K Number
K220735
Device Name
Avologi Gel Primer (Model: Av25)
Date Cleared
2023-09-15

(550 days)

Product Code
Regulation Number
882.1275
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The Avologi Gel Primer is intended to be used with Luminice device to improve skin conductivity.
Device Description
The Avologi Gel Primer is a clear, viscous and chloride-free formulation. The gel is to be applied to the area under an electrode to reduce the impedance of the contact interface between the electrode surface and the skin.
More Information

No
The summary describes a gel primer intended to improve skin conductivity for use with an electrical stimulation device. There is no mention of AI, ML, image processing, or any data-driven algorithms. The performance studies focus on biocompatibility, shelf life, and physical properties of the gel itself.

No
The device, Avologi Gel Primer, is a conductive gel used to improve skin conductivity for another device (Luminice). Its intended use and description indicate it is an accessory or component that facilitates the function of another device, rather than directly providing a therapeutic effect itself. The performance studies focus on its biocompatibility, shelf life, and physical properties, not on treating or preventing a disease or condition.

No

The device is a conductive gel used with another device (Luminice) to improve skin conductivity, not to diagnose a condition or disease.

No

The device description clearly states it is a "clear, viscous and chloride-free formulation" which is a physical substance (gel), not software.

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

Here's why:

  • Intended Use: The intended use is to "improve skin conductivity" when used with a specific device (Luminice) for topical application on intact skin. This is a physical interaction with the body's surface, not a diagnostic test performed on samples taken from the body (like blood, urine, or tissue).
  • Device Description: The description focuses on its physical properties (clear, viscous, chloride-free) and its function in reducing impedance at the skin-electrode interface. This aligns with a topical medical device, not a diagnostic reagent or instrument.
  • Lack of Diagnostic Elements: There is no mention of analyzing biological samples, detecting biomarkers, or providing diagnostic information about a patient's health status.
  • Anatomical Site: The application is "Topically on intact skin," which is typical for external medical devices, not IVDs.
  • Performance Studies: The performance studies focus on biocompatibility, shelf life, and physical properties related to its function as a conductive gel. These are relevant for a topical medical device, not an IVD.

In summary, the Avologi Gel Primer is a topical medical device intended to facilitate the function of another device (Luminice) by improving skin conductivity. It does not perform any diagnostic testing on biological samples.

N/A

Intended Use / Indications for Use

The Avologi Gel Primer is intended to be used with Luminice device to improve skin conductivity.

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

GYB

Device Description

The Avologi Gel Primer is a clear, viscous and chloride-free formulation. The gel is to be applied to the area under an electrode to reduce the impedance of the contact interface between the electrode surface and the skin.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Topically on intact skin

Indicated Patient Age Range

Adults 18 years of age or older

Intended User / Care Setting

Home

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The safety and effectiveness of the Avologi Gel Primer were established and the substantial was supported by a series of performance testing, including biocompatibility testing, shelf life testing, and physical property testing.

Biocompatibility:

  • In vitro Cytotoxicity Test: The test article were non cytotoxicity to L929 cells.
  • Intracutaneous Reactivity Test: The test article induce negligible irritation in a rabbit intracutaneous test.
  • Skin Sensitization Test: The test article showed no significant evidence of causing skin sensitization in the guinea pig.
    The biocompatibility evaluation was conducted within the management framework and in compliance with ISO 1093 standards. This biocompatibility evaluation establishes the biological safety for the Avologi Gel Primer.

Shelf life testing:

  • The shelf life of Avologi Gel Primer is 3 years. The result demonstrates that the Avologi Gel Primer meet intended specification.

Physical property testing:

  • Microbiological growth testing: Microbiological Complies with the classification "Satisfactory" for the parameters tested.
  • Packaging compatibility testing: Test results Sensory tests of all samples did not show any differences.
  • Conductivity testing: Test results all the samples pass conductivity test.
  • Stability testing: Color, odor, appearance and impedance are as specified and equivalent to the predicate device.

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.

K161654

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.

K200402, K190050

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

§ 882.1275 Electroconductive media.

(a)
Identification. Electroconductive media are the conductive creams or gels used with external electrodes to reduce the impedance (resistance to alternating current) of the contact between the electrode surface and the skin.(b)
Classification. Class II (performance standards).

0

Image /page/0/Picture/2 description: The image contains 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 includes the letters 'FDA' in a blue square, followed by the words 'U.S. FOOD & DRUG' in blue, with 'ADMINISTRATION' written below.

September 15, 2023

Premier North America Inc. % Doris Dong Manager Shanghai CV Technology Co., Ltd. Room 903, No. 19 Dongbao Road, Songjiang Area Shanghai, Shanghai 201613 China

Re: K220735

Trade/Device Name: Avologi Gel Primer (Model: Av25) Regulation Number: 21 CFR 882.1275 Regulation Name: Electroconductive Media Regulatory Class: Class II Product Code: GYB Dated: August 17, 2023 Received: August 17, 2023

Dear Doris Dong:

We have reviewed vour 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

1

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 of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE(@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

Tushar Bansal -S

for Heather Dean, PhD Assistant Director, Acute Injury Devices Team DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

2

Indications for Use

510(k) Number (if known) K220735

Device Name Avologi Gel Primer

Indications for Use (Describe)

The Avologi Gel Primer is intended to be used with Luminice device to improve skin conductivity

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)

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510(k) Summary [As required by 21 CFR 807.92]

1. Submission Information K220735 510(k) Number: Date: August 17, 2023 Type of 510(k) Submission: Traditional 510(k) New device Basis for 510(k) Submission: Owner: Premier North America Inc. 3301 SW 42ND ST., FORT LAUDERDALE, FL 33312-6828, USA Tel: 404-4928133-11 E-mail: Premiershai@Premierna.Com Doris Dong Contact: [Consultant, from Shanghai CV Technology Co., Ltd.] Add: Room 602, No. 19 Dongbao Road, Songjiang Area, Shanghai, 201613 China E-mail: doris.d@ceve.org.cn Tel: 86 21-31261348 / Fax: 86 21-57712250

2. Device Description

Proprietary Name:Avologi Gel Primer
Model:Av25
Regulation Name:Electroconductive Media
Common Name:Electroconductive Gel
Device Classification Name:Media, Electroconductive
Regulation Number:21 CFR 882.1275
Product Code:GYB
Device Class:II
Review Panel:Neurology
Device Description:The Avologi Gel Primer is a clear, viscous and chloride-free formulation.
The gel is to be applied to the area under an electrode to reduce the
impedance of the contact interface between the electrode surface and the
skin.
Indications for use:The Avologi Gel Primer is intended to be used with Luminice device to
improve skin conductivity.

3. Predicate device Information

Predicate 510(k) Number:K161654
Marketing clearance date:December 30, 2016
Product name:NuFACE Gel Primer
Manufacturer:Carol Cole Company

4. Reference device Information

Reference510(k) Number:K200402
Marketing clearance date:November 25, 2020
Product name:DR-HO'S Electro Therapy Conductive Gel
Manufacturer:Guangzhou Xinbo Electronic Co., Ltd.

4

K190050 Reference510(k) Number: Marketing clearance date: July 19, 2019 Product name: Tech Dots -Conductive gel Manufacturer: Spes Medica S.r.1.

5. Substantial Equivalence to Predicate device

The proposed device Avologi Gel Primer has the same, or similar, technological characteristics as the predicate device NuFACE Gel Primer.

5

ParametersNew DevicePredicate DeviceReference Device 1Reference Device 2Comparison
510(k) NumberK220735K161654K200402K190050--
Device nameAvologi Gel PrimerNuFACE Gel PrimerDR-HO'S Electro
Therapy Conductive GelTech Dots -Conductive
gel--
ModelAv25/DHGEL/--
510(k) OwnerPremier North America Inc.Carol Cole CompanyGuangzhou Xinbo
Electronic Co., Ltd.Spes Medica S.r.l.--
Regulation Number21CFR 882.127521CFR 882.127521CFR 882.127521CFR 882.1275SE
Regulation NameElectroconductive MediaElectroconductive MediaElectroconductive MediaElectroconductive MediaSE
Regulatory ClassClass IIClass IIClass IIClass IISE
Product CodeGYBGYBGYBGYBSE
Regulation Medical
SpecialtyNeurologyNeurologyNeurologyNeurologySE
Intended UseThe Avologi Gel Primer is
intended to be used with
Luminice device to improve
skin conductivity.The NuFACE Gel Primer is
intended to be used with
NuFACE microcurrent devices
to improve skin conductivity.DR-HO'S Electro
Therapy Conductive Gel
is intended for use with
TENS (transcutaneous
electrical nerve
stimulation) and EMS
(electric muscle
stimulation) therapy. The
Conductive Gel is used
with external to reduce
the impedance of the
contact between the
electrode surface and the
skin.Tech Dots are intended
for use in clinical and
research EEG/EP
recordings from humans.
They are used with
external electrodes as the
conductor between the
scalp and recessed
electrodes to reduce
impedance between the
electrode surface and the
skin.SE
UseOver-the-Counter cosmetic useOver-the-Counter cosmetic useOver-the-Counter usePrescription useSE
Environment of useHomeHomeHomeHospitalSE
Target populationAdults 18 years of age or olderAdults 18 years of age or olderNot publicly availableAdult and childrenSE
Where usedTopically on intact skinTopically on intact skinIntact SkinTopically on intact skinSE
SterilizationNon-sterileNon-sterileNon-sterileNon-sterileSE
ColorColorlessColorlessNot publicly availableNot publicly availableSE
AppearanceClearClearClearClearSE
OdourOdourlessOdourlessOdourlessOdourlessSE
Volume3.38fl.oz2 fl.oz. and 5 fl.oz. tubeNot publicly availableNot publicly availableSE
Weight(g)170 - 200Not publicly available250g / bottle0.14 ± 0.01 g per DotNote 1
Specific gravity0.900 - 1.100Not publicly availableNot publicly availableNot publicly availableSE
Viscosity(cps)30000-80000Not publicly availableNot publicly availableNot publicly availableSE
pH5.0-7.06.0-7.07.0 - 7.54.1 ± 0.1SE
BiocompatibilityComplies with ISO 10993-5 and ISO 10993-10Complies with ISO 10993-5 and ISO 10993-10Complies with ISO 10993-5 and ISO 10993-10Complies with ISO 10993-5 and ISO 10993-10SE
Chemical SafetyNon-OSHA PELNon-OSHA PELNon-OSHA PELNon-OSHA PELSE
Conductive materialSalt (Magnesium Sulfate)Salt (Magnesium Sulfate)Purified water with Sodium hydroxideSalt (NaCl)SE
Impedance$154\Omega\pm10%$Not publicly available$500\Omega$80 ± 10 OhmSE
Shelf-life3 yearsNot publicly available2 years3 yearsNote 2
Gel compositionDeionized water, Propanediol,
Hydrolyzed Hyaluronic Acid,
Tremella Fuciformis Sporocarp
Extract, Bentaine
Glycerin, magnesium sulfate,
carbomer,
hydroxyethylcellulose,
ethylhexylglycerin, potassiumWater/Aqua/Eau, Propanediol,
Hydrolyzed Hyaluronic Acid,
Tremella Fuciformis Sporocarp
Extract, Bentaine
Glycerin, magnesium sulfate,
carbomer,
hydroxyethylcellulose,
ethylhexylglycerin, potassiumPurified water (solvent);
Carbopol (gel forming);
Glycerin (Moisturizing);
Sodium hydroxide
(Buffering); Triclosan
(preservative)Water, Glycerol
(vegetable origin),
Polyacrylate copolymer
(proprietary), Potassium
chlorideSE
sorbate, Caprylyl Glycol,
phenoxyethanol, sodium
hydroxidesorbate, Caprylyl Glycol,
phenoxyethanol, sodium
hydroxide
Conductivity
(mS/cm)2-53.3822SE
Note 3
Microbiological
growthTotal Aerobic
Microbial Count
(cfu/g)