CIBA VISION (LOTRAFILCON B) SPHERICAL, TORIC, MULTIFOCAL AND TORIC MULTIFOCAL DESIGNS
Applicant
Ciba Vision Corporation
Product Code
LPL · Ophthalmic
Decision Date
Mar 12, 2004
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 886.5925
Device Class
Class 2
Indications for Use
The CIBA Vision® (lotrafilcon B) spherical soft contact lens is indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes and with up to approximately 1.50 diopters of astigmatism that does not interfere with visual acuity. The CIBA Vision® Toric (lotrafilcon B) soft contact lens is indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes with 10.00 diopters (D) or less of astigmatism. The CIBA Vision® Progressives (lotrafilcon B) soft contact lens is indicated for the optical correction of refractive ametropia (myopia and hyperopia) and/or presbyopia in phakic or aphakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and who may have up to approximately 1.50 diopters of astigmatism. The CIBA Vision® Progressive Toric (lotrafilcon B) soft contact lens is indicated for the optical correction of refractive ametropia (myopia, hyperopia, astigmatism and presbyopia) in phakic or aphakic persons with non-diseased eyes. The lenses may be worn by persons who have 10.00 diopters (D) or less of refractive and/or corneal astigmatism. The lenses may be prescribed for daily wear with removal for cleaning and disinfection (chemical, not heat) prior to reinsertion, as recommended by the eye care professional.
Device Story
Fluoro-silicone hydrogel soft contact lenses; 33% water content; surface-treated. Available in spherical, toric, multifocal, and toric multifocal designs. Contains copper phthalocyanine handling tint. Supplied sterile in blister packs with isotonic phosphate buffered saline. Prescribed by eye care professionals for daily wear; patient removes for chemical cleaning/disinfection. Provides refractive correction for ametropia and presbyopia. Benefits include improved visual acuity and comfort.
Clinical Evidence
Two-month prospective daily wear clinical study compared the modified lotrafilcon B lens to an FDA-approved control lens. Evaluated performance in vision, ocular health, comfort, and fit. Results demonstrated similar overall performance to the control lens.
Technological Characteristics
Material: 33% water, 67% lotrafilcon B (fluoro-silicone hydrogel). Surface-treated. Oxygen permeability: 110 x 10^-11 (cm²/sec)(ml O2/ml*mmHg) at 35°C. Refractive index: 1.42 (hydrated). Light transmittance: >96%. Sterilization: Steam sterilization. Packaging: Blister packs with isotonic phosphate buffered saline.
Indications for Use
Indicated for optical correction of myopia, hyperopia, astigmatism, and presbyopia in phakic or aphakic persons with non-diseased eyes. Specific astigmatism limits apply based on lens type (up to 1.50D or 10.00D).
Regulatory Classification
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.
Predicate Devices
CIBA Vision Excelens (lotrafilcon B) soft contact lens (K020139)
Submission Summary (Full Text)
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CIBA Vision® Corporation 4-Mar-04, v02 11460 Johns Creek Parkway Duluth, Georgia USA 30097 Page 1 of 4 Lotrafilcon B Soft Contact Lenses 510(k) Summary of Safety and Substantial Equivalence
## 510(k) Summary: K033919
### 1. Submitter Information:
| Company: | CIBA Vision Corporation<br>11460 Johns Creek Parkway<br>Duluth, Georgia USA 30097 |
|--------------------------------------|-----------------------------------------------------------------------------------|
| Contact Person: | Alicia M. Plesnarski, RAC<br>Director, Global Regulatory Affairs |
| Telephone:<br>FAX:<br>Date Prepared: | 678-415-3924<br>678-415-3454<br>4 March 2004 |
#### Device Name: 2.
- Soft Contact Lens Common Name: .
- CIBA Vision® (lotrafilcon B) Trade/Proprietary Name: .
- Daily Wear Soft Contact Lens Classification Name: .
- Class || [21 CFR 886.5925 (b) (1)] Device Classification: .
### 3. Predicate Device:
The CIBA Vision® (lotrafilcon B) lens is a modification in surface treatment of the The CIDA Vision's Excelens™ (lotrafilcon B) soft contact lens. Both are in Predicate Group 1 (low water, nonic polymer). CIBA Vision obtained FDA 510(k) r DA Group 1 (low water, nomonio posythe for daily wear on April 9, 2002 (K020139).
### 4. Description of Device:
The lens material is 33% water and 67% lotrafilcon B, a fluoro-silicone containing hydrogel which is surface treated.
Lotrafilcon B lens designs include spherical, toric, multifocal and toric multifocal lenses in the following parameter ranges:
- 13.0 to 15.0 mm Diameter Range: .
- 8.0 to 9.2 mm Base Curve Range: �
- -20.00D to +20.00D Power Range: .
- varies with power (0.080 mm for -3.00D spherical) Center Thickness: .
Lenses contain the color additive copper phthalocyanine, a light blue handling tint, which makes them easier to see when handling.
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| CIBA Vision.<br>A Novartis Company | CIBA Vision® Corporation<br>11460 Johns Creek Parkway<br>Duluth, Georgia USA 30097 |
|------------------------------------|------------------------------------------------------------------------------------|
| | 4-Mar-04, v02<br>Page 2 of 4 |
Lotrafilcon B Soft Contact Lenses
510(k) Summary of Safety and Substantial Equivalence
Lenses have the following properties:
- 1.42 (hydrated) Refractive index: ◆
- > 96 % Light transmittance: .
- 33% by weight in normal saline Water content : .
- 110 x 10 -11 Oxygen permeability .
[(cm² /sec)(ml O2 /ml●mmHg)]
measured at 35°C (intrinsic Dk-Coulometric method)
Lenses are supplied sterile in sealed blister packs containing isotonic phosphate buffered saline solution. The compatibility and package integrity of the blister pack packaging system has been demonstrated and successfully used for other marketed packaging System has been domenation are effectively steam sterilized in a validated lens products, and packagou forloos are labeled with the lens parameters, lot number and autoclave. Dilster pack ochtainers article date has been established through stability product capiration action the chemical stability of the lens and package integrity (ability to maintain sterility). Shelf-life studies are ongoing to establish and extend the labeled expiration date.
### 5. Indications for Use:
The CIBA Vision® (lotrafilcon B) spherical soft contact lens is indicated for the optical The GIDA Vision (ibramoon b) Sphropia and hyperopia) in phakic or aphakic persons with non-diseased eyes and with up to approximately 1.50 diopters of astigmatism that does not interfere with visual acuity.
The CIBA Vision® Toric (lotrafilcon B) soft contact lens is indicated for the optical The OlDA Vision - Pho (lottails (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes with 10.00 diopters (D) or less of astigmatism.
The CIBA Vision® Progressives (Iotrafilcon B) soft contact lens is indicated for the optical The CIDA Vision - Progression (myopia and hyperopia) and/or presbyopia in phakic or conection of rendority and opes who may require a reading addition of +3.00 aphake persons who may have up to approximately 1.50 diopters of astigmatism.
The CIBA Vision® Progressive Toric (Iotrafilcon B) soft contact lens is indicated for the The of creetion of refractive ametropia (myopia, astigmatism and opitical Correction - en Tenaotro "anstropia" (1)-pisseased eyes. The lenses may be presbyopla) in phalks of aprilance persons (D) or less of refractive and/or corneal astigmatism.
The lenses may be prescribed for daily wear with removal for cleaning and disinfection The lefises may be presonbod for daily woul while one one professional.
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| CIBA<br>Vision. | CIBA Vision® Corporation<br>11460 Johns Creek Parkway<br>Duluth, Georgia USA 30097 |
|--------------------|------------------------------------------------------------------------------------|
| A Novartis Company | 4-Mar-04, v02<br>Page 3 of 4 |
Lotrafilcon B Soft Contact Lenses
# 510(k) Summary of Safety and Substantial Equivalence
# 6. Description of Safety and Substantial Equivalence:
A series of non-clinical tests and clinical studies were performed to demonstrate the substantial equivalence of the device modification and establish substantial equivalence Substantial oqurralerice. All testing was conducted in accordance with the May 1994 FDA to the premier. All tooling was 510(k) Guidance Document for Class II Contact guidenne three i romornot not applicable device regulations. Results verify that the modified lens remains non-toxic and biocompatible, and has material characteristics mounted lens Temains Than other currently marketed soft contact lenses. Clinically, the Comparable to of bettler than other samonily wear investigation. Results from all tests lens has performed satisfacterily in a atin't results of the substant of the substante (control) lenses.
### Nonclinical Testing:
A series of pre-clinical testing was performed to verify equivalence of the modified A Senes of the predicate device. Non-clinical biocompatibility testing was conducted in accordance with the GLP regulation (21 CFR Part 58).
The results of all non-clinical testing on the modified (lotrafilcon B) contact lens demonstrate:
- The lens material and extracts of the modified device are equivalent to the predicate . and remain not toxic and non-irritating.
- Lens physical and material properties of the modified device are consistent with . industry marketed lenses, and equivalent to the predicate lens.
- The lens material is compatible with commonly available lens care products. .
### Clinical Testing:
The (lotrafilcon B) contact lens was investigated in daily wear clinical study. The twomonth clinical evaluation was conducted in accordance with current Good Clinical Practices and published regulations (21 CFR Parts 50, 56, 312, and 812). The study I raction and publication regulation of the modified lens as compared to an FDA approved and commercially available contact lens.
Clinical evaluation of the (lotrafilcon B) lens demonstrated similar overall performance in the clinically relevant areas of vision, health, comfort and fit as compared to the control lens when used under daily wear conditions.
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| | CIBA Vision A Novartis Company |
|--|------------------------------------------------------|
| | CIBA Vision® Corporation |
| | 11460 Johns Creek Parkway |
| | Duluth, Georgia USA 30097 |
| | 4-Mar-04, v02 |
| | Page 4 of 4 |
| | <b>Lotrafilcon B Soft Contact Lenses</b> |
| | 510(k) Summary of Safety and Substantial Equivalence |
# Substantial Equivalence:
The modified (lotrafilcon B) contact lens is equivalent to the predicate lens and similar to The modified (iotramoon D) offically to mater content (33% water) and ionic other daily weal son contact lenses in torno of water water water and indications Characteristics (i DA Choup in the nemonth hemoney, not chemical, not heat, disinfection regimen.
Any differences which may exist between the (lotrafilcon B) soft contact lens and other Any differences which may oxlet betwoon the (retrailed) affect the safety and effectiveness of the device.
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Image /page/4/Picture/1 description: The image shows the seal of the U.S. Department of Health and Human Services. The seal features a stylized caduceus, a symbol often associated with medicine and healthcare, consisting of a staff with two snakes coiled around it. The words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" are arranged in a circular pattern around the caduceus.
Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850
MAR 1 2 2004
CIBA VISION c/o Ms. Alicia M. Plesnarski, RAC Director, Global Regulatory Affaire 11460 Johns Creek Parkway Duluth, GA 30097-1556
Re: K033919
Trade/Device Name: CIBA Vision® (lotrafilcon B) Soft Contact Lenses for Daily Wear Regulation Number: 21 CFR 886.5925 Regulation Name: Soft (hydrophilic) Contact Lens Regulatory Class: Class II Product Code: LPL Dated: December 16, 2003 Received: December 18, 2003
Dear Ms. Plesnarski:
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.
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.
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Page 2 - Ms. Alicia M. Plesnarski, RAC
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.
A helyl Rosenthal
A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health
Enclosure
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Indications for Use Statement, v03, 8-Mar-04, Page 1 of 1 Premarket Notification 510(k) Ki)33919: (lotrafilcon B) Soft Contact Lens for Daily Wear
### INDICATIONS FOR USE STATEMENT
510(k) Number:
K033919
Device Name:
CIBA Vision® (lotrafilcon B) Soft Contact Lenses
: 广
Indications For Use:
The CIBA Vision® (lotrafilcon B) spherical soft contact lens is indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes and with up to approximately 1.50 diopters of astigmatism that does not interfere with visual acuity.
The CIBA Vision® Toric (Iotrafilcon B) soft contact lens is indicated for the optical correction of refractive ametropia (myopia and hyperopia) in phakic or aphakic persons with non-diseased eyes with 10.00 diopters (D) or less of astigmatism.
The CIBA Vision® Progressives (lotrafilcon B) soft contact lens is indicated for the optical correction of refractive ametropia (myopia and hyperopia) and/or presbyopia in phakic or aphakic persons with non-diseased eyes who may require a reading addition of +3.00 diopters (D) or less and who may have up to approximately 1.50 diopters of astigmatism.
The CIBA Vision® Progressive Toric (lotrafilcon B) soft contact lens is indicated for the optical correction of refractive ametropia (myopia, hyperopia, astigmatism and presbyopia) in phakic or aphakic persons with non-diseased eves. The lenses may be worn by persons who have 10.00 diopters (D) or less of refractive and/or comeal astigmatism.
The lenses may be prescribed for daily wear with removal for cleaning and disinfection (chemical, not heat) prior to reinsertion, as recommended by the eye care professional.
Prescription Use:
(21 CFR Part 801 Subpart D)
510(k) Number_
AND/OR
Over the Counter Use 0 (21 CFR Part 801 Subpart C)
(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)
| (Division Sign-Off) |
|-----------------------------|
| Division of Ophthalmic Ear, |
| Nose and Throat Devises |
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.