Under the supervision of a healthcare professional, SALINUM® has been formulated for the relief of chronic and temporary xerostomia (dry mouth), which may be a result of disease, medication, oncology therapy, stress or aging. Over the counter labeling stipulates that ORACLAIR has been formulated for the relief of dry mouth symptoms such as difficulties in swallowing, speech and changes in taste. These symptoms may be brought on by disease, stress, aging or medication.
Device Story
SALINUM®/ORACLAIR is an oral saliva substitute containing polysaccharide gel-forming substances derived from linseed. It provides lubricating and moistening properties to the oral cavity. The product is a non-sterile solution, preserved and buffered, supplied in PET bottles or single-dose polythene pipettes. It is used by patients suffering from xerostomia to alleviate symptoms such as difficulty swallowing, speech impairment, and taste changes. The device is applied topically to the oral cavity as needed. It functions as a physical lubricant to mimic natural saliva, providing symptomatic relief for dry mouth conditions.
Clinical Evidence
Functional and performance testing was conducted to assess safety and effectiveness. No clinical trial data is reported; evidence is based on bench testing.
Technological Characteristics
Oral saliva substitute solution containing linseed-derived polysaccharides. Preserved and buffered. Packaging: PET bottles with polypropylene caps or single-dose polythene pipettes. Non-sterile. Ready-to-use formulation.
Indications for Use
Indicated for relief of chronic and temporary xerostomia (dry mouth) and associated symptoms (swallowing/speech difficulty, taste changes) in patients experiencing dry mouth due to disease, medication, oncology therapy, stress, or aging.
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K024148
Attachment 7 510(k) Summary
December 12, 2002
1. Submission Applicant & Correspondent: Sinclair Pharmaceuticals Limited Name: Address:
Borough Road Godalming Surrey GU7 2AB United Kingdom
Phone No.: +44 1483 428 611 Contact Person: Denise Swift, Director of Regulatory Affairs
2. Name of Device:
## SALINUM® OR ORACLAIR
Trade/Proprietary/Model Name: Common or Usual Name: Classification Names:
SALINUM® OR ORACLAIR Dental: Saliva, artificial Dental: Saliva, artificial
- 3. Devices to Which New Device is Substantially Equivalent:
Gebauer Company: Salivart cleared in 510(k) K981693 and Inpharma AB: Caphosol cleared in 510(k) K991938
- 4. Device Description:
SALINUM® / ORACLAIR is an oral saliva substitute which contains gel-forming substances (polysaccharides) from linseed that have lubricating and moistening properties. The product is preserved, buffered and packed in white PET (polyethylene terephthalate) bottles of various sizes with polypropylene disc top caps or single dose (2ml) polythene pipettes in strips of 10 packed in a cardboard carton.
- 5. Intended Use of the Device:
Under the supervision of a healthcare professional, SALINUM® has been formulated for the relief of chronic and temporary xerostomia (dry mouth), which may be a result of disease, medication, oncology therapy, stress or aging.
Over the counter Labeling stipulates that ORACLAIR has been formulated for the relief of dry
Image /page/0/Picture/19 description: The image shows the text "SEP 1 5 2003" in the upper left corner. Below this is the Sinclair logo. The word "CONFIDENTIAL" is written in a large font at the bottom right of the image.
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CONFIDENTIAL
mouth symptoms such as difficulties in swallowing, speech and changes in taste. These symptoms may be brought on by disease, stress, aging or medication.
- 6. Summary of Technological Characteristics of the Device Compared to the Predicate Devices:
SALINUM® / ORACLAIR has the same intended/indications for use as the predicate devices Gebauer Company Salivart and Inpharma AB Caphosol.
| Product<br>Name | Salinum® /<br>Oraclair | Salivart | Caphosol |
|---------------------------------|--------------------------------------------|--------------------------------------------|--------------------------------------------|
| Method of<br>Use | Ready to use | Ready to use | Mix solutions<br>A & B |
| # of<br>applications<br>per day | Take as<br>needed | Take as needed | Take as needed |
| Claim | Symptomatic<br>treatment of<br>xerostomia. | Symptomatic<br>treatment of<br>xerostomia. | Symptomatic<br>treatment of<br>xerostomia. |
| Area of Use | Oral cavity | Oral cavity | Oral cavity |
| Disease State | Xerostomia | Xerostomia | Xerostomia |
| Type of<br>Product | Solution | Solution | Solution |
| Presentation | Non Sterile | Non Sterile | Non Sterile |
7. Tests and Conclusions:
Functional and performance testing has been conducted to assess the safety and effectiveness of SALINUM® and all results are satisfactory.
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Image /page/2/Picture/1 description: The image shows the seal of the U.S. Department of Health & Human Services. The seal is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" around the perimeter. Inside the circle is an abstract symbol that resembles an eagle or bird in flight, composed of three curved lines.
Public Health Service
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
SEP 1 5 2003
Ms. Denise Swift Director of Regulatory Affairs Sinclair Pharmaceuticals Limited Borough Road Godalming Surrey GU7 2AB UNITED KINGDOM
Re: K024148
Trade/Device Name: Salinum® or Oraclair Regulation Number: None Regulation Name: Regulatory Class: Unclassified Product Code: LFD Dated: March 4, 2003 Received: March 6, 2003
Dear Ms. Swift:
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, 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 (PMA), 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 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.
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## Page 2 - Ms. Swift
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.
This letter will allow you to begin marketing your device as described in your Section 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 (301) 594-4613. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html
Sincerely yours.
Susan Runnar
Susan Runner, DDS, MA Interim Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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CONFIDENTIAL
## Attachment 3 Indications for Use Statement KOZ4148 510(k) Number (if known) SALINUM® / ORACLAIR Device Name Rx labeling: Indications for Use the supervision of a healthcare professional, Under SALINUM® has been formulated for the relief of chronic and temporary xerostomia (dry mouth), which may be a result of disease, medication, oncology therapy, stress or aging. Over the counter labelling ORACLAIR has been formulated for the relief of dry mouth symptoms such as difficulties in swallowing, speech and changes in taste. These symptoms may be brought on by
(Division Sign-Off) Division of Anesthesiology, General Hospital, Infection Control, Dental Devices
510(k) Number: K024148
## PLEASE DO NOT WRITE BELOW THIS LINE- CONTINUE ON ANOTHER PAGE IF NEEDED
disease, stress, aging or medication.
Concurrence of CDRH, Office of Device Evaluation (ODE)
Prescription Use OR (per 21 CFR 801.109) \
Over-The Counter Use
Panel 1
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