(251 days)
No
The document describes standard contact lens technology and materials. There is no mention of AI or ML in the intended use, device description, or performance studies.
No
The product description indicates that the contact lenses are used for the correction of ametropia and astigmatism, which are refractive errors, not therapeutic conditions.
No
The device is a contact lens intended for the correction of refractive ametropia (myopia, hyperopia, astigmatism, and presbyopia), not for diagnosing medical conditions.
No
The device description clearly states it is a physical contact lens made of Hioxifilcon A material, not software.
Based on the provided text, this device is not an IVD (In Vitro Diagnostic).
Here's why:
- Intended Use: The intended use is for the correction of refractive ametropia (myopia, hyperopia, astigmatism, presbyopia) in non-diseased eyes. This is a therapeutic and corrective function related to vision, not a diagnostic test performed in vitro (outside the body) on biological samples to detect diseases or conditions.
- Device Description: The description details the physical properties and materials of a contact lens, which is a medical device used for vision correction.
- Performance Studies: The performance studies focus on the physical, chemical, and biocompatibility properties of the contact lens, not on the accuracy or reliability of a diagnostic test.
IVD devices are used to examine specimens derived from the human body (like blood, urine, tissue) to provide information for diagnosis, monitoring, or screening. This contact lens does not perform such a function.
N/A
Intended Use / Indications for Use
Sphere and Asphere
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses with Sphere designs are indicated for daily wear for the correction of refractive ametropia (myopia and hyperopia) in aphakic and/or non-aphakic persons with nondiseased eyes in powers from +6.00 diopters. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less that does not interfere with visual acuity.
Toric
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses with Toric designs are indicated for the correction of refractive ametropia with astigmatism) in aphakic and/or non-aphakic persons with non-diseased eyes in powers from +6.00 to -12.00 diopters and astigmatic corrections from -0.50 to -3.50 diopters.
Multifocal
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses with Multifocal designs are indicated for daily wear for the correction of refractive ametropia (myopia and hyperopia) and presbyopia in aphakic persons with non-diseased eyes in powers from +6.00 to -12.00 diopters and with non-diseased eyes who may require a reading addition from +0.25D to +3.00D. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less that does not interfere with visual acuity.
The lenses are intended for single-use disposable wear.
Product codes (comma separated list FDA assigned to the subject device)
LPL, MVN
Device Description
The Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses are visibility-tinted and include UV blocker-containing. The lens is available in sphere, asphere, toric and multifocal designs. It is a non-ionic hydrogel lens derived from Hioxifilcon A material which is a co-polymer of 2-Hydroxyethyl methacrylate (HEMA) and 2,3-Dihydroxypropyl methacrylate (Glycerol methacrylate, GMA), cross-linked with Ethylene glycol dimethacrylate (EGDMA) and made by photo-polymerization. It consists of 41% Hioxifilcon A and 59% water by weight when immersed in buffered solution. There are two types of buffer solution, one is borate solution another one is borate solution with Tween 80, Hyaluronic Acid and Polyethylene Glycol. The lens further contains a benzotriazole UV absorbing monomer and thus is able to block UV radiation. The lens is visibly tinted with "Reactive Blue 19" and "Reactive Red 180" color additive, 21 CFR part 73.3121. Besides, Reactive Yellow 15, 21 CFR part 73.3121, is also used to reduce light in the range from 380 nm to 450 mm. The UV Blocking averages 95% in the UVB range of 280 nm to 315 nm and 50% in the UVA range of 315 nm to 380 nm. The lens reduces transmittance by ≤ 35% in the light range from 380 nm to 450 nm. The Hioxifilcon A name has been adopted by the United States Adopted Names Council (USAN).
Mentions image processing
Not Found
Mentions AI, DNN, or ML
Not Found
Input Imaging Modality
Not Found
Anatomical Site
Not Found
Indicated Patient Age Range
Not Found
Intended User / Care Setting
Prescription Use (Part 21 CFR 801 Subpart D)
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)
Clinical studies for Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses of the present device are not required for the premarket notification, as the USAN name and process are the same as the predicate device.
Non-clinical Study:
All tests were conducted in accordance with the May 1994 FDA guidance title Premarket Notification 510(K) Guidance Document for Class II Contact Lenses. The non-clinical performance tests had been performed to demonstrate the safety and effectiveness of Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses.
Non-Clinical testing performed includes:
- Physicochemical Properties Test
- Refractive Index
- Oxygen Permeability
- Water content
- Extractables
- Mechanical Property
- Light Transmittance
- Contact Angle Test
- Leachability Test
- Biocompatibility Test
- Cytotoxicity Test Contact lens, package solution, and primary package (according to ISO 10993-5)
- Ocular Irritation Test Contact lens, package solution, and primary package (according to ISO 10993-10 /ISO 10993-23)
- Acute Systemic Toxicity Test Contact lens and primary package (according to ISO 10993-11)
- Shelf Life Test and Sterility Test
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.
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.
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
§ 886.5925 Soft (hydrophilic) contact lens.
(a)
Identification. A soft (hydrophilic) contact lens is a device intended to be worn directly against the cornea and adjacent limbal and scleral areas of the eye to correct vision conditions or act as a therapeutic bandage. The device is made of various polymer materials the main polymer molecules of which absorb or attract a certain volume (percentage) of water.(b)
Classification. (1) Class II if the device is intended for daily wear only.(2) Class III if the device is intended for extended wear.
(c)
Date PMA or notice of completion of a PDP is required. As of May 28, 1976, an approval under section 515 of the act is required before a device described in paragraph (b)(2) of this section may be commercially distributed. See § 886.3.
0
Image /page/0/Picture/0 description: The image shows 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. To the right of the blue square is the text "U.S. FOOD & DRUG ADMINISTRATION" in blue.
May 08, 2024
Pegavision Corporation Estela Lin Regulatory Affair Senior Engineer 2F-1, No.5, Shing Yeh St., Taoyuan City, Guishan Dist. 33341 Taiwan
Re: K232649
Trade/Device Name: Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses Regulation Number: 21 CFR 886.5925 Regulation Name: Soft (Hydrophilic) Contact Lens Regulatory Class: Class II Product Code: LPL, MVN Dated: April 1, 2024 Received: April 1, 2024
Dear Estela Lin:
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 (the 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 available 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.
Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
1
Your device is also subject to, among other requirements, the Quality System (QS) regulation (21 CFR Part 820), which includes, but is not limited to, 21 CFR 820.30, Design controls; 21 CFR 820.90, Nonconforming product; and 21 CFR 820.100, Corrective and preventive action. Please note that regardless of whether a change requires premarket review, the QS regulation requires device manufacturers to review and approve changes to device design and production (21 CFR 820.30 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 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 Part 803) for devices or postmarketing safety reporting (21 CFR Part 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 Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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,
J Angelo Green -S
J. Angelo Green, Ph.D. Assistant Director DHT1A: Division of Ophthalmic Devices OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT and Dental Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health
2
Indications for Use
510(k) Number (if known) K232649
Device Name
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses
Indications for Use (Describe)
Sphere and Asphere
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses with Sphere designs are indicated for daily wear for the correction of refractive ametropia (myopia and hyperopia) in aphakic and/or non-aphakic persons with nondiseased eyes in powers from +6.00 diopters. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less that does not interfere with visual acuity.
Toric
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses with Toric designs are indicated for the correction of refractive ametropia with astigmatism) in aphakic and/or non-aphakic persons with non-diseased eyes in powers from +6.00 to -12.00 diopters and astigmatic corrections from -0.50 to -3.50 diopters.
Multifocal
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses with Multifocal designs are indicated for daily wear for the correction of refractive ametropia (myopia and hyperopia) and presbyopia in aphakic persons with non-diseased eyes in powers from +6.00 to -12.00 diopters and with non-diseased eyes who may require a reading addition from +0.25D to +3.00D. The lenses may be worn by persons who exhibit astigmatism of 1.00 diopters or less that does not interfere with visual acuity.
The lenses are intended for single-use disposable wear.
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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510(k) SUMMARY
510(k) Number: K232649
The following 510(K) Summary is being submitted as required by 21CFR 807.92(a).
Submitter Information
| Company: | PEGAVISION CORPORATION
No.5, Shing Yeh St., Guishan Dist., Taoyuan City 333, Taiwan |
|-----------------|----------------------------------------------------------------------------------------|
| Contact Person: | Estela Lin, Regulatory Affair Engineer Supervisor |
| Phone: | 886-3-329-8808 |
| Fax: | 886-3-329-8897 |
| E-Mail: | EstelaLin@pegavision.com |
| Date Prepared: | April 26, 2024 |
Identification of Device
| Trade Name: | Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses |
|---|---|
| Common Name: | Soft (hydrophilic) Contact Lenses (daily wear) |
| Classification Name: | Lenses, Soft Contact, Daily Wear 21CFR. 886.5925, Product Code LPL |
| Lens. Soft Contact (Disposable). 21CFR. 886.5925, Product Code MVN | |
| FDA Classification: | Class II |
| Predicate Device: | K222885, Pegavision (Hioxifilcon A) One-Day Soft (Hydrophilic) |
| Contact Lenses (59% Water) |
Description of Device
The Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses are visibility-tinted and include UV blocker-containing. The lens is available in sphere, asphere, toric and multifocal designs. It is a non-ionic hydrogel lens derived from Hioxifilcon A material which is a co-polymer of 2-Hydroxyethyl methacrylate (HEMA) and 2,3-Dihydroxypropyl methacrylate (Glycerol methacrylate, GMA), cross-linked with Ethylene glycol dimethacrylate (EGDMA) and made by photo-polymerization. It consists of 41% Hioxifilcon A and 59% water by weight when immersed in buffered solution. There are two types of buffer solution, one is borate solution another one is borate solution with Tween 80, Hyaluronic Acid and Polyethylene Glycol. The lens further contains a benzotriazole UV absorbing monomer and thus is able to block UV
4
radiation. The lens is visibly tinted with "Reactive Blue 19" and "Reactive Red 180" color additive, 21 CFR part 73.3121. Besides, Reactive Yellow 15, 21 CFR part 73.3121, is also used to reduce light in the range from 380 nm to 450 mm. The UV Blocking averages 95% in the UVB range of 280 nm to 315 nm and 50% in the UVA range of 315 nm to 380 nm. The lens reduces transmittance by ≤ 35% in the light range from 380 nm to 450 nm. The Hioxifilcon A name has been adopted by the United States Adopted Names Council (USAN).
Table 1 details transmittance parameter of the subject device.
| Transmittance Property | Subject Device |
|---|---|
| Visible light @ 380~780nm | $≥$ 80% |
| Light @ 380~450nm | $≥$ 65% |
| Light @ 451~780nm | $≥$ 90% |
| UVA @ 315~380nm | 95% |
| UV Blocker | Yes |
| Reduction in transmittance | |
| of light (380 nm to 450 nm) | Yes |
| Lens design | Sphere and Asphere |
| Toric | |
| Multifocal | Sphere and Asphere |
| Toric | |
| Multifocal |
Table 2 Comparison of Technological Characteristics
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Summary of Clinical Study
Hioxifilcon A lenses have been used widely. Their safety and effectiveness have been well documented. Their safety and effectiveness can be further exemplified by K22885 cleared by FDA.
- K222885 Pegavision (Hioxifilcon A) One-Day Soft (Hydrophilic) Contact ● Lenses (59% Water)
Clinical studies for Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses of the present device are not required for the premarket notification, as the USAN name and process are the same as the predicate device.
Non-clinical Study
All tests were conducted in accordance with the May 1994 FDA guidance title Premarket Notification 510(K) Guidance Document for Class II Contact Lenses. The non-clinical performance tests had been performed to demonstrate the safety and effectiveness of Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses.
Non-Clinical testing performed includes:
- Physicochemical Properties Test
- Refractive Index -
- Oxygen Permeability -
- Water content -
- Extractables -
- Mechanical Property -
- Light Transmittance -
- Contact Angle Test ।
- Leachability Test -
- Biocompatibility Test
- Cytotoxicity Test Contact lens, package solution, and primary package । (according to ISO 10993-5)
- Ocular Irritation Test Contact lens, package solution, and primary package - (according to ISO 10993-10 /ISO 10993-23)
- Acute Systemic Toxicity Test Contact lens and primary package (according to ISO 10993-11)
- Shelf Life Test and Sterility Test ●
7
Substantial Equivalence Statement
Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses (subject device) is substantially equivalent in intended use, main materials, design, safety and performance claims to the predicate device-Pegavision (Hioxifilcon A) One-Day Soft (Hydrophilic) Contact Lenses (59% Water) (K222885). Differences between the devices are the dye and the light transmittance.
The subject device was visibly tined with "Reactive Yellow 15", "Reactive Blue19" and "Reactive Red 180", which are the color additive, 21 CFR part 73.3121. Additionally, the light transmittance and reduction in transmittance of light in the range of 380 nm to 450 nm for the subject device is similar with the reference device-ACUVUE® OASYS MAX 1-DAY Contact Lenses (senofilcon A) (K210930).
Furthermore, successful results from chemical/physical, stability, biocompatibility tests, extractable test confirm the lenses are within established product specification, remain stable, and are non-toxic and biocompatible with the ocular environment.
Conclusion
A series of pre-clinical tests were performed to demonstrate the safety and effectiveness of the Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses and to establish substantial equivalence to the predicate device. Information submitted in the 510(k) also establishes that the Pegavision (Hioxifilcon A) Daily Disposable Soft Contact Lenses does not raise questions of safety and effectiveness.