External Moisturizing Gel

K171855 · Combe Incorporated · NUC · Jul 21, 2017 · Obstetrics/Gynecology

Device Facts

• Record ID: K171855
• Device Name: External Moisturizing Gel
• Applicant: Combe Incorporated
• Product Code: NUC · Obstetrics/Gynecology
• Decision Date: Jul 21, 2017
• Decision: SESE
• Submission Type: Special
• Regulation: 21 CFR 884.5300
• Device Class: Class 2

Intended Use

The device 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 and polyisoprene condoms. Not compatible with polyurethane condoms.

Device Story

Vaginal Moisturizing Gel is a non-sterile, water-based, colorless, transparent viscous gel; intended for over-the-counter use as a personal lubricant. Device is applied topically to penile or vaginal areas to enhance comfort during sexual activity. Product is supplied in 5g or 50g laminate tubes. Device is compatible with natural rubber latex and polyisoprene condoms; incompatible with polyurethane condoms. Healthcare providers do not operate the device; it is for patient self-use. Output is the physical lubrication provided by the gel, which aids in reducing friction during sexual activity, potentially increasing patient comfort.

Clinical Evidence

Bench testing only. No clinical data provided. Performance testing confirmed identical physical/chemical properties (pH 4.0-5.0, viscosity 55,000-100,000 cps, osmolality 1273 mOsm/kg) and coefficient of friction (0.186) compared to predicates. Shelf-life validated via accelerated aging and real-time studies (36 months for 50g, 18 months for 5g). Biocompatibility is identical to predicates.

Technological Characteristics

Water-based viscous gel. Materials: LDPE and foil laminate tubes. Physical specs: pH 4.0-5.0, viscosity 55,000-100,000 cps, osmolality 1273 ± 9 mOsm/kg. Non-sterile. No electronic components or software.

Indications for Use

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

• Internal Hydrating Gel (K141718)
• Vaginal Moisturizing Gel (K150615)

Submission Summary (Full Text)

{0}------------------------------------------------

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

July 21, 2017

Combe Incorporated Richard Grabarz, M.S., R. A. C. Sr. Manager Regulatory Affairs 1101 Westchester Avenue White Plains, NY 10604

Re: K171855

> Trade/Device Name: Vaginal Moisturizing Gel Regulation Number: 21 CFR§ 884.5300 Regulation Name: Condom Regulatory Class: II Product Code: NUC Dated: June 19, 2017 Received: June 21, 2017

Dear Richard Grabarz:

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.

{1}------------------------------------------------

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 contact the Division of Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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 Industry and Consumer Education at its toll-free number [phone] or [phone] or at its Internet address

http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/default.htm.

Sincerely.

Joyce M. Whang -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

{2}------------------------------------------------

# Indications for Use

510(k) Number (if known) K171855

Device Name Vaginal Moisturizing Gel

Indications for Use (Describe)

The device 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 and polyisoprene condoms. Not compatible with polyurethane condoms.

Type of Use (Select one or both, as applicable)

|--|--|

| | Prescription Use (Part 21 CFR 801 Subpart D)

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

#### CONTINUE ON A SEPARATE PAGE IF NEEDED.

This section applies only to requirements of the Paperwork Reduction Act of 1995.

#### *DO NOT SEND YOUR COMPLETED FORM TO THE PRA STAFF EMAIL ADDRESS BELOW.*

The burden time for this collection of information is estimated to average 79 hours per response, including the time to review instructions, search existing data sources, gather and maintain the data needed and complete and review the collection of information. Send comments regarding this burden estimate or any other aspect of this information collection, including suggestions for reducing this burden, to:

> Department of Health and Human Services Food and Drug Administration Office of Chief Information Officer Paperwork Reduction Act (PRA) Staff [e-mail]

"An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB number."

{3}------------------------------------------------

#### 510(k) Summary

| Submitter: | Combe Incorporated<br>1101 Westchester Avenue<br>White Plains, NY 10604<br>Phone: [phone]<br>Electronic: www.combe.com/contact | Device & Predicate<br>Device(s):<br>General Device<br>Characteristics | K171855 | K150615 | K141718 |
|---------------------------|----------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Official Correspondent: | Richard S. Grabarz, M.S., RAC<br>Sr. Manager Regulatory Affairs<br>Email: [e-mail]<br>Phone: [phone]<br>Fax: [phone] | Sponsor | Combe | Combe | Combe |
| Date Prepared: | July 20, 2017 | Indication for Use | The device is a<br>personal lubricant,<br>for penile and/or<br>vaginal application,<br>intended to<br>moisturize and<br>lubricate, to enhance<br>the ease and comfort<br>of intimate sexual<br>activity, and<br>supplement the<br>body's natural<br>lubrication. This<br>product is<br>compatible with<br>natural rubber latex<br>and polyisoprene<br>condoms. Not<br>compatible with<br>polyurethane<br>condoms. | The device is a<br>personal lubricant,<br>for penile and/or<br>vaginal<br>application,<br>intended to<br>moisturize and<br>lubricate, to<br>enhance the ease<br>and comfort of<br>intimate sexual<br>activity, and<br>supplement the<br>body's natural<br>lubrication. This<br>product is<br>compatible with<br>natural rubber<br>latex and<br>polyisoprene<br>condoms. | The device is a<br>personal lubricant,<br>for penile and/or<br>vaginal<br>application,<br>intended to<br>moisturize and<br>lubricate, to<br>enhance the ease<br>and comfort of<br>intimate sexual<br>activity, and<br>supplement the<br>body's natural<br>lubrication. This<br>product is<br>compatible with<br>polyisoprene<br>condoms only. |
| Device Proprietary Names: | Vaginal Moisturizing Gel | Formulation | Same (see Device<br>Description) | Identical | Identical |
| Device Common Name: | Personal Lubricant | Condom Compatibility | Natural rubber latex<br>and polyisoprene<br>condoms | Natural rubber<br>latex and<br>polyisoprene<br>condoms | Polyisoprene<br>condoms only |
| Classification: | 21 CFR 884.5300 (Condom) | Base Type | Water | Water | Water |
| Regulatory Class: | II | Packaging | Laminate tube | Single use pre-<br>filled applicator<br>with twist off cap | Laminate tube<br>with screw-on<br>plastic syringe |
| Product Code: | NUC (lubricant, personal) | Amount of lubricant in<br>package (g) | 5 and 50 | 5.9 | 28 |
| Predicate Device: | Internal Hydrating Gel (K141718) and Vaginal<br>Moisturizing Gel (K150615) | | | | |

The predicate devices have not been subject to a design-related recall.

### Device Description:

Vaginal Moisturizing Gel is a non-sterile, water based, colorless, transparent viscous gel. It is identical to the predicate devices except that it is packaged for use in tube sizes of either 5 or 50 grams (0.18oz. /1.8 oz.). Tubes are comprised of a laminate structure. The larger 50 gram size will utilize a flip-top cap while the smaller 5 gram size will utilize a screw on cap.

This device is compatible with natural rubber latex and polyisoprene condoms. This device is not compatible with polyurethane condoms. The following parameters are included as part of the device specification:

- Appearance ●
- Color
- Odor
- pH ●
- Viscosity ●
- Osmolality ●

{4}------------------------------------------------

- Antimicrobial effectiveness .
- Total Aerobic Microbial Count (TAMC) •
- Total Yeast and Mold Count (TYMC) •
- Absence of Pathogenic Organisms (at minimum Pseudomonas aeruginosa, . Staphylococcus aureus, and Candida albicans)

## Comparison of Indication for Use and Technological Characteristics:

{5}------------------------------------------------

| Applicator Length (mm) | | | |
|-----------------------------------------------|-------------------|-------------------|-------------------|
| Barrel | N/A | N/A | 118.49 ± 1.02 |
| Plunger | N/A | N/A | 124.90 ± 1.01 |
| Applicator Width/ Diameter (mm) | | | |
| Barrel | N/A | N/A | 11.18 ± 0.75 |
| Plunger | N/A | N/A | 14.22 ± 0.75 |
| Tube Length(mm) | | | |
| Tube | 58.8/127.0 | 66.68 ± 1 | 104.775 |
| Neck | 3.86/5.89 | 63.00 ± 1 | 5.56 |
| Tube Width (mm) | | | |
| Tube | 15.875/28.178 | 19.00 ± 0.2 | 22.225 |
| Neck | 3.937/6.350 | 14.00 ± 0.2 | 6.350 |
| Neck base | N/A | 6.42 ± 0.2 | N/A |
| Package color | N/A | Aqua exterior | Natural |
| Material Syringe | N/A | N/A | LDPE |
| Tube Material | | | |
| Tube | LDPE | LDPE | LDPE |
| Tube Body | Foil Laminate | Foil Laminate | Foil Laminate |
| | | | |
| Physical/Chemical | Acceptance range | Acceptance range | Acceptance range |
| Appearance | Clear translucent | Clear translucent | Clear translucent |
| pH | 4.0 - 5.0 | 4.0 - 5.0 | 4.0 - 5.0 |
| Viscosity | 55,000 - 100,000 | 55,000 - 100,000 | 55,000 – 100,000 |
| | cps | cps | cps |
| Osmolality (mOsm/kg) | 1273 ± 9 | 1273 ± 9 | 1273 ± 9 |
| Micro | | | |
| Total plate count | <100 cfu/g | <100 cfu/g | <100 cfu/g |
| Yeast and mold | < 10 cfu/g | < 10 cfu/g | < 10 cfu/g |
| Pseudomonas aeruginosa | Negative | Negative | Negative |
| Staphylococcus aureus<br>(coagulase positive) | Negative | Negative | Negative |
| Candida albicans | Negative | Negative | Negative |
| Performance: Coefficient of<br>Friction | 0.186 | 0.186 | 0.186 |
| Storage conditions | Room temp | Room temp | Room temp |

The subject device indication for use statement is similar to the primary predicate device (K141718), except that the subject device claims to be compatible with natural rubber latex condoms.

The subject device differs from the K141718 predicate device in the following ways:

- The subject device is provided in two sizes, a 5 & 50 gram laminate tube, while the 1. predicate device, Internal Hydrating Gel (K141718) is provided in a laminate tube (28 g) with a screw off cap of similar construction.
- 2. The subject device does not utilize any applicators/syringes. The previous predicate

{6}------------------------------------------------

device Internal Hydrating Gel (K141718) included 8 applicators/syringes for internal application.

The different technological characteristics described above do not raise different types of safety and effectiveness questions, as they are commonly encountered in 510(k) reviews for personal lubricants. These differences in packaging can be addressed through shelf-life testing.

## Performance Testing:

| Shelf Life | Vaginal Moisturizing Gel has a shelf life of 36 months for the<br>larger, 50 gram tube and a shelf life of 18 months for the smaller,<br>5 gram tube. The results of accelerated aging and real time studies<br>demonstrate that the subject device in the new packaging meets<br>its specifications over the duration of the proposed shelf life. |
|-------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Biocompatibility | Biocompatibility of the proposed device, External Moisturizing<br>Gel is identical to that of the predicate devices, Internal Hydrating<br>Gel (K141718) and Vaginal Moisturizing Gel (K150615). The<br>formulation of the subject device remains unchanged from that of<br>the predicate devices. |
| Performance Testing<br>Non-Clinical | Performance of the proposed device is identical to the predicate<br>devices, Internal Hydrating Gel (K141718) and Vaginal<br>Moisturizing Gel (K150615). |

### Conclusion:

The proposed device, Vaginal Moisturizing Gel, is substantially equivalent to the predicate devices.