993-1:2018. The results demonstrated that the subject lubricant is non-cytotoxic, non-irritating, nonsensitizing and not systemically toxic.

Shelf life: The shelf life of Revaree plus vaginal suppositories is 24 months. This is based on the results of intermediate and real time aging studies that demonstrated that the device maintains its specifications over the duration of its shelf life.

Condom compatibility: Condom compatibility testing was not conducted for the subject device. Therefore, Revaree plus is not compatible with natural rubber latex, polyisoprene, and polyurethane condoms.

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.

Repagyn vaginal suppositories (K153372)

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

§ 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.

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, with the letters "FDA" in a blue square. Next to that is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.

June 21, 2022

Farma-Derma S.R.L. Mara Calzolari Business Development Manager Via Dell'artigiano 6-8 Sala Bolognese, Bologna 40010 Italy

Re: K213220

Trade/Device Name: Revaree plus vaginal suppositories Regulation Number: 21 CFR§ 884.5300 Regulation Name: Condom Regulatory Class: II Product Code: NUC Dated: May 11, 2022 Received: May 16, 2022

Dear Mara Calzolari:

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.

1

You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatoryinformation/postmarketing-safety-reporting-combination-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 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. 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

2

Indications for Use

510(k) Number (if known) K213220

Device Name Revaree plus vaginal suppositories

Indications for Use (Describe)

Revaree plus vaginal suppositories are a personal lubricant, for 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 not compatible with natural rubber latex, polyurethane, and polyisoprene condoms.

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

510(k) Summary for Revaree plus vaginal suppositories

K213220

1. General Information

Regulatory Class:

Product Code:

Submitter:FARMA-DERMA S.r.l.
Via dell' Artigiano, 6-8
40010 Sala Bolognese (BO)
Italy
Contact Person:Ms. Mara Calzolari
FARMA-DERMA srl
Via dell' Artigiano, 6-8
40010 Sala Bolognese (BO)
Italy
Mobile: +39 3486914895
Office: +39 0516814181
Fax: +39 0516814833
Email: mara.calzolari@farmaderma.it
Additional Contact Person:Ms. Giulia Canzano
FARMA-DERMA srl
Via dell' Artigiano, 6-8
40010 Sala Bolognese (BO)
Italy
Mobile: +39 3486914892
Office: +39 0516814181
Fax: +39 0516814833
Email: giulia.canzano@farmaderma.it
Preparation Date:June 21, 2022
Device Information
Trade Name:Revaree plus vaginal suppositories
Common Name:Personal Lubricant
Regulation Number:21 CFR 884.5300
Regulation Name:Condom

II

NUC (lubricant, personal)

4

3. Predicate Device

Repagyn vaginal suppositories (K153372)

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

4. Device Description

Farma-Derma's Revaree plus vaginal suppositories is a non-sterile solid preparation personal lubricant containing hyaluronic acid, sweet almond oil, and glycerides. It is presented in the form of vaginal suppositories, 2 g in weight. Each vaginal suppository is individually packed in a polyvinyl chloride (PVC)/polyethylene (PE) blister. The device is available for sale in a pack containing 10 vaginal suppositories (two blisters of 5 vaginal suppositories each) while the sample pack contains 3 vaginal suppositories (one blister).

Due to its shape the device can be easily introduced into the vaginal cavity by finger.

When the vaginal suppository is in contact with the vaginal mucosa, it melts due to body temperature and becomes a viscous mass which remains in contact with the vaginal mucosa, creating a moist environment to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication.

ParameterSpecification
AppearanceOff-white opaque vaginal suppositories
OdorPractically odorless
Disintegration time≤ 30 minutes
(according to Eu. Ph.)
Average weight2 g
Uniformity of weightAccording to Eu. Ph.
Content of HA10 mg
TAMC≤100 cfu/g
TYMC≤10 cfu//g
Pseudomonas Aeruginosa,
Staphylococcus Aureus, Candida
AlbicansAbsent/g

The specifications for Revaree plus vaginal suppositories are provided in the table below.

Furthermore, the endotoxin level will be checked according to Kinetic test (LAL test) on each lot of finished product.

5

5. Indications for Use

Revaree plus vaginal suppositories are a personal lubricant, for 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 not compatible with natural rubber latex, polyurethane, and polyisoprene condoms.

6. Substantial Equivalence Discussion

The following table compares the intended use and key technological characteristics of the subject and predicate device.

Revaree plus vaginalRepagyn vaginal
suppositoriessuppositories (K153372)
Indications for
UseRevaree plus vaginal
suppositories are a personal
lubricant, for 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
not compatible with natural
rubber latex, polyurethane,
and polyisoprene condoms.Repagyn is a personal
lubricant, for 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 not
compatible with natural rubber
latex, polyurethane, and
polyisoprene condoms.
Base typeGlycerideGlyceride
IngredientsHA, glycerides, and sweet
almond oilHA and glycerides
AppearanceOff-white opaque vaginal
suppositoriesOff-white opaque vaginal
suppositories
Average
weight2 g2 g
Content of HA10 mg5 mg
TAMC≤100 cfu/g≤100 UFC/g
TYMC≤10 cfu/g≤10 UFC/g
Absence of
Pseudomonas
Aeruginosa,
Staphylococcus
AureusAbsent/gAbsent/g

6

| Candida

Albicans
Condom
CompatibilityNot compatible with natural
rubber latex, polyisoprene,
and polyurethane condomsNot compatible with natural
rubber latex, polyisoprene, and
polyurethane condoms
PackagingPVC/PE blister of 3 or 5
vaginal suppositoriesPVC/PE blister of 3 or 5
vaginal suppositories

The subject and the predicate device have similar indications for use and have the same intended use - to provide lubrication during intimate sexual activity. The subject and predicate devices have different technological characteristics, include different formulations and device specifications. The different technological characteristics do not raise different questions of safety and effectiveness.

7. Performance Data

Biocompatibility

Biocompatibility studies including cytotoxicity, sensitization, vaginal irritation, and acute systemic toxicity were performed in accordance with the 2020 FDA guidance document, Use of International Standard ISO 10993-1, "Biological Evaluation of Medical Devices – Part 1: Evaluation and testing within a risk management process", and ISO 10993-1:2018, as follows:

  • Acute systemic toxicity, ISO 10993-11:2017 .
  • Cytotoxicity, ISO 10993-5:2009 ●
  • Vaginal Irritation Testing, ISO 10993-10:2010 ●
  • Guinea pig maximization test (GPMT), ISO 10993-10:2010 ●

The results demonstrated that the subject lubricant is non-cytotoxic, non-irritating, nonsensitizing and not systemically toxic.

Shelf Life

The shelf life of Revaree plus vaginal suppositories is 24 months. This is based on the results of intermediate and real time aging studies that demonstrated that the device maintains its specifications over the duration of its shelf life.

Condom Compatibility

Condom compatibility testing was not conducted for the subject device. Therefore, Revaree plus is not compatible with natural rubber latex, polyisoprene, and polyurethane condoms.

8. Conclusions

7

The results of the testing described above demonstrate that Revaree plus vaginal suppositories are as safe and effective as the predicate device and supports a determination of substantial equivalence.