K Number
K994170
Device Name
HYLASHIELD CL
Manufacturer
Date Cleared
2000-03-02

(83 days)

Product Code
Regulation Number
886.5918
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
Hylashield® CL Lubricating Eye Drops are indicated for lubricating and wetting/rewetting rigid gas permeable contact lenses.
Device Description
Hylashield® CL Lubricating Eye Drop is a sterile, isotonic, preservative-free, clear, elastoviscous, ophthalmic solution presented in a single-use container. It contains hylan fluid, a viscous, elastic and biocompatible substance derived from the natural polysaccharide, hyaluronan. It lubricates and wets/rewets your lenses, thereby providing prolonged relief from symptoms of ocular discomfort associated with the use of rigid gas permeable contact lenses.
More Information

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Not Found

No
The device description and performance studies focus on the chemical composition and clinical efficacy of the eye drops, with no mention of AI or ML technology.

No.
The primary purpose of this device is to lubricate and wet/rewet contact lenses, providing symptomatic relief from discomfort, not to treat a disease or condition. While it provides relief, it does not aim to cure or intervene in a disease process.

No

The device is indicated for "lubricating and wetting/rewetting rigid gas permeable contact lenses" to provide relief from ocular discomfort. It does not perform any diagnostic function.

No

The device is described as an ophthalmic solution (eye drops) and is presented in a single-use container, indicating it is a physical product, not software.

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

Here's why:

  • Intended Use: The intended use is to lubricate and wet/rewet rigid gas permeable contact lenses. This is a direct application to the eye and the contact lens, not a test performed on a sample taken from the body.
  • Device Description: The description details a sterile ophthalmic solution for direct application to the eye and contact lens.
  • Lack of IVD Characteristics: There is no mention of analyzing a biological sample (blood, urine, tissue, etc.) or providing information about a person's health status based on such analysis. The device's function is purely mechanical/physical (lubrication and wetting).

IVD devices are used to examine specimens derived from the human body to provide information for the diagnosis, prevention, monitoring, treatment, or alleviation of disease. This device does not fit that description.

N/A

Intended Use / Indications for Use

Hylashield® CL Lubricating Eye Drop is intended to lubricate and wet/rewet rigid gas permeable contact lenses.
Hylashield® CL Lubricating Eye Drops are indicated for lubricating and wetting/rewetting rigid gas permeable contact lenses.

Product codes (comma separated list FDA assigned to the subject device)

86 MRC

Device Description

Hylashield® CL Lubricating Eye Drop is a device that has not been previously cleared by FDA for different intended uses.
Hylashield® CL Lubricating Eye Drop is a sterile, isotonic, preservative-free, clear, elastoviscous, ophthalmic solution presented in a single-use container. It contains hylan fluid, a viscous, elastic and biocompatible substance derived from the natural polysaccharide, hyaluronan. It lubricates and wets/rewets your lenses, thereby providing prolonged relief from symptoms of ocular discomfort associated with the use of rigid gas permeable contact lenses.

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

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Anatomical Site

Ocular structures / eye

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

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Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

The safety and efficacy of Hylashield® CL Lubricating Eye Drop as a lubricating and wetting/rewetting agent was compared to one of the predicate devices, Wet-N-Soak®, in minimizing daily discomfort associated with rigid gas permeable (RGP) contact lenses in this study. These products were evaluated in conjunction with the two most commonly used RGP lens types. The analysis of the clinical study data showed the substantial equivalence of Hylashield® CL Lubricating Eye Drop with Wet-N-Soak® with regard to slit lamp findings, symptom/problems/complaints, visual acuity, average wear time and lens replacement. The high patient compliance rate and extremely low rate of adverse events in both treatment groups indicated that Hylashield® CL Lubricating Eye Drop is well tolerated and safe when compared to Wet-N- Soak®.
In conclusion, the data from this report demonstrated that Hylashield® CL Lubricating Eye Drop is substantially equivalent to its predicate device, Wet-N-Soak with respect to safety and effectiveness as a lubricating and wetting/rewetting agent to provide prolonged relief from symptoms of ocular discomfort associated with the use of RGP contact lenses. Wet-N-Soak® has the same intended use as OPTIMUM by Lobob® Wetting and Rewetting Drop.

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

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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.

Not Found

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.

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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).

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§ 886.5918 Rigid gas permeable contact lens care products.

(a)
Identification. A rigid gas permeable contact lens care product is a device intended for use in the cleaning, conditioning, rinsing, lubricating/rewetting, or storing of a rigid gas permeable contact lens. This includes all solutions and tablets used together with rigid gas permeable contact lenses.(b)
Classification. Class II (Special Controls) Guidance Document: “Guidance for Industry Premarket Notification (510(k)) Guidance Document for Contact Lens Care Products.”

0

MAR - 2 2000

Image /page/0/Picture/1 description: The image shows the logo for Biomatrix. The logo consists of a geometric shape on the left and the word "Biomatrix" on the right. The geometric shape is black and appears to be a stylized cube or block. The word "Biomatrix" is also in black and is in a bold, sans-serif font.

Biomatrix, Inc. 65 Railroad Avenue Ridgefield New Jersey Tel 201 945 9550 Fax 201 945 0363

K994170

510(k) SUMMARY

Hylashield® CL Lubricating Eye Drop hylan fluid, 0.15% Lubricant - Wetting/Rewetting Drop

  • SUBMITTER'S NAME 1.
  • CONTACT PERSON AT BIOMATRIX, INC. 2.
  • DATE THAT 510(k) SUMMARY WAS PREPARED 3.
  • NAME OF THE MEDICAL DEVICE (Classification/Common/Proprietary) 4.
  • LEGALLY MARKETED DEVICES TO WHICH SUBSTANTIAL EQUIVALENCE IS 5. CLAIMED
  • DESCRIPTION OF THE DEVICE 6.
  • INTENDED USE OF THE DEVICE 7.
  • TECHNOLOGICAL COMPARISON BETWEEN SUBJECT AND PREDICATE 8. DEVICES
  • SUMMARY OF PRECLINICAL SAFETY STUDIES AND CONCLUSIONS FROM 9. PRECLINICAL SAFETY STUDIES
  • SUMMARY OF PRECLINICAL PERFORMANCE STUDIES 10.
  • CLINICAL SAFETY AND EFFICACY STUDY 11.

SUBMITTER'S NAME 1.

BIOMATRIX, INC.

65 Railroad Avenue

Ridgefield, New Jersey 07657 USA

Tel: (201) 945-9550

Fax: (201) 945-0363

U.S. REGULATORY CONTACT PERSON FOR BIOMATRIX, INC. 2.

Nadine M. Qashu BIOMATRIX, INC. 65 Railroad Avenue Ridgefield, New Jersey 07657 USA Tel: (201) 945-9550, ext. 202 Fax: (201) 945-0363

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3. DATE THAT 510(k) SUMMARY WAS PREPARED

November 22, 1999

4. NAME OF THE MEDICAL DEVICE
Classification nameAccessories to contact lenses - cleaning and wetting agents (86LPN)
Common / usual nameLubricant - Wetting/Rewetting Drop
Proprietary nameHylashield® CL Lubricating Eye Drop
hylan fluid, 0.15%

LEGALLY MARKETED DEVICES TO WHICH SUBSTANTIAL 5. EQUIVALENCE IS CLAIMED Wet-N-Soak® Rewetting Drops For use with rigid gas permeable contact lenses as a rewetting drop OPTIMUM by Lobob® Wetting/Rewetting Drops For use with fluoro-silicone acrylate, silicone acrylate and hard contact lenses as an in-the-eye lubricant and wetting/rewetting drop

6. DESCRIPTION OF THE DEVICE

Hylashield® CL Lubricating Eye Drop is a device that has not been previously cleared by FDA for different intended uses.

Hylashield® CL Lubricating Eye Drop is a sterile, isotonic, preservative-free, clear, elastoviscous, ophthalmic solution presented in a single-use container. It contains hylan fluid, a viscous, elastic and biocompatible substance derived from the natural polysaccharide, hyaluronan. It lubricates and wets/rewets your lenses, thereby providing prolonged relief from symptoms of ocular discomfort associated with the use of rigid gas permeable contact lenses.

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7. INTENDED USE OF THE DEVICE

Hylashield CL Lubricating Eye Drop is intended to lubricate and wet/rewet rigid gas permeable contact lenses.

8. TECHNOLOGICAL COMPARISON BETWEEN SUBJECT AND PREDICATE DEVICES

Allergan markets Wet-N-Soak® Rewetting Drops and Lobob Laboratories markets OPTIMUM by Lobob® Wetting and Rewetting Drop for use with rigid gas permeable contact lenses. These predicate devices are indicated for relief of eye discomfort caused by wearing rigid gas permeable contact lenses. Hylashield® CL Lubricating Eye Drop is substantially equivalent to these products in that it has a similar intended use and indication.

The material from which Hylashield® CL Lubricating Eye Drop is made is different from the two predicate devices. Hylashield® CL Lubricating Eye Drop is composed of hylan fluid, whereas Wet-N- Soak® Rewetting Drops and OPTIMUM by Lobob® Wetting and Rewetting Drops are composed of hydroxyethylcellulose. OPTIMUM by Lobob® Wetting and Rewetting Drop, in addition, contains polyvinylpyrrolidone and polyvinyl alcohol. Hylan has been shown to be compatible with ocular structures and raises no new safety and efficacy issues. Also, a preservative is added to the two predicate devices, due to the fact that they are not supplied in a single-use container. Since Hylashield® CL Lubricating Eye Drop is supplied in a sterile, single-use container, it does not contain the preservatives that are used in the two predicate devices.

Hylashield® CL Lubricating Eye Drop is the same as Wet-N-Soak® Rewetting Drops and OPTIMUM by Lobob® Wetting/Rewetting Drop in that they are all supplied in the form of a sterile eye drop and serve as lubricants and wetting/rewetting drops for rigid gas permeable contact lenses. They are all made from materials which have demonstrated biocompatiblity.

In conclusion, Hylashield® CL Lubricating Eye Drop has the same intended use as the marketed devices and differs only in the material from which it is made. All three devices are used to relieve eye discomfort caused by wearing rigid gas permeable contact lenses by wetting the lenses prior to insertion and by rewetting and lubricating the lenses while they are on the eve.

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9. SUMMARY OF PRECLINICAL SAFETY STUDIES AND CONCLUSIONS FROM PRECLINICAL SAFETY STUDIES Extensive in vivo animal and human use of hyaluronan and hylans have shown these products to be highly compatible for contact lens wearers. The studies contained in section A, ISO Biocompatibility Tests, were performed under and comply with the regulations outlined in 21 CFR Part 58 for Good Laboratory Practices. A. ISO BIOCOMPATIBILITY TESTS - Performed under GLP Ref: International Standard ISO - 19033 (Biological Evaluation of Medical Devices) 1. SHORT TERM BIOLOGICAL TESTS 1.1 Irritation Tests BXR 15202-F- Intracutaneous toxicity study in rabbit [hylan fluid]-GLP Ocular Irritation: BXR 50002-Eye Irritation Testing Protocol: Biomatrix Hylashield® 14-day Repeat Dose with Modified Hackett-McDonald Scoring-GLP 1.2 Sensitization and Immunogenicity Assays BXR-10501-Dermal sensitization study (A Maximization Test) of hylan solution in the guinea pig -GLP . 1.3 Cytotoxicity BXR 15201-F- In vitro cytotoxicity study (MEM Elution Method) L-929 mouse fibroblast cell line [hylan fluid]-GLP 1.4 Acute Systemic Toxicity BXR 15201-F Systemic toxicity study in mice [hylan fluid] (USP)-GLP 1.5 Hemocompatibility and Hemolysis BXR 15200-F In vitro hemolysis study (direct contact method) [hylan fluid]-GLP 1.6 Pyrogenicity BXR 15302-F - Rabbit pyrogen test of hylan fluid (USP) 1.7 Implantation BXR 15204-F – USP muscle implantation study (with histopathology) in the rabbit (7 days) [hylan fluid]-GLP BXR 15203-F - Muscle implantation study (with histopathology) in the rabbit (30 days) [hylan fluid] - GLP 1.8 Mutagenicity BXR 10201-F - Ames mutagenicity test of hylan solution-GLP 2. LONG TERM BIOLOGICAL TESTS 2.1 Subchronic Toxicity BXR 15303-2-F -- Subchronic Two-Week Intraperitoneal Toxicity Study on Hylan A in Male Guinea Pigs [Effect of repeated intraperitoneal injections of hylan fluid (9.53 mg/ml) on blood

BXR 15305-2-F - Subchronic Two-Week Intraperitoneal Toxicity Study on Hylan A Female Guinea Pigs [Effect of repeated intraperitoneal injections of hylan fluid (10mg/ml) on blood parameters and histology of selected tissue - GLP

parameters and histology of selected tissues in male guinea pigs] - GLP

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9. SUMMARY OF PRECLINICAL SAFETY STUDIES AND CONCLUSIONS FROM PRECLINICAL SAFETY STUDIES (continued)

BXR 15209-F - Subchronic One-Month Intra-Arterial Toxicity Study on Hylan A in Male Rabbits [Effect of intra arterial injections of hylan fluid (1 mg/ml, 3 mg/kg) on hematology and blood chemistry, blood hyaluronan content, and histology of selected tissue in male rabbits] - GLP

BXR 15303-F - Subchronic One-Month Intra-Articular Toxicity Study on Hylan A in Male Rabbits [Effect of repeated intra-articular application of hylan fluid (3.54 mg/ml) on joint biochemistry , hematology, and blood chemistry in rabbits] - GLP

2.2 Reproduction Studies

BXR 12243-F – Effect of Intra-ocular Implantation of Hylan Fluid, Hylan Gel, Hyaluronan and Hylan G-F 20 on the Reproductive Capacity of Owl Monkeys: A Retrospective Study.

3. PHARMACOKINETICS

BXR 15211-F - Clearance of hylan fluid after intra-articular injection into rabbit knees as Determined by radiotracer studies

BXR 15215-F - Clearance of hylan fluid after direct intravascular administration

BASIC EXPLORATORY STUDIES (SUPPORTIVE STUDIES) A.

SHORT TERM BIOLOGICAL STUDIES 1.

1.1 Acute Systemic Toxicology

BXR 15208-F ~ Effect of single intra-articular injection (0.3 ml) of hylan fluid (5 mg/ml) on joint biochemistry

BXR 15208-2-F – Effect of single large volume (0.5 ml) intra-articular application of hylan fluid (10 mg/ - joint histology/biochemistry)

BXR 15408-F ~ Effect of single intra-articular application of hylan fluid (10 mg/ml) on joint histology in female rabbits

BXR 15311-F - Histology studies of rabbit joint tissues one and four weeks after single Intra-articular administration of 0.3 ml hylan fluid (5 mg/ml)

BXR 15308-F - Effect of single large volume (2.0 ml) intra-articular application of hylan fluid on joint biochemistry

1.2 Hemocompatibility and Hemolysis

BXR 12203-F – Rabbit blood hemolysis test of hylan fluid BXR 12205-F - Rabbit blood hemolysis: hylan fluid extracts

BXR 12216-F - Partial thromboplastin time: effect of hylan fluid BXR 12217-F - Platelet activation studies: in vitro effect of hylan fluid

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SUMMARY OF PRECLINICAL SAFETY STUDIES AND CONCLUSIONS 9. FROM PRECLINICAL SAFETY STUDIES (continued)

1.3 Implantation

BXR 15310-B-F - Implantation of hylan fluid into the intra-vitreal space of primate eyes: short term evaluation

BXR 15310-A-F - Implantation of hylan fluid into the intra-vitreal space of primate eyes: long term evaluation

2. LONG TERM BIOLOGICAL TESTS

Subchronic Toxicity

BXR 10522-F - Short term toxicity testing of hylan fluid in rats; administration by weekly Intra-peritoneal injection

BXR 15406-F - Effect of repeated intra-articular application of hylan fluid on joint histology of female rabbits

3. Reproduction Studies

BXR 15320-F - Effect of hylan fluid on fertility and pregnancy in horse

10. IN VIVO TEST OF EFFICACY

BXR 15501 – Effect of Hylan Fluid on Fluorescein Break-Up-Time (FBUT) and Drying Time in Owl Monkey Eyes

Summaries and conclusions of all the above studies are included in the Biocompatibility Section of this document.

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CLINICAL SAFETY AND EFFICACY STUDY 11.

The safety and efficacy of Hylashield® CL Lubricating Eye Drop as a lubricating and wetting/rewetting agent was compared to one of the predicate devices, Wet-N-Soak®, in minimizing daily discomfort associated with rigid gas permeable (RGP) contact lenses in this study. These products were evaluated in conjunction with the two most commonly used RGP lens types. The analysis of the clinical study data showed the substantial equivalence of Hylashield® CL Lubricating Eye Drop with Wet-N-Soak® with regard to slit lamp findings, symptom/problems/complaints, visual acuity, average wear time and lens replacement. The high patient compliance rate and extremely low rate of adverse events in both treatment groups indicated that Hylashield® CL Lubricating Eye Drop is well tolerated and safe when compared to Wet-N- Soak®.

In conclusion, the data from this report demonstrated that Hylashield® CL Lubricating Eye Drop is substantially equivalent to its predicate device, Wet-N-Soak with respect to safety and effectiveness as a lubricating and wetting/rewetting agent to provide prolonged relief from symptoms of ocular discomfort associated with the use of RGP contact lenses. Wet-N-Soak® has the same intended use as OPTIMUM by Lobob® Wetting and Rewetting Drop.

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Image /page/7/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" arranged around the perimeter. Inside the circle is an abstract symbol resembling an eagle or bird in flight, composed of three curved lines.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

MAR - 2 2000

Ms. Nadine M. Qashu Director, Regulatory Affairs Biomatrix, Inc. 65 Railroad Avenue Ridgefield, New Jersey 07657

Re: K994170 Trade Name: Hylashield CL Lubricating Eye Drops Regulatory Class: II Product Code: 86 MRC Dated: December 10, 1999 Received: December 10,1999

Dear Ms. Qashu:

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 vour 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 .

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Page 2 - Ms. Nadine M. Qashu

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

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1. Statement of Indications for Use:

Application: Biomatrix, Inc. _________________________________________________________________________________________________________________________________________________

510(K) Number (if known): K994 170

Device Name: Hylashield® CL Lubricating Eye Drops

Hylashield® CL Lubricating Eye Drops are indicated for Indications for Use: lubricating and wetting/rewetting rigid gas permeable contact lenses.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription UseorOver-the-Counter UseX
(per 21 CFR 886.5918)(Optional Format 1-2-96)

(Division Sign-Off)

Division of Ophthalmic Devices

510(k) NumberK994170
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