VACURECT VACUUM CONSTRICTION DEVICE

K020969 · Vacurect Manufacturing (Pty) , Ltd. · LKY · Jun 5, 2002 · Gastroenterology, Urology

Device Facts

• Record ID: K020969
• Device Name: VACURECT VACUUM CONSTRICTION DEVICE
• Applicant: Vacurect Manufacturing (Pty) , Ltd.
• Product Code: LKY · Gastroenterology, Urology
• Decision Date: Jun 5, 2002
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.5020
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

The Vacurect vacuum component is intended to create an erection in men with erectile dysfunction by means of an applied vacuum to the penis. The constriction ring is intended to maintain penile rigidity in men with erectile dysfunction. The Vacurect Vacuum Constriction Device is intended for over-the-counter use.

Device Story

Manual vacuum erection device; consists of vacuum tube and flexible rubber constriction ring. User operates pump sleeve manually to create vacuum within tube; vacuum draws blood into penis to induce erection. Once rigidity achieved, pump removed; constriction ring remains on base of penis to restrict venous outflow and maintain erection for up to 30 minutes. Used by patients in home setting. Benefits include non-invasive treatment for erectile dysfunction.

Clinical Evidence

Bench testing only. Testing verified that the pumping mechanism does not create a vacuum greater than 0.57 bar (17 inches).

Technological Characteristics

Manual vacuum pump system. Components: smooth plastic vacuum tube, flexible rubber constriction ring, spacer ring, O-rings, valve stopper. Energy source: manual operation (pump sleeve). Connectivity: none. Sterilization: not specified. Software: none.

Indications for Use

Indicated for men with erectile dysfunction requiring assistance to create and maintain penile rigidity. Intended for over-the-counter use.

Regulatory Classification

Identification

External penile rigidity devices are devices intended to create or maintain sufficient penile rigidity for sexual intercourse. External penile rigidity devices include vacuum pumps, constriction rings, and penile splints which are mechanical, powered, or pneumatic devices.

Special Controls

*Classification.* Class II (special controls). The devices are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9. The special control for these devices is the FDA guidance document entitled “Class II Special Controls Guidance Document: External Penile Rigidity Devices.” See § 876.1(e) for the availability of this guidance document.

Predicate Devices

• Repro-Med Restore Vacuum Erection Device (K981506)
• Imagyn Medical Technologies, Inc. Impower System Vacuum Erection System (K980291)

Submission Summary (Full Text)

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## 510(k) Summary for Vacurect Vacuum Constriction Device

#### 1. SPONSOR

Vacurect Manufacturing (PTY) Ltd. 730 Tetra Avenue Moreletapark, Pretoria Republic of South Africa Postal Address: P.O. Box 39385 Moreletapark 0044 Republic of South Africa

#### 2. DEVICE NAME

| Proprietary Name: | Vacurect Vacuum Constriction Device |
|----------------------|-------------------------------------|
| Common/Usual Name: | External Penile Rigidity Device |
| Classification Name: | Vacuum Pump and Constriction Rings |
| Submission Date: | March 25, 2002 |

#### 3. PREDICATE DEVICES

Repro-Med Restore Vacuum Erection Device (K981506)

Imagyn Medical Technologies, Inc. Impower System Vacuum Erection System (K980291)

#### 4. DEVICE DESCRIPTION

The Vacurect Vacuum Constriction Device is an over the counter device that consists of two main components: the vacuum tube and the constriction ring. The vacuum tube consists of the pump sleeve, spacer ring, dome/sleeve O-Rings, dome/valve stopper, and vacuum ring.

The Vacurect Vacuum Constriction Device works by creating a vacuum in the vacuum tube. This is accomplished by moving the pump sleeve up and down along the vacuum tube. The flexible rubber constriction ring when placed onto the vacuum tube (open end), forms an airtight seal with the vacuum tube. Once the opening of

March 25, 2002

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the constriction ring is placed on the penis head, the vacuum chamber is sealed and operation of the pump sleeve will immediately draw the penis into the vacuum tube.

Once the required penis rigidity is reached, the vacuum pump may be removed and the ring can remain on the penis for up to 30 minutes.

#### 5. INTENDED USE

The Vacurect vacuum component is intended to create an erection in men with erectile dysfunction by means of an applied vacuum to the penis. The constriction ring is intended to maintain penile rigidity in men with erectile dysfunction.

#### TECHNOLOGICAL CHARACTERISTICS AND SUBSTANTIAL EQUIVALENCE 6.

The Vacurect Vacuum Constriction Device and the predicate devices all use a vacuum tube and constriction ring to create and maintain an erection in men with erectile dysfunction. The Vacurect vacuum tube is similar to the predicate devices in that it is made of a smooth plastic material that provides an airtight seal with the penis during use. The constriction ring is also similar to the predicate devices in that they are all designed to restrict penis venous outflow after the patient has obtained an erection with the aid of a vacuum pump.

#### 7. PERFORMANCE TESTING

Testing was performed to determine that the pumping mechanism does not create a vacuum greater than 0.57 bar = 17 inches.

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image contains the words "Public Health Service" in bold black font. The words are stacked on top of each other. The words are left-aligned and the font size is relatively large.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

# JUN 0 5 2002

Mary McNamara-Cullinane, RAC Staff Consultant Medical Device Consultants, Inc. 49 Plain Street NORTH ATTELBORO MA 02760 Re: K020969 Trade/Device Name: Vacurect Vacuum Constriction Device Regulation Number: None Regulatory Class: Unclassified Product Code: 78 LKY Dated: March 25, 2002 Received: March 26, 2002

Dear Ms. McNamara-Cullinane:

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. The general controls provisions of the Act include requirements for annual registration. Iisting 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 (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. 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (sections 531-542 of the Act); 21 CFR 1000-1050.

Image /page/2/Picture/10 description: The image shows a partial view of a seal or emblem, likely from a government or organizational entity. The visible text reads "DEPARTMENT OF HEALTH & HUMA", suggesting it is part of a larger phrase such as "Department of Health & Human Services". The emblem also features a stylized graphic element consisting of three curved lines, possibly representing a symbol or logo associated with the organization.

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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), please contact the Office of Compliance at one of the following numbers, based on the regulation number at the top of this letter:

| 8xx.1xxx | [phone] |
|----------------------------------|----------------|
| 876.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| 884.2xxx, 3xxx, 4xxx, 5xxx, 6xxx | [phone] |
| 892.2xxx, 3xxx, 4xxx, 5xxx | [phone] |
| Other | [phone] |

Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html.

Sincerely yours,

Nancy C Brogdon

Nancy C. Brogdon Director, Division of Reproductive, Abdominal, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### KO20969 510(k) Number (if known):

Device Name: Vacurect Vacuum Constriction Device

Indications for Use:

The Vacurect vacuum component is intended to create an erection in men with erectile dysfunction by means of an applied vacuum to the penis. The constriction ring is intended to maintain penile rigidity in men with erectile dysfunction. The Vacurect Vacuum Constriction Device is intended for over-the-counter use.

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

Concurrence of CDRH, Office of Device Evaluation (ODE)

Manauze Brogdow

(Division Sign-Off)
Division of Reproductive, Abdominal,
and Radiological Devies
510(k) Number K020969

Prescription Use (Per 21 CFR 801.109) OR

Over-The-Counter Use レ

(Optional Format 1-2-96)

Vacurect Manufacturing 510(k) Vacurect Vacuum Constriction Device March 25, 2002