LIFESTYLES NATURAL PERSONAL LUBRICANT

K122054 · Ansell Healthcare Products, LLC · NUC · Feb 14, 2013 · Obstetrics/Gynecology

Device Facts

• Record ID: K122054
• Device Name: LIFESTYLES NATURAL PERSONAL LUBRICANT
• Applicant: Ansell Healthcare Products, LLC
• Product Code: NUC · Obstetrics/Gynecology
• Decision Date: Feb 14, 2013
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 884.5300
• Device Class: Class 2

Intended Use

LifeStyles® Natural Personal Lubricant is a personal lubricant, for penile and/or vaginal application, intended to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. This product is compatible with natural rubber latex, polyurethane, and polyisoprene condoms.

Device Story

LifeStyles® Natural Personal Lubricant is a non-sterile, water-based gel-like liquid; packaged in a plastic pump dispenser. Intended for over-the-counter use to moisturize and lubricate during intimate sexual activity. Compatible with natural rubber latex, polyurethane, and polyisoprene condoms. Device functions by providing physical lubrication to reduce friction. No electronic or mechanical components; no software or algorithms.

Clinical Evidence

Bench testing only. Testing included biocompatibility (cytotoxicity, vaginal irritation, systemic toxicity per ISO 10993), condom compatibility (ASTM D7661), physical parameters (viscosity, pH, specific gravity), and microbial quality (USP testing for microbial counts and antimicrobial effectiveness). Real-time and accelerated aging studies support a 3-year shelf-life.

Technological Characteristics

Water-based personal lubricant; non-sterile gel. Compatible with natural rubber latex, polyurethane, and polyisoprene condoms per ASTM D7661. Biocompatibility per ISO 10993. Physical properties include specific viscosity, pH, and specific gravity. Packaged in plastic pump dispenser.

Indications for Use

Indicated for individuals requiring penile and/or vaginal lubrication to enhance comfort during sexual activity and supplement natural lubrication. Compatible with natural rubber latex, polyurethane, and polyisoprene condoms.

Regulatory Classification

Identification

A condom is a sheath which completely covers the penis with a closely fitting membrane. The condom is used for contraceptive and for prophylactic purposes (preventing transmission of sexually transmitted infections). The device may also be used to collect semen to aid in the diagnosis of infertility.

Special Controls

*Classification.* (1) Class II (special controls) for condoms made of materials other than natural rubber latex, including natural membrane (skin) or synthetic.(2) Class II (special controls) for natural rubber latex condoms. The guidance document entitled “Class II Special Controls Guidance Document: Labeling for Natural Rubber Latex Condoms Classified Under 21 CFR 884.5300” will serve as the special control. See § 884.1(e) for the availability of this guidance document.

Predicate Devices

• Durex Play™ Temptations Assorted Lubricants (K060098)

Submission Summary (Full Text)

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# Ansell

Traditional 510(k) Ansell Healthcare Products, LLC

### 510(k) SUMMARY

Applicant:

Ansell Healthcare Products, LLC 1635 Industrial Road, Dothan, AL 36303, USA Phone: [phone] Fax: [phone] FEB 1 4 2013

Contact Person: Robert Mahler, Regulatory Affairs Director, Americas

Date Prepared: February 13, 2013

510(k) Number: K122054

Proprietary Name: LifeStyles® Natural Personal Lubricant

Common Name: Personal Lubricant

Classification Name: Lubricant, patient, vaginal, latex compatible (Class II, 21 CFR 884.5300, Product Code NUC)

Durex Play™ Temptations Assorted Lubricants (K060098) Predicate Device:

### Device Description:

LifeStyles® Natural Personal Lubricant is a non-sterile, water-based personal lubricant designed to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. The formula is a non-staining, long-lasting, biocompatible gel-like liquid that is compatible with natural rubber latex, polyurethane, and polyisoprene condoms. The provided in a plastic pump dispenser.

#### Indications for Use:

LifeStyles® Natural Personal Lubricant is a personal lubricant, for penile and/or vaginal application, intended to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. This product is compatible with natural rubber latex, polyurethane, and polyisoprene condoms.

#### Technological Characteristics:

LifeStyles® Natural Personal Lubricant contains a similar blend of water and water soluble ingredients as the predicate device. Testing per ASTM D7661 indicated that, like the predicate, the lubricant formulation is compatible with condoms. As with the predicate, testing for cytotoxicity, vaginal irritation, and systemic toxicity in accordance with ISO 10993 indicated device biocompatibility. Bench testing indicated that the lubricant is non-staining and that it has an appropriate viscosity, pH, specific gravity, appearance, color and odor for substantial equivalence to the predicate. USP testing for Total Aerobic Microbial Counts, Total Yeast and Mold Counts, absence of microbial pathogens, and antimicrobial effectiveness indicated microbial quality. The osmolality of the device was tested. Real-time and accelerated aging tests for physical parameters and microbial characteristics indicate a 3 year shelf-life for the lubricant.

#### Summary:

LifeStyles® Natural Personal Lubricant has the same intended use and basic technological characteristics as the predicate device. This lubricant is as safe and effective as the predicate device.

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### DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/1/Picture/1 description: The image shows the seal of the Department of Health & Human Services (HHS) of the United States. The seal features the department's name arranged in a circular pattern around a stylized eagle. The eagle is depicted with its wings spread, symbolizing protection and service. The overall design is simple and professional, reflecting the department's role in public health and welfare.

#### Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-0002

February 14, 2013

Ansell Healthcare Products, LLC % Ms. Donna Di Gangi Principal Consultant DiGangi Consulting 4 Los Verdes Drive SAN LUIS OBISPO CA 93401

Re: K122054

Trade/Device Name: LifeStyles® Natural Personal Lubricant Regulation Number: 21 CFR§ 884.5300 Regulation Name: Condom Regulatory Class: II Product Code: NUC Dated: January 25, 2013 Received: January 31, 2013

Dear Ms. Di Gangi:

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. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

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.

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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); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); 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.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled. "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

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 [phone] or [phone] or at its Internet address http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely yours,

# Herbert P. Lerner -S

for Benjamin R. Fisher, Ph.D. Director Division of Reproductive, Gastro-Renal, and Urological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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## Traditional 510(k) -Ansell Healthcare Products, LLC

#### Indications for Use

K122054 510(k) Number (if known): ____________________________________________________________________________________________________________________________________________________

Device Name: LifeStyles® Natural Personal Lubricant

Indications for Use: LifeStyles® Natural Personal Lubricant is a personal lubricant, for penile and/or vaginal application, intended to moisturize and lubricate, to enhance the ease and comfort of intimate sexual activity and supplement the body's natural lubrication. This product is compatible with natural rubber latex, polyurethane, and polyisoprene condoms.

Prescription Use (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use _ X (21 CFR 801 Subpart C)

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Concurrence of CDRH, Office of Device Evaluation (ODE)

HerbertPLerner-S

Division Sign-Off) ision of Reproductive. Gastro-Renal, and ogical Devices 0(k) Number

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