KY Banksy Moisture

K183505 · Rb Health (Us), LLC · NUC · May 17, 2019 · Obstetrics/Gynecology

Device Facts

• Record ID: K183505
• Device Name: KY Banksy Moisture
• Applicant: Rb Health (Us), LLC
• Product Code: NUC · Obstetrics/Gynecology
• Decision Date: May 17, 2019
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 884.5300
• Device Class: Class 2

Intended Use

This product is intended for penile, vaginal and/or anal application 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 and polyisoprene condoms. This product is not compatible with polyurethane condoms.

Device Story

Water-based personal lubricant; non-sterile; OTC use. Applied topically to penile, vaginal, or anal areas to reduce friction and enhance comfort during sexual activity. Formulation includes water, glycerin, propanediol, xanthan gum, benzoic acid, sodium hyaluronate, potassium lactate, and lactic acid. Packaged in HDPE/LDPE tube with aluminum/LLDPE seal and PP cap. Used by consumers to supplement natural lubrication. Benefits include improved comfort and ease of sexual activity. Device is chemically stable and biocompatible.

Clinical Evidence

Bench testing only. Biocompatibility testing per ISO 10993-5 (cytotoxicity), ISO 10993-10 (vaginal irritation, sensitization), and ISO 10993-11 (acute systemic toxicity) showed no adverse effects. Condom compatibility tested per ASTM D7661-10. Accelerated shelf-life testing supports 2-year stability.

Technological Characteristics

Water-based gel. Ingredients: Water, Glycerin, Propanediol, Xanthan Gum, Benzoic Acid, Sodium Hyaluronate, Potassium Lactate, Lactic Acid. Packaging: HDPE/LDPE tube, aluminum/LLDPE seal, PP cap. Viscosity: 3,000–8,000 cps. Osmolality: 850–1,250 mOsm/kg. pH: 3.5–4.5. Non-sterile. Biocompatibility per ISO 10993. Condom compatibility per ASTM D7661-10.

Indications for Use

Indicated for penile, vaginal, and/or anal application to moisturize and lubricate during intimate sexual activity; supplements natural lubrication. Compatible with natural rubber latex and polyisoprene condoms; incompatible 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

• KY Marilyn (K151884)

Submission Summary (Full Text)

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May 17, 2019

RB Health (US) LLC Elizabeth Viguerie Senior Regulatory Associate 399 Interpace Parkway Parsippany, NJ 07054

Re: K183505 Trade/Device Name: KY Banksy Moisture Regulation Number: 21 CFR 884.5300 Regulation Name: Condom Regulatory Class: Class II Product Code: NUC Dated: April 15, 2019 Received: April 16, 2019

# Dear Elizabeth Viguerie:

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. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. 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. 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. 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

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801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/CombinationProducts/GuidanceRegulatoryInformation/ucm597488.htm); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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 comprehensive regulatory information about mediation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (http://www.fda.gov/DICE) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely,

for

Sharon Andrews Assistant Division Director DHT3B: Division of Reproductive. Gynecology and Urology Devices OHT3: Office of Gastrorenal, ObGyn, General Hospital and Urology Devices Office of Product Evaluation and Ouality Center for Devices and Radiological Health

Enclosure

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# Indications for Use

510(k) Number (if known) K183505

Device Name KY Banksy Moisture

#### Indications for Use (Describe)

This product is intended for penile, vaginal and/or anal application 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 and polyisoprene condoms. This product is not compatible with polyurethane condoms.

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

| <div style="display:flex; align-items:center;"><span style="font-size:16px;">☐</span> Prescription Use (Part 21 CFR 801 Subpart D)</div> | <div style="display:flex; align-items:center;"><span style="font-size:16px;">☑</span> Over-The-Counter Use (21 CFR 801 Subpart C)</div> |
|------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|
|------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|

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# 510 (k) Summary - K183505

#### 1. Submitter Information

| Applicant: | RB Health (US) LLC. |
|------------|--------------------------------------------------------|
| Contact: | Elizabeth Viguerie<br>Senior Regulatory Associate |
| Address: | 399 Interpace Parkway<br>Parsippany NJ 07054-0224, USA |
| Phone: | [phone] |

### 2. Correspondent Information

| Contact: | Elizabeth Viguerie |
|----------|--------------------------------------------------------|
| Address: | 399 Interpace Parkway<br>Parsippany NJ 07054-0224, USA |
| Phone: | [phone] |
| Email: | [e-mail] |

#### May 17, 2019 3. Date prepared:

### 4. Device Information

| Device Name: | KY Banksy Moisture |
|--------------------|---------------------------|
| Common Name: | Personal Lubricant |
| Regulation Number: | 21 CFR 884.5300 |
| Regulation Name: | Condom |
| Regulatory Class: | Class II |
| Product Code: | NUC (lubricant, personal) |

### 5. Predicate Device Information

| Device Name: | KY Marilyn |
|-------------------|---------------------------|
| 510(k) Number: | K151884 |
| Manufacturer: | Reckitt Benckiser LLC |
| Regulatory Class: | Class II |
| Product Code: | NUC (lubricant, personal) |

The predicate device has not been subject to a design-related recall.

### 6. Device Description

KY Banksy Moisture will be marketed as a non-sterile, non-prescription medical device for over-thecounter (OTC) use. This device is a water-based personal lubricant that contains: Water, Glycerin, Propanediol, Xanthan Gum, Benzoic Acid, Sodium Hyaluronate, Potassium Lactate and Lactic Acid. The tube material is composed of High-Density Polyethylene (HDPE) and Low-Density Polyethylene (LDPE), covered with a 50-micron aluminum/inear low-density polyethylene seal and fitted with the Polypropylene (PP) cap. The tube will be packaged in an outer cardboard carton.

### Table 1: Device Specifications for KY Banksy Moisture

| Property | Specification |
|------------|---------------------------------------------------------------------|
| Appearance | Clear colorless and homogeneous gel, free from<br>extraneous matter |
| | Odor |

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| Viscosity | Release: 3,000 – 6,500 cps<br>Stability: 3,000 - 8,000 cps |
|------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------|
| Osmolality | 850 – 1,200 mOsm/kg |
| pH at 25 | 3.5 – 4.5 |
| Benzoic Acid | Release: 0.207 – 0.253 %w/w<br>Stability: 0.150 - 0.253 %w/w |
| Osmolality | 1050 to 1250 mOsm/kg |
| Total Yeast and Mold Count (TYMC ≤10 cfu/g per EP 8.0 Section: 2.6.12) * | <10 cfu/g |
| Total Aerobic Microbial Count (TAMC ≤100 cfu/g per EP 8.0 Section: 2.6.12) * | <100 cfu/g |
| Preservative Effectiveness Testing (per EP 8.0 Section: 5.1.3) * | |
| Escherichia coli | NLT 3.0 log reduction from the initial count at 7 days, and no increase from the 7 days' count at 28 days |
| Pseudomonas aeruginosa | NLT 3.0 log reduction from the initial count at 7 days, and no increase from the 7 days' count at 28 days |
| Staphylococcus aureus | NLT 3.0 log reduction from the initial count at 7 days, and no increase from the 7 days' count at 28 days |
| Candida albicans | 2.0 log reduction from the initiation count at 14 days, and no increase from the 14 days' count at 28 days |
| Aspergillus niger (A. brasiliensis) | 2.0 log reduction from the initiation count at 14 days, and no increase from the 14 days' count at 28 days |
| Total Specified Organisms (per EP 8.0 Section: 2.6.13) | Specification |
| Pseudomonas aeruginosa | Absent |
| Staphylococcus aureus | Absent |
| Candida albicans | Absent |

*European Pharmacopoeia (EP) standards EP 8.0 Sections 2.6.12, 2.6.13, and 5.1.3 have harmonized with or have comparable specifications to USP standards USP <61>, <62>, and <51>, respectively.

# 7. Indications for Use

This product is intended for penile, vaginal and/or anal application 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 and polyisoprene condoms. This product is not compatible with polyurethane condoms.

# 8. Comparison of Intended Use and Technological Characteristics with the Predicate Device

The table below lists the comparative indications for use and technological characteristics of the subject and predicate device.

# Table 2: Comparator Table for Subject Device – KY Banksy Moisture and Predicate Device KY Marilyn

| Feature | KY Banksy Moisture<br>(K183505) | KY Marilyn (K151884) |
|---------|---------------------------------|----------------------|
|---------|---------------------------------|----------------------|

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| Indications for Use | | |
|-------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| | This product is intended for<br>penile, vaginal and/or anal<br>application to moisturize and<br>lubricate, to enhance the ease<br>and comfort of intimate sexual<br>activity and supplement the<br>body's natural lubrication. This<br>product is compatible with<br>natural rubber latex and<br>polyisoprene condoms. This<br>product is not compatible with<br>polyurethane condoms. | This product is intended for<br>penile and/or vaginal<br>application intended to<br>moisturize and lubricate, to<br>enhance the ease and comfort of<br>intimate sexual activity and<br>supplement the body's natural<br>lubrication. This product is<br>compatible with natural rubber<br>latex and polyisoprene<br>condoms. This product is not<br>compatible with polyurethane<br>condoms. |
| Physical Features | Homogeneous Clear Gel/Odorless | Homogeneous Clear Gel/Odorless |
| Manufacturer | RB Health (US) LLC* | Reckitt Benckiser LLC |
| Base Type | Water | Water |
| Sterile | No | No |
| Primary Ingredients | Xantham Gum, Propanediol,<br>Glycerin, Benzoic Acid, Purac BF<br>P/41, Sodium hyaluronate, Water | Hydroxyethylcellulose, Propylene<br>Glycol, Glycerol, Multisensate<br>Flavor, Sodium Hydroxide, PEG-<br>40 Hydrogenated<br>Castor Oil, Benzoic Acid, Water |
| Biocompatibility Tested | Yes | Yes |
| Antimicrobial Tested | Yes | Yes |
| Condom Compatibility | Yes | Yes |
| Shelf-life | 2-years | 2-years |

### * Please note: Reckitt Benckiser LLC underwent a company name change in 2018 to RB Health (US) LLC.

The subject and predicate device have similar indications for use. The indication for the subject device has been expanded to also include anal use. This change does not represent a new intended use as the intended use of this device is the same as the predicate device, i.e., lubrication of an orifice during intimate sexual activity. The subject and predicate device have similar technological characteristics, including similar formulation. The different technological characteristics of the subject device do not raise of safety and effectiveness questions.

# 9. Summary of Non-Clinical Performance Testing

# Biocompatibility

Biocompatibility studies were performed in accordance with the 2016 FDA guidance document "Use of International Standard ISO 10993-1, Biological Evaluation of Medical Devices – Part 1: Evaluation and testing within a risk management process" and ISO 10993- 1:2009 as follows: Based on the results of the below testing, this device was determined to be biocompatible and supports the intended use of the subject lubricant.

- . ISO10993-5:2009: Cytotoxicity: The subject device test article showed no evidence of causing cell lysis or cytotoxicity to L-929 cells and therefore is not cytotoxic.
- . ISO10993-10:2010: Vaginal Irritation: The Irritation Index for the subject device test article was 0. Macroscopically, the vaginal tissue was found to be normal. Therefore, the subject device was considered a nonirritant to vaginal tissue of the rabbit.
- ISO10993-10:2010: Guinea Pig Maximization Sensitization Test: The subject device test article solution showed no evidence of causing delayed dermal contact sensitization in the guinea pig. The test article was not considered a sensitizer in the guinea pig maximization test.

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- . ISO10993-11:2006: Acute Systemic Toxicity: There was no mortality or evidence of systemic toxicity of the subject device the subject device met the requirements of ISO10993-11.
## Shelf-Life

Accelerated shelf-life testing was conducted on the subject device to support its labeled shelf-life period of 2 years. Results from testing demonstrated that the device can maintain its specifications over the duration of its shelf-life.

### Condom Compatibility

KY Banksy Moisture was tested in accordance with ASTM D7661-10 and was determined to be compatible with natural rubber latex and polyisoprene condoms. It was determined not to be compatible with polyurethane condoms.

### 10. Conclusion

The results of the performance testing described above demonstrate that the KY Banksy Moisture Personal Lubricant is as safe and effective as the predicate device and supports a determination of substantial equivalence.