K Number
K990281
Device Name
S-38 (POLYMACON) SOFT (HYDROPHILIC) CONTACT LENS, THE ESSTECH PS & SV (POLYMACON) SOFT (HYDROPHILIC) CONTACT LENS
Manufacturer
Date Cleared
1999-04-16

(78 days)

Product Code
Regulation Number
886.5925
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The S-38™ (polymacon) Soft (hydrophilic) Contact Lens with blue tint is indicated for daily wear for the correction of visual acuity in aphakic and not-aphakic persons with non-diseased eyes that are myopic or hyperopic. The lens may be worn by persons who may exhibit astigmatism of 1.50 diopters or less that does not interfere with visual acuity. The Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens, with blue tint is indicated for daily wear for the correction of visual acuity in not-aphakic persons with non-diseased eyes that are myopic or hyperopic The lens may be worn by persons who may presbyopes. exhibit astigmatism of not more than 2.00 diopters that does not interfere with visual acuity. The Esstech® SV (polymacon) Soft (hydrophilic) Contact Lens, with blue tint is indicated for daily wear for the correction of visual acuity in not-aphakic persons with non-diseased eyes that are myopic, hyperopic and/or marqinally presbyopic requiring up to +1.00 D of The lens may be worn by persons who exhibit add. astiqmatism of 1.50 diopters or less but may not be suitable for higher degrees of astigmatism.
Device Description
The lenses are identical to the already approved and cleared products S-38™ (polymacon) Soft (hydrophilic) Contact Lens, the Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens and the Esstech® SV (polymacon) Soft (hydrophilic) Contact Lens, except for the addition of the listed color additive Procion Blue MX-R (Reactive Dye Blue #4).
More Information

P920036, K942186, K942187

No
The document describes standard contact lenses and does not mention any AI or ML components in the device description, intended use, or performance studies.

No
The device is indicated for the correction of visual acuity (e.g., in myopic or hyperopic persons), which addresses a refractive error rather than treating a disease or disorder.

No

Explanation: The device is a contact lens indicated for the correction of visual acuity, which is a treatment or correction, not a diagnostic function.

No

The device description clearly states it is a contact lens, which is a physical medical device, not software.

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

Here's why:

  • IVDs are used to examine specimens from the human body. The intended use and device description clearly state that these are contact lenses worn on the human cornea to correct visual acuity. They do not analyze or test any biological samples.
  • The purpose is vision correction. The primary function of these contact lenses is to physically alter the light entering the eye to improve vision for individuals with myopia, hyperopia, and/or presbyopia. This is a therapeutic/corrective function, not a diagnostic one.
  • The device description focuses on the physical properties and intended use on the eye. There is no mention of analyzing biological markers, detecting diseases, or providing diagnostic information.

The information provided describes a medical device used for vision correction, which falls under a different regulatory category than In Vitro Diagnostics.

N/A

Intended Use / Indications for Use

The S-38™ (polymacon) Soft (hydrophilic) Contact Lens with blue tint is indicated for daily wear for the correction of visual acuity in aphakic and not-aphakic persons with non-diseased eyes that are myopic or hyperopic. The lens may be worn by persons who may exhibit astigmatism of 1.50 diopters or less that does not interfere with visual acuity.

The Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens, with blue tint is indicated for daily wear for the correction of visual acuity in not-aphakic persons with non-diseased eyes that are myopic or hyperopic The lens may be worn by persons who may presbyopes. exhibit astigmatism of not more than 2.00 diopters that does not interfere with visual acuity.

The Esstech® SV (polymacon) Soft (hydrophilic) Contact Lens, with blue tint is indicated for daily wear for the correction of visual acuity in not-aphakic persons with non-diseased eyes that are myopic, hyperopic and/or marqinally presbyopic requiring up to +1.00 D of The lens may be worn by persons who exhibit add. astiqmatism of 1.50 diopters or less but may not be suitable for higher degrees of astigmatism.

Product codes

86LPL

Device Description

The lenses are identical to the already approved and cleared products S-38™ (polymacon) Soft (hydrophilic) Contact Lens, the Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens and the Esstech® SV (polymacon) Soft (hydrophilic) Contact Lens, except for the addition of the listed color additive Procion Blue MX-R (Reactive Dye Blue #4).

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

human cornea

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

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

Since there is no change other than the addition of a listed color additive, no new clinical data was generated. All prior clinical data is contained in P920036.

Key Metrics

Not Found

Predicate Device(s)

P920036, K942186, K942187

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

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

APR 16 100

K990281, FOI Summary

510(k) SUMMARY FOR FOI

S-38™ (polymacon) Soft (hydrophilic) Contact Lens, blue tint

  • Contact Lens Classification Name:
    Contact Lens Common/Usual Name:

  • 5-38m (polymacon) Soft (hydrophilic) Proprietary Name: Contact Lens, the Esstech® PS Concact Bens) Soft (hydrophilic) Contact (polymacon) SEsstech® SV (polymacon) Soft (hydrophilic) Contact Lens
    Establishment Registration Number: 9610790 Owner/Operator No: 8010037

  • Contact lenses were reclassified as Class II Classification: devices in November, 1993. 21 CFR 886.5925, 86LPL
    Performance Standards: None

Copies of labeling, revised to include the Labeling: Copies of rabeling, " the blue tint, were included in this submission.

Substantial Equivalence: The sponsor considers these to be substantially equivalent to the S-38™ Soft (polymacon) Contact Lens covered in Sort (porymacon) 920036 and the Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens and the Esstech® SV Contact on) Soft (hydrophilic) Contact (porymateen) bon the 510(k)'s K942186 and K942187, respectively.

42

1

SUBSTANTIAL EQUIVALENCE S-38™

MaterialS-38™ Clear UntintedS-38™ Blue Tinted
Descriptionhydrophilic polymer
of 2-hydroxyethyl
methacrylate cross-
linked with
ethyleneglycol
dimethacrylatehydrophilic polymer
of 2-hydroxyethyl
methacrylate cross-
linked with
ethyleneglycol
dimethacrylate
containing the dye
Procion blue MX-R.
Water Content38%same
Refractive
Index1.43, hydratedsame
Light
Transmittance
(visible)>97%>95%
Oxygen
permeabilityDk = 8.5(cm/sec)(ml
O2/mlxmm Hg)
Measured at 35°C
(Fatt method).same
ActionsWhen placed on the
human cornea, the
hydrated lens
acts as a corrective
refracting medium to
focus light
rays on the retina.same
Chord Diameter12.5 to 15.0 mmsame
Center
thickness0.07 to 0.97 mmsame
Base Curve7.40 to 9.60 mmsame
Powers-20.00 to +20.00 Dsame
MaterialESSTECH® PS Clear
UntintedESSTECH® PS Blue
Tinted
Descriptionhydrophilic polymer
of 2-hydroxyethyl
methacrylate cross-
linked with
ethyleneglycol
dimethacrylatehydrophilic polymer
of 2-hydroxyethyl
methacrylate cross-
linked with
ethyleneglycol
dimethacrylate
containing the dye
Procion blue MX-R.
Water Content38%same
Refractive
Index1.43, hydratedsame
Light
Transmittance
(visible)> 97%> 95%
Oxygen
permeability$D_k = 8.5 (cm/sec) (ml O_2/ ml x mm Hg)$
Measured at 35°C
(Fatt method).same
ActionsWhen placed on the
human cornea, the
hydrated lens acts
as a corrective
refracting medium to
focus light rays on
the retina.same
Chord Diameter$14.00 \pm 0.20$ mmsame
Center
thickness0.17 $\pm 0.02$ mmsame
Base Curve8.30, 8.70, and 9.10
$\pm 0.10$ mmsame
Powers+10.00 to -10.00D in
0.25 dioptric stepssame
MaterialESSTECH® SV Clear
UntintedESSTECH® SV Blue
Tinted
Descriptionhydrophilic polymer
of 2-hydroxyethyl
methacrylate cross-
linked with
ethyleneglycol
dimethacrylatehydrophilic polymer
of 2-hydroxyethyl
methacrylate cross-
linked with
ethyleneglycol
dimethacrylate
containing the dye
Procion blue MX-R.
Water Content38%same
Refractive
Index1.43, hydratedsame
Light
Transmittance>97%>95%
Oxygen
permeabilityDk = 8.5(cm/sec)(ml
O2/ml x mm Hg)
Measured at 35°C
(Fatt method).same
ActionsWhen placed on the
human cornea, the
hydrated lens
acts as a corrective
refracting medium to
focus light
rays on the retina.same
Chord Diameter14.00 ± 0.20 mmsame
Center
thickness
Minus powers:0.07 to
0.14 ± 0.02 mmsame
same
Variable from
Plus powers:
Variable from0.15 to
0.30 ± 0.02 mmsame
Base Curve8.30, 8.70, and 9.10
±0.10 mmsame
Powers+10.00 to -10.00D in
0.25 diopter stepssame

2

SUBSTANTIAL EQUIVALENCE ESSTECH® PS

3

45

SUBSTANTIAL EQUIVALENCE ESSTECH® SV

4

SUMMARY

PRODUCT DESCRIPTION AND CHEMISTRY

The lenses are identical to the already approved and cleared products S-38™ (polymacon) Soft (hydrophilic) Contact Lens, the Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens and the Esstech® SV (polymacon) Soft (hydrophilic) Contact Lens, except for the addition of the listed color additive Procion Blue MX-R (Reactive Dye Blue #4).

TOXICOLOGY:

The lenses passed cytotoxicity, systemic toxicity and ocular irritation testing.

MICROBIOLOGY

All microbiological testing is contained in P920036.

CLINICAL DATA

Since there is no change other than the addition of a listed color additive, no new clinical data was generated. All prior clinical data is contained in P920036.

MANUFACTURING

The blue tinted lenses are manufactured in a manner identical to that described in P920036, K942186 and K942187, with the addition of the tinting process.

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5

Image /page/5/Picture/1 description: The image is a black and white logo for the U.S. Department of Health & Human Services. The logo features a stylized image of an eagle or bird-like figure with three heads, suggesting a sense of unity or collaboration. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the bird-like figure.

APR 16 1999

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

NISSEL LIMITED c/o John M. Szabocsik, Ph.D. 203 North Wabash Avenue Suite 1200 Chicago, IL 60601

Re: K990281

Trade Name: S-38™ (polymacon) Soft (hydrophilic) Contact Lens, the Esstech® PS Lens and the Esstech ® SV (polymacon) Soft (hydrophilic) Contact Lens, With blue tint Regulatory Class: II Product Code: 86 LPL

Dated: January 26, 1999 Received: January 28, 1999

Dear Dr. Szabocsik:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). You may, therefore, market the device, subject to the general controls provisions of the Act. 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.

If your device is classified (see above) into either class II (Special Controls) or class III (Premarket Approval), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations .

6

Page 2 - John M. Szabocsik, Ph.D.

This letter will allow you to begin marketing your device as described in your 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on.the.promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

A. Roerl Rosenthal

A. Ralph Rosenthal. M.D. Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

7

January 26, 1999

Page 1 of 1

510(k) NUMBER (IF KNOWN) K990281

S-38™ (polymacon) Soft (hydrophilic) DEVICE NAME Contact Lens, the Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens and the Esstech® SV (polymacon) Soft (hydrophilic) Contact Lens, with blue tint

INDICATIONS FOR USE

The S-38™ (polymacon) Soft (hydrophilic) Contact Lens with blue tint is indicated for daily wear for the correction of visual acuity in aphakic and not-aphakic persons with non-diseased eyes that are myopic or hyperopic. The lens may be worn by persons who may exhibit astigmatism of 1.50 diopters or less that does not interfere with visual acuity.

The Esstech® PS (polymacon) Soft (hydrophilic) Contact Lens, with blue tint is indicated for daily wear for the correction of visual acuity in not-aphakic persons with non-diseased eyes that are myopic or hyperopic The lens may be worn by persons who may presbyopes. exhibit astigmatism of not more than 2.00 diopters that does not interfere with visual acuity.

The Esstech® SV (polymacon) Soft (hydrophilic) Contact Lens, with blue tint is indicated for daily wear for the correction of visual acuity in not-aphakic persons with non-diseased eyes that are myopic, hyperopic and/or marqinally presbyopic requiring up to +1.00 D of The lens may be worn by persons who exhibit add. astiqmatism of 1.50 diopters or less but may not be suitable for higher degrees of astigmatism.

(PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use X (Per 21 CFR 801.109)

Over-The-Counter-Use OR (Optional Format 1-2-96)

Marcel W. Brown, Ph.D.

(Division Sign-Off) Division of Ophthalmic Devices 510(k) Number_K990281

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