K Number
K230518
Device Name
HydraDose Vaginal Suppositories
Manufacturer
Date Cleared
2023-06-23

(116 days)

Product Code
Regulation Number
884.5300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
HydraDose 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
HydraDose Vaginal Suppositories is a glyceride-based personal lubricant for over-thecounter use. The subject device is a non-sterile solid preparation containing hyaluronic acid, cocoa butter, triglycerides, and cera alba. The subject device is packaged in sets of five a polyvinyl chloride (PVC)/polyethylene (PE) blister pack. The lubricant is not compatible with natural rubber latex, polyisoprene condoms, and polyurethane condoms.
More Information

Not Found

No
The device description and performance studies focus on the chemical composition and physical properties of a personal lubricant, with no mention of AI or ML technologies.

No.
The intended use of the device is to moisturize and lubricate for comfort during intimacy, which categorizes it as a personal lubricant, not a therapeutic device.

No

The device is described as a personal lubricant intended to moisturize and lubricate, not to diagnose any condition.

No

The device is a physical product (vaginal suppositories) and not a software application. The description details its composition and packaging, not software functionalities.

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

Here's why:

  • Intended Use: The intended use is clearly stated as a personal lubricant for vaginal application to moisturize and lubricate for comfort during sexual activity and supplement natural lubrication. This is a physical function, not a diagnostic test performed on samples taken from the body.
  • Device Description: The description details the physical form (suppositories) and ingredients (hyaluronic acid, cocoa butter, etc.). These are components of a lubricant, not reagents or instruments used for analyzing biological samples.
  • Lack of Diagnostic Function: There is no mention of the device being used to detect, measure, or analyze any substance or condition in a biological sample (like blood, urine, tissue, etc.) to provide diagnostic information.
  • Performance Studies: The performance studies focus on biocompatibility and shelf life, which are relevant for a topical or inserted device, not for a diagnostic test. There are no studies related to sensitivity, specificity, or other metrics typically associated with diagnostic performance.

IVD devices are specifically designed to be used in vitro (outside the body) to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. This device does not fit that description.

N/A

Intended Use / Indications for Use

HydraDose 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

NUC

Device Description

HydraDose Vaginal Suppositories is a glyceride-based personal lubricant for over-thecounter use. The subject device is a non-sterile solid preparation containing hyaluronic acid, cocoa butter, triglycerides, and cera alba.

The subject device is packaged in sets of five a polyvinyl chloride (PVC)/polyethylene (PE) blister pack. The lubricant is not compatible with natural rubber latex, polyisoprene condoms, and polyurethane condoms.

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

Biocompatibility testing on the subject lubricant was 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 10993-1:2009 as follows:

  • Cytotoxicity (ISO 10993-5:2009/(R)2014)
  • Guinea Pig Maximization Sensitization Test (ISO 10993-10: 2010)
  • Vaqinal Irritation (ISO 10993-23: 2021)
  • Acute Systemic Toxicity (ISO 10993-11:2017) .

The results of this testing demonstrate that the subject lubricant is non-cytotoxic, nonirritating, non-sensitizing, and not systemically toxic.

Shelf Life: The subject device is a non-sterile personal lubricant weighing 2g and packaged in blister packs with an 8.5-month shelf-life in accordance with the results of an accelerated aging study, conducted for 3 months at 40°C per ASTM F1980-16. Standard Guide for Accelerated Aging of Sterile Barrier Systems for Medical Devices. The device specifications listed in Table 1 were tested across the device shelf-life and the subject device met the specifications at all time points.

Condom Compatibility: Condom compatibility testing was not conducted for the subject device.

Key Metrics

Not Found

Predicate Device(s)

K213220

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.

0

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 features the letters "FDA" in a blue square, followed by the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text.

June 23, 2023

MD Labs, LLC % Louie Goryoka Sr. RA/QA Consultant Med-Device Consulting, Inc. 5804 Rainbow Hill Road Agoura Hills, CA 91301

Re: K230518

Trade/Device Name: HydraDose Vaginal Suppositories Regulation Number: 21 CFR§ 884.5300 Regulation Name: Condom Regulatory Class: II Product Code: NUC Dated: May 19, 2023 Received: May 22, 2023

Dear Louie Goryoka:

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 -S

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) K230518

Device Name HydraDose Vaginal Suppositories

Indications for Use (Describe)

HydraDose 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)

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3

510(K) Summary – K230518 HydraDose Vaginal Suppositories

l. General Information on Submitter

Applicant:MD Labs LLC
Address:780 Lakefield Road, Suite H
Westlake Village, California,
91361-2628
Telephone:818-585-7488
Contact Person:Louie Goryoka
Contact Title:Sr. Regulatory and Quality
Consultant
Med-Device Consulting, Inc
Email:mdci@m-dci.us
Date Prepared:June 21, 2023

II. General Information on Device

Proprietary Name:HydraDose Vaginal Suppositories
Common Name:Personal Lubricant
Regulation Name:Condom
Regulation Number:21 CFR 884.5300
Regulatory Class:II
Product Code:NUC (Lubricant, Personal)

lll. Predicate Device

Predicate Device510(k) Number
Revaree Plus Vaginal SuppositoriesK213220

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

IV. Description of Device

HydraDose Vaginal Suppositories is a glyceride-based personal lubricant for over-thecounter use. The subject device is a non-sterile solid preparation containing hyaluronic acid, cocoa butter, triglycerides, and cera alba.

The subject device is packaged in sets of five a polyvinyl chloride (PVC)/polyethylene (PE) blister pack. The lubricant is not compatible with natural rubber latex, polyisoprene condoms, and polyurethane condoms.

4

The specifications for HydraDose Vaginal Suppositories are described in Table 1.

ParameterTest MethodSpecification
AppearanceVisualSolid; yellowish to white color
OdorOlfactoryNone
pHN/AN/A
ViscosityN/AN/A
OsmolalityN/AN/A
Antimicrobial
EffectivenessUSPMeets USP acceptance
criteria for Category 2
products. Category 2,
bacteria should show not less
than 2.0 log reduction at 14
days and no increase from
the 14-day count to the 28-
day count. Yeast and molds
should show no increase
from the initial calculated
count at 14 and 28 days
Total Microbial CountUSP and
and
Absent
Content of hyaluronic
acidSpectrophotometric0.25 - 2%
Disintegration timeUSP and
12 minutes 21 seconds;
37.5°C
Average weightAnalytical balance2g

Table 1. Device Specifications

V. Indications for Use

HydraDose 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.

VI. Substantial Equivalence Discussion

5

A comparison of the intended use and technological features of the subject and predicate devices is provided in Table 2 below:

Table 2. Intended Use and Technological Characteristics of Subject Device Compared to Predicate Device

| Characteristic /
Feature | HydraDose Vaginal
Suppositories (subject
device) | Revaree Plus Vaginal
Suppositories (predicate
device) - K213220 | Comparison |
|-----------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Indication for use | HydraDose 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. | 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. | Same |
| Percentage of
Hyaluronic Acid | 0.25-2% | 0.5% | Different |
| Over the Counter | Yes | Yes | Same |
| Not a
contraceptive or
Spermicide | Yes | Yes | Same |
| Non-sterile | Yes | Yes | Same |
| Primary
Ingredients | Hyaluronic acid, cocoa butter,
triglycerides, cera alba | Hyaluronic acid, glycerides,
sweet almond oil | Different: The ingredients of the
predicate device are different;
the ingredients do not raise
different questions of Safety &
Effectiveness (S & E) |
| Microbial Limits | Total mold/yeast count