K Number
K232090
Device Name
JO Coconut Hybrid Warming Personal Lubricant
Manufacturer
Date Cleared
2023-10-11

(90 days)

Product Code
Regulation Number
884.5300
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
JO Coconut Hybrid Warming Personal Lubricant is a personal lubricant for penile, anal and/or vaginal application, intended to lubricate and moisturize, 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
JO Coconut Hybrid Warming Personal Lubricant is a clear, viscous personal lubricant that is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms. This device is a non-sterile personal lubricant for penile, anal and/or vaginal application, intended to lubricate and moisturize, to enhance the ease and comfort of intimate sexual activity supplement the body's natural lubrication. JO Coconut Hybrid Warming Personal Lubricant is sold as an over-the-counter (OTC) product in a 1 fl. oz./ 30 mL and 4 fl. oz./ 120 mL size. This product is provided in a clear polyethylene terephthalate (PET) cylinder bottle. The 1 fl. oz/ 30 mL size bottle is capped with natural disc tops. The 4 fl. oz/ 120 mL is capped with silver disc tops. The individual bottles are hermetically sealed during the production process. This device is composed of Water (Aqua), Propylene Glycol, Caprylic/Capric Triglyceride, Cocos Nucifera (Coconut) Oil, Flavor (Aroma), Phenoxyethanol, Polyacrylate 13, Cellulose Gum, Raphanus Sativus (Radish) Seed Extract, Niacin, Polyisobutene, Polysorbate 20, Dipropylene Glycol, Vanillyl Butyl Ether,PEG-45M, Butyrospermum Parkii (Shea) Butter Extract, Ethyl Menthane Carboxamide, Methyl Diisopropyl Propionamide, Polysorbate 80, Caprylyl Glycol, Phenethyl Alcohol, Ethylhexylglycerin, Beeswax, Glyceryl Stearate, Hydroxypropylcellulose, Menthyl Lactate, PEG-100 Stearate, Stearamidopropyl Dimethylamine Lactate, Polyquaternium-67.
More Information

Not Found

No
The device is a personal lubricant and the description focuses on its physical properties, ingredients, and compatibility, with no mention of AI or ML.

No
The device is a personal lubricant intended to enhance comfort during sexual activity, not to treat or prevent a disease or condition.

No

Explanation: The device is described as a personal lubricant intended to enhance the ease and comfort of intimate sexual activity, not to diagnose any condition or disease.

No

The device is a personal lubricant, which is a physical substance composed of various chemical ingredients, not software.

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

Here's why:

  • IVD Definition: In Vitro Diagnostics are medical devices used to perform tests on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections. These tests are performed outside of the body (in vitro).
  • Device Description and Intended Use: The description clearly states that JO Coconut Hybrid Warming Personal Lubricant is a personal lubricant for penile, anal, and/or vaginal application. Its purpose is to lubricate and moisturize to enhance the ease and comfort of intimate sexual activity. This is a topical application directly to the body, not a test performed on a sample taken from the body.
  • Lack of Diagnostic Function: The device does not perform any diagnostic tests, analyze biological samples, or provide information about a person's health status based on laboratory analysis.

The information provided describes a Class II medical device (personal lubricant) intended for direct application to the body for lubrication purposes.

N/A

Intended Use / Indications for Use

JO Coconut Hybrid Warming Personal Lubricant is a personal lubricant for penile, anal and/or vaginal application, intended to lubricate and moisturize, 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 (comma separated list FDA assigned to the subject device)

NUC

Device Description

JO Coconut Hybrid Warming Personal Lubricant is a clear, viscous personal lubricant that is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms. This device is a non-sterile personal lubricant for penile, anal and/or vaginal application, intended to lubricate and moisturize, to enhance the ease and comfort of intimate sexual activity supplement the body's natural lubrication.
JO Coconut Hybrid Warming Personal Lubricant is sold as an over-the-counter (OTC) product in a 1 fl. oz./ 30 mL and 4 fl. oz./ 120 mL size. This product is provided in a clear polyethylene terephthalate (PET) cylinder bottle. The 1 fl. oz/ 30 mL size bottle is capped with natural disc tops. The 4 fl. oz/ 120 mL is capped with silver disc tops. The individual bottles are hermetically sealed during the production process.
This device is composed of Water (Aqua), Propylene Glycol, Caprylic/Capric Triglyceride, Cocos Nucifera (Coconut) Oil, Flavor (Aroma), Phenoxyethanol, Polyacrylate 13, Cellulose Gum, Raphanus Sativus (Radish) Seed Extract, Niacin, Polyisobutene, Polysorbate 20, Dipropylene Glycol, Vanillyl Butyl Ether,PEG-45M, Butyrospermum Parkii (Shea) Butter Extract, Ethyl Menthane Carboxamide, Methyl Diisopropyl Propionamide, Polysorbate 80, Caprylyl Glycol, Phenethyl Alcohol, Ethylhexylglycerin, Beeswax, Glyceryl Stearate, Hydroxypropylcellulose, Menthyl Lactate, PEG-100 Stearate, Stearamidopropyl Dimethylamine Lactate, Polyquaternium-67.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

penile, anal and/or 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:

  • Study type: Biocompatibility studies based on ISO 10993-1, ISO 10993-5, ISO 10993-10, and ISO 10993-11.
  • Key results: The subject lubricant is non-cytotoxic, non-irritating, non-sensitizing, and not acutely systemically toxic.

Shelf-Life:

  • Study type: Real time and accelerated aging study.
  • Key results: The device maintains its specifications as shown in Table 1 over the duration of its 3-year shelf life.

Condom Compatibility:

  • Study type: Evaluation in accordance with ASTM D7661-18 Standard Test Method for Determining Compatibility of Personal Lubricants with Natural Rubber Latex Condoms.
  • Key results: JO Coconut Hybrid Warming Personal Lubricant is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with 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.

K180712

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, 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.

October 11, 2023

CC Wellness LLC Marlent Perez Regulatory Affairs Specialist II 29000 N. Hancock Pkwy. Valencia, CA 91355

Re: K232090

Trade/Device Name: JO Coconut Hybrid Warming Personal Lubricant Regulation Number: 21 CFR§ 884.5300 Regulation Name: Condom Regulatory Class: II Product Code: NUC Dated: July 11, 2023 Received: July 13, 2023

Dear Marlent Perez:

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) K232090

Device Name

JO Coconut Hybrid Warming Personal Lubricant

Indications for Use (Describe)

JO Coconut Hybrid Warming Personal Lubricant is a personal lubricant for penile, anal and/or vaginal application. intended to lubricate and moisturize, 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)

_ | Prescription Use (Part 21 CFR 801 Subpart D)

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

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3

WELLNESS

510(k) Traditional Submission IO Coconut Hybrid Warming Personal Lubricant

510(k) Summary – K232090

510(k) Owner:CC Wellness LLC
Street Address:29000 N. Hancock Parkway Valencia, CA 91355
Contact Person:Marlent Perez
Regulatory Affairs Specialist II
Bruce Albert
Chief Scientific Officer
Contact Numbers:Phone: (661) 481-6390
Phone: (661) 295-1700
Summary Preparation Date:October 5, 2023

Subject Device Information:

Trade Name:JO Coconut Hybrid Warming Personal Lubricant
Common Name:Personal Lubricant
Regulation Name:Condom
Regulation Number:21 CFR 884.5300
Product Code:NUC (lubricant, personal)
Device Class:Class II

Predicate Device Information:

Product Name:Coconut Infused Hybrid Personal Lubricant
510 (k) number:K180712
Manufacturer:United Consortium
Product Code:NUC (lubricant, personal)
Device Class:Class II

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

Device Description:

JO Coconut Hybrid Warming Personal Lubricant is a clear, viscous personal lubricant that is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms. This device is a non-sterile personal lubricant for penile, anal and/or vaginal application, intended to lubricate and

4

moisturize, to enhance the ease and comfort of intimate sexual activity supplement the body's natural lubrication.

JO Coconut Hybrid Warming Personal Lubricant is sold as an over-the-counter (OTC) product in a 1 fl. oz./ 30 mL and 4 fl. oz./ 120 mL size. This product is provided in a clear polyethylene terephthalate (PET) cylinder bottle. The 1 fl. oz/ 30 mL size bottle is capped with natural disc tops. The 4 fl. oz/ 120 mL is capped with silver disc tops. The individual bottles are hermetically sealed during the production process.

This device is composed of Water (Aqua), Propylene Glycol, Caprylic/Capric Triglyceride, Cocos Nucifera (Coconut) Oil, Flavor (Aroma), Phenoxyethanol, Polyacrylate 13, Cellulose Gum, Raphanus Sativus (Radish) Seed Extract, Niacin, Polyisobutene, Polysorbate 20, Dipropylene Glycol, Vanillyl Butyl Ether,PEG-45M, Butyrospermum Parkii (Shea) Butter Extract, Ethyl Menthane Carboxamide, Methyl Diisopropyl Propionamide, Polysorbate 80, Caprylyl Glycol, Phenethyl Alcohol, Ethylhexylglycerin, Beeswax, Glyceryl Stearate, Hydroxypropylcellulose, Menthyl Lactate, PEG-100 Stearate, Stearamidopropyl Dimethylamine Lactate, Polyquaternium-67.

PropertySpecification
AppearanceViscous opaque liquid
ColorOpaque, off-white
OdorMild Coconut
Viscosity (cps) per USP10,000 – 19,000
pH per USP4.00 – 5.25
Specific Gravity per USP0.925 – 1.050
Osmolality per USP800 - 1075 mOsm/kg
Antimicrobial effectiveness per USPMeets USP acceptance criteria for Category 2 products.
Total aerobic microbial count (TAMC) per USP andLess than 10 cfu/g
Total yeast and mold count (TYMC) per USP andLess than 10 cfu/g
Presence of Pathogens per USPSpecification
Pseudomonas aeruginosaAbsent
Staphylococcus aureusAbsent
Salmonella/ShigellaAbsent
Escherichia coliAbsent
Candida albicansAbsent

The device specifications are listed in the table below:

Table 1: Device Specifications for JO Coconut Hybrid Warming Personal Lubricant

Indications for Use:

JO Coconut Hybrid Warming Personal Lubricant is a personal lubricant for penile, anal and/or vaginal application, intended to lubricate and moisturize, to enhance the ease

5

WELLNESS

510(k) Traditional Submission JO Coconut Hybrid Warming Personal Lubricant

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.

Comparison of Intended Use and Technological Characteristics with Predicate Device:

The table below lists the comparative intended use and technological characteristics of the subject and predicate device.

FeatureJO Coconut Hybrid WarmingCoconut Infused Hybrid Personal
Personal LubricantLubricant (K180712)
Device Classification NameLubricant, PersonalLubricant, Personal
Product CodeNUCNUC
Indications for UseJO Coconut Hybrid Warming
Personal Lubricant is a personal
lubricant for penile, anal and/or
vaginal application, intended to
lubricate and moisturize, 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.Coconut Infused Hybrid Personal
Lubricant is a personal lubricant for
penile, anal and/or vaginal
application, intended to lubricate
and moisturize, 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.
Water solubleYesYes
Contains waterYesYes
Primary ingredientsWater (Aqua), Propylene Glycol,
Caprylic/Capric Triglyceride, Cocos
Nucifera (Coconut) Oil, Flavor
(Aroma), Phenoxyethanol,
Polyacrylate 13, Cellulose Gum,
Raphanus Sativus (Radish) Seed
Extract, Niacin, Polyisobutene,
Polysorbate 20, Dipropylene Glycol,
Vanilly Butyl Ether,PEG-45M,
Butyrospermum Parkii (Shea) Butter
Extract, Ethyl Menthane
Carboxamide, Methyl Diisopropyl
Propionamide, Polysorbate 80,
Caprylyl Glycol, Phenethyl Alcohol,
Ethylhexylglycerin, Beeswax,
Glyceryl Stearate,
Hydroxypropylcellulose, Menthyl
Lactate, PEG-100 Stearate,
Stearamidopropyl Dimethylamine
Lactate, Polyquaternium-67.Water (Aqua), Propylene Glycol,
Caprylic/Capric Triglyceride, Cocos
Nucifera (Coconut) Oil, Flavor
(Aroma), Phenoxyethanol,
Polyacrylate 13, Cellulose Gum,
Raphanus Sativus (Radish) Seed
Extract, Polyisobutene,
Polysorbate 20, PEG-45M

Table 2: Comparator Table for Subject Device – JO Coconut Hybrid Warming Personal Lubricant and Predicate Device – Coconut Infused Hybrid Personal Lubricant

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Image /page/6/Picture/0 description: The image shows a logo for a wellness company. The logo features two stylized, cursive letters that appear to be "CC". Below the letters, the word "WELLNESS" is written in smaller, sans-serif font. The overall design is simple and elegant, with a focus on the company's name and its association with wellness.

510(k) Traditional Submission O Coconut Hybrid Warming Personal Lubricant

pH4.00 - 5.255.30 - 6.30
Osmolarity800 - 1075 mOsm/kg300 - 950 mOsm/kg
Over the counter useYesYes
SterileNoNo
Condom CompatibilityNatural Rubber Latex and
PolyisopreneNatural Rubber Latex and
Polyisoprene
Biocompatibility TestedYesYes
Antimicrobial TestedYesYes
Shelf life3 years3 years

The subject and predicate device have similar indications for use statement and have the same intended use. The subject and predicate devices have different technological characteristics including different formulations and device specifications. The different technological characteristics of the subject device do not raise different questions of safety and effectiveness.

Summary of Non-Clinical Performance Data:

Biocompatibility

Biocompatibility studies, including Acute Systemic Toxicity, Vaginal Irritation, Cytotoxicity, and Sensitization testing 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 10993-1:2009 as follows:

  • 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 non-cytotoxic, nonirritating, non-sensitizing, and not acutely systemically toxic.

Shelf-Life:

The subject device is a non-sterile personal lubricant with a 3-year shelf-life in accordance with the results of a real time and accelerated aging study. Results from this testing demonstrated that the device maintains its specifications as shown in Table 1 over the duration of its shelf life.

7

Image /page/7/Picture/0 description: The image shows a logo for a company called "Wellness". The logo features two stylized, cursive letters that appear to be "C"s, connected in the middle. The word "WELLNESS" is written in small, sans-serif letters to the right of the connected "C"s. The overall design is simple and elegant, with a focus on the company's name.

510(k) Traditional Submission JO Coconut Hybrid Warming Personal Lubricant

Condom Compatibility:

The compatibility of the subject device with natural rubber latex, polyisoprene and polyurethane condoms were evaluated in accordance with ASTM D7661-18 Standard Test Method for Determining Compatibility of Personal Lubricants with Natural Rubber Latex Condoms. The results of this test indicated JO Coconut Hybrid Warming Personal Lubricant is compatible with natural rubber latex and polyisoprene condoms. This product is not compatible with polyurethane condoms.

Conclusion:

The results of the performance testing described above demonstrate that JO Coconut Hybrid Warming Personal Lubricant is safe and effective as the predicate device and supports a determination of substantial equivalence.