K Number
K992054
Device Name
ADVENTURE TINTS PROSTHETIC TINTED SOFT CONTACT LENS
Date Cleared
1999-07-07

(20 days)

Product Code
Regulation Number
886.5925
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact lens is indicated for daily wear to enhance or alter the apparent eye color, including ocular masking, either in sighted eyes that require a prosthetic contact lens for cosmetic management of conditions such as corneal, iris or lens abnormalities. The lens may also be prescribed for occlusive therapy for conditions such as diplopia, amblyopia or extreme photophobia. The lens may be disinfected using a chemical disinfection system only.
Device Description
The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact Lenses are tinted with FDA "listed" color additives. The color additives are used in amounts not to exceed the minimum reasonably required to accomplish the intended coloring effect. As part of the manufacturing process, the lenses containing the color additives are thoroughly washed to remove unbound reactive color additives. The manufacturing process alters and/or changes the specifications to the clear version of a contact lens by affixing a listed reactive color additive on that portion of the anterior (front) surface of the lens that corresponds to the iris. The ADVENTURE TINTS PROSTHETIC contact lenses are tinted to the eyecare professional instructions. The prosthetic color additive effect is formed by reacting one or more of the reactive color additives listed in this paragraph with (poly hydroxyethyl methacrylate). The reactive color additives that may be used either alone or in combination are: reactive black 5, reactive blue 21, reactive blue 19, reactive blue 4. reactive blue 163, reactive red 11, reactive red 180, reactive yellow 15, reactive yellow 86, or reactive orange 78. The color additives used are not removed by lens handling or approved cleaning/disinfecting procedures. The prosthetic lens tinting process does not alter the optical and/or performance characteristics of the finished tinted soft contact lens. Tint Patterns Available: 1. Clear lens with Black Pupil. Pupil sizes available in 2.0 mm to 12.5 mm. 2. Black Occluder Lens. A Central Black area that occludes light. Available to full lens diameter in 0.5 mm increments. 3. Black Annular with clear pupil. Black Annular diameter range 7.5 mm to full lens diameter in 0.5 mm increments. Clear Pupil diameter range 2.0 mm to 7.5 mm increments. 4. Tinted Jens with Black Pupil. Uses the Adventure Tints tinted contact lens with black pupil. Pupil sizes available in 2.0 mm to 12.5 mm diameter.
More Information

Alden Classic Prosthetic Tinted Soft Contact Lens, Adventure Tints Color Enhanced Tinted Soft Contact Lens

Not Found

No
The device description focuses on the materials, manufacturing process, and available tint patterns of a prosthetic contact lens. There is no mention of any computational or algorithmic components, let alone AI or ML.

Yes
The device is indicated for occlusive therapy for conditions such as diplopia, amblyopia, or extreme photophobia, which are therapeutic uses.

No

This device is a prosthetic tinted soft contact lens indicated for cosmetic management of eye conditions or occlusive therapy. It does not diagnose any conditions.

No

The device is a physical contact lens, which is a hardware medical device, not software. The description details the materials and manufacturing process of the lens.

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

Here's why:

  • Intended Use: The intended use is clearly described as a prosthetic contact lens for cosmetic management of eye conditions, enhancing or altering eye color, and for occlusive therapy. These are all related to the physical appearance and function of the eye, not to diagnosing a disease or condition based on in vitro examination of specimens.
  • Device Description: The description focuses on the physical characteristics of the contact lens, the materials used, and the tinting process. It does not mention any components or processes related to analyzing biological samples.
  • Lack of IVD Characteristics: There is no mention of analyzing biological specimens (like blood, urine, tissue, etc.), detecting analytes, or providing diagnostic information based on laboratory testing.

Therefore, the ADVENTURE TINTS PROSTHETIC Tinted Soft Contact lens falls under the category of a medical device, specifically a contact lens, but not an In Vitro Diagnostic device.

N/A

Intended Use / Indications for Use

The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact lens is indicated for daily wear to enhance or alter the apparent eye color, including ocular masking, either in sighted eyes that require a prosthetic contact lens for cosmetic management of conditions such as corneal, iris or lens abnormalities. The lens may also be prescribed for occlusive therapy for conditions such as diplopia, amblyopia or extreme photophobia. The lens may be disinfected using a chemical disinfection system only.

Product codes

LPL

Device Description

The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact Lenses are tinted with FDA "listed" color additives. The color additives are used in amounts not to exceed the minimum reasonably required to accomplish the intended coloring effect. As part of the manufacturing process, the lenses containing the color additives are thoroughly washed to remove unbound reactive color additives. The manufacturing process alters and/or changes the specifications to the clear version of a contact lens by affixing a listed reactive color additive on that portion of the anterior (front) surface of the lens that corresponds to the iris. The ADVENTURE TINTS PROSTHETIC contact lenses are tinted to the eyecare professional instructions.

The prosthetic color additive effect is formed by reacting one or more of the reactive color additives listed in this paragraph with (poly hydroxyethyl methacrylate). The reactive color additives that may be used either alone or in combination are: reactive black 5, reactive blue 21, reactive blue 19, reactive blue 4. reactive blue 163, reactive red 11, reactive red 180, reactive yellow 15, reactive yellow 86, or reactive orange 78. The color additives used are not removed by lens handling or approved cleaning/disinfecting procedures. The prosthetic lens tinting process does not alter the optical and/or performance characteristics of the finished tinted soft contact lens.

Tint Patterns Available:

    1. Clear lens with Black Pupil. Pupil sizes available in 2.0 mm to 12.5 mm.
    1. Black Occluder Lens. A Central Black area that occludes light. Available to full lens diameter in 0.5 mm increments.
    1. Black Annular with clear pupil. Black Annular diameter range 7.5 mm to full lens diameter in 0.5 mm increments. Clear Pupil diameter range 2.0 mm to 7.5 mm increments.
    1. Tinted Jens with Black Pupil. Uses the Adventure Tints tinted contact lens with black pupil. Pupil sizes available in 2.0 mm to 12.5 mm diameter.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

eye

Indicated Patient Age Range

Not Found

Intended User / Care Setting

eyecare professional

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)

Not Found

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s)

"Alden Classic Prosthetic Tinted Soft Contact Lens", "Adventure Tints Color Enhanced Tinted Soft Contact Lens"

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

510 (k) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

The assigned 510(k) number is:K992054
-----------------------------------------

Applicant information:

Date Prepared:June 18th, 1999
Name:Adventure in Color's
Address1511 Washington Avenue
Golden, CO 80401
Contact Persons:Mrs. Elizabeth Harper
Mr. Stan Harper
Phone Number:(303) 271-9644
USA Consultant:Martin Dalsing,
Med-Vice Consulting, Inc.
Consultant for Adventure in Colors, Inc.
623 Glacier Drive
Grand Junction, CO 81503
(970) 243-5490
Fax #: (970) 243-5501
E-mail: mdalsing@gj.net

Device Information:

Device Classification:Class II
Classification Number:LPL
Trade Name:ADVENTURE TINTS PROSTHETIC

ADVENTURE TINTS PROSTHETIC Tinted Soft Contact Iens

Classification Name: Lenses, Soft Contact, Daily Wear :

1

Substantially Equivalent Devices:

The "ADVENTURE TINTS PROSTHETIC" Tinted Soft Contact Lens is substantially equivalent to the "Alden Classic Prosthetic Tinted Soft Contact Lens" and the Adventure in Colors "Adventure Tints Color Enhanced Tinted Soft Contact Lens", the predicate devices.

Device Descriptive Characteristics:

The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact Lenses are tinted with FDA "listed" color additives. The color additives are used in amounts not to exceed the minimum reasonably required to accomplish the intended coloring effect. As part of the manufacturing process, the lenses containing the color additives are thoroughly washed to remove unbound reactive color additives. The manufacturing process alters and/or changes the specifications to the clear version of a contact lens by affixing a listed reactive color additive on that portion of the anterior (front) surface of the lens that corresponds to the iris. The ADVENTURE TINTS PROSTHETIC contact lenses are tinted to the eyecare professional instructions.

The prosthetic color additive effect is formed by reacting one or more of the reactive color additives listed in this paragraph with (poly hydroxyethyl methacrylate). The reactive color additives that may be used either alone or in combination are: reactive black 5, reactive blue 21, reactive blue 19, reactive blue 4. reactive blue 163, reactive red 11, reactive red 180, reactive yellow 15, reactive yellow 86, or reactive orange 78. The color additives used are not removed by lens handling or approved cleaning/disinfecting procedures. The prosthetic lens tinting process does not alter the optical and/or performance characteristics of the finished tinted soft contact lens.

Tint Patterns Available:

    1. Clear lens with Black Pupil. Pupil sizes available in 2.0 mm to 12.5 mm.
    1. Black Occluder Lens. A Central Black area that occludes light. Available to full lens diameter in 0.5 mm increments.
    1. Black Annular with clear pupil. Black Annular diameter range 7.5 mm to full lens diameter in 0.5 mm increments. Clear Pupil diameter range 2.0 mm to 7.5 mm increments.
    1. Tinted Jens with Black Pupil. Uses the Adventure Tints tinted contact lens with black pupil. Pupil sizes available in 2.0 mm to 12.5 mm diameter.

INDICATIONS FOR USE:

The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact lens is indicated for daily wear to enhance or alter the apparent eye color, including ocular masking, either in sighted eyes that require a prosthetic contact lens for cosmetic management of conditions such as corneal, iris or lens abnormalities. The lens may also be prescribed for occlusive therapy for conditions such as diplopia, amblyopia or extreme photophobia. The lens may be disinfected using a chemical disinfection system only.

2

INDICATIONS FOR USE:

The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact lens is indicated for daily wear to enhance or alter the apparent eye color, including ocular masking, either in sighted eyes that require a prosthetic contact lens for cosmetic management of conditions such as corneal, iris or lens abnormalities. The lens may also be prescribed for occlusive therapy for conditions such as diplopia, amblvopia or extreme photophobia.

Except for decreased light transmittance due to the tint intensity, the pre-tinted lens optical parameters remain the same as originally prescribed for the user prior to tinting. The lens may be disinfected using a chemical disinfection system only.

The following table summarizes Adventure in Colors claim of substantial equivalency in terms of safety and efficacy to the predicate devices previously mentioned.

| | Characteristic | ADVENTURE TINTS
(Adventure in Colors) | ALDEN CLASSIC PROSTHETIC
(Predicate Device) |
|-----|-----------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| 1.) | INTENDED
USE | Cosmetic Management of conditions such as
corneal, iris, or lens abnormalities. | Cosmetic Management of conditions such as
corneal, iris, or lens abnormalities. |
| 2.) | INDICATION | The ADVENTURE TINTS PROSTHETIC
Tinted Soft Contact lens is indicated for
daily wear to enhance or alter the apparent
eye color, including ocular masking, either
in sighted or non-sighted eyes that require a
prosthetic contact lens for cosmetic
management of conditions such as corneal,
iris or lens abnormalities. The lens may
also be prescribed for occlusive therapy for
conditions such as diplopia, amblyopia or
extreme photophobia. The lens may be
disinfected using a chemical disinfection
system only. | The ALDEN CLASSIC PROSTHETIC
(polymacon) Tinted, Soft Contact Lens is
indicated for daily wear to enhance or alter
the apparent eye color, including ocular
masking, either in sighted or non-sighted
eyes that require a prosthetic contact lenses
for cosmetic management of conditions such
as corneal, iris or lens abnormalities. The
lens may also be prescribed for the
correction of refractive ametropia (myopia,
hyperopia and astigmatism) in aphakic and
not aphakic persons or for occlusive therapy
for conditions such as diplopia, amblyopia
or extreme photophobia. The lens may be
disinfected with either a chemical or a heat
disinfection system. |
| 3.) | FDA "listed"
colored additives | The reactive colored additives consist of
reactive black 5, reactive blue 4, reactive
blue 19, reactive 21, reactive blue 163,
reactive yellow 15, reactive yellow 86,
reactive orange 78, reactive red 11 and
reactive red 180. | Vat Green 1, Vat Brown 1,
Vat Blue 6, |
| 4.) | Uses and
restrictions | The color additives listed above may be used
to color contact lenses in amounts not to
exceed the minimum reasonably required to
accomplish the intended prosthetic effect. | The color additives listed above may be used
to color contact lenses in amounts not to
exceed the minimum reasonably required to
accomplish the intended prosthetic effect. |
| 5.) | Color Additive
Characteristics | The color additives used are not removed by
lens handling and approved
cleaning/disinfecting procedures. The
optical and performance characteristics are
not altered by the lens coloring process. | The color additives used are not removed by
lens handling and approved
cleaning/disinfecting procedures. The
optical and performance characteristics are
not altered by the lens coloring process. |

Table #1 - Substantial Equivalence

3

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with three stripes representing the department's mission. The eagle is enclosed in a circle with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL - 7 1999

Mr. Martin Dalsing Med-Vice Consulting, Inc. Consultant for Adventure in Colors, Inc. 623 Glacier Drive Grand Junction, CO 81503

Re: K992054 Trade Name: Adventure Tints Prosthethic Tinted Soft Contact Lens Regulatory Class: II Product Code: 86 LPL Dated: June 17, 1999 Received: June 17, 1999

Dear Mr. Dalsing:

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 .

4

Page 2 - Mr. Martin Dalsing

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. Ralph Rosenthal

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

Enclosure

5

INDICATIONS FOR USE STATEMENT

Device Name:

ADVENTURE TINTS PROSTHETIC Tinted Soft Contact lens

INDICATIONS FOR USE:

The ADVENTURE TINTS PROSTHETIC Tinted Soft Contact lens is indicated for daily wear to enhance or alter the apparent eye color, including ocular masking, either in sighted eyes that require a prosthetic contact lens for cosmetic management of conditions such as corneal, iris or lens abnormalities. The lens may also be prescribed for occlusive therapy for conditions such as diplopia, amblyopia or extreme photophobia. The lens may be disinfected using a chemical disinfection system only.

(PLEASE DO OT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Samuel W.C. Brown PhD

Or

Division Sign-Off) Division of Ophthalmic Devices 510(k) Number_K992054

Over-The-Counter Use

Prescription Use X (Per 21 CFR 801.109)

(Optional Format 1-2-96)