The BOSTON® MULTIVISION (enflufocon A) Contact Lens is indicated for daily wear for the correction of visual acuity in hyperopic and myopic, not-aphakic and aphakic, presbyopic patients with non-diseased eyes, who exhibit astigmatism of 2.00 diopters or less and can obtain satisfactory visual acuity. The lens provides a nominal functional add of 1.50 diopters. The lens may be disinfected using a chemical disinfecting system only.
Device Story
BOSTON ES MULTIVISION is an aspheric multifocal rigid gas permeable contact lens; material is fluoro silicone acrylate (enflufocon A). Lens features back surface design with central ellipse for distance vision, mid-peripheral hyperbolic curve for near vision, and peripheral fillet/hyperbolic design for fit. Provides nominal 1.50 diopter add. Used for daily wear by presbyopic patients; prescribed by eye care professionals. Lens corrects visual acuity; aspheric geometry creates multifocal power effect. Benefits include simultaneous distance and near vision correction in a rigid gas permeable format.
Clinical Evidence
Clinical data leveraged from K943177 (spherical indication). Study included 216 patients (432 eyes) across 11 sites over 3 months. Mean age 39 (range 18-67). 95.1% of completed eyes achieved visual acuity of 20/30 or better. Average daily wear time 13.7–14.2 hours. No subjects discontinued due to adverse reactions.
Technological Characteristics
Material: Enflufocon A (fluoro silicone acrylate). Oxygen permeability: 31 x 10⁻¹¹ (cm³O₂·cm)/(cm²·sec·mmHg). Wetting angle: 52°. Water content: <1%. Index of refraction: 1.443. Light transmittance: 84.6%. Design: Aspheric back surface with central ellipse, mid-peripheral hyperbolic curve, and peripheral fillet/hyperbolic curve. Diameter: 7.0–11.5 mm. Base curve: 5.0–9.0 mm.
Indications for Use
Indicated for daily wear correction of visual acuity in hyperopic and myopic, aphakic and not-aphakic, presbyopic patients with non-diseased eyes and astigmatism ≤ 2.00 diopters.
Regulatory Classification
Identification
A rigid gas permeable contact lens is a device intended to be worn directly against the cornea of the eye to correct vision conditions. The device is made of various materials, such as cellulose acetate butyrate, polyacrylate-silicone, or silicone elastomers, whose main polymer molecules generally do not absorb or attract water.
K032256 — QUASAR-QUASAR PLUS-QUASAR TORIC (HYBUFOCON A, HEXAFOCON A, PAFLUFOCON B) RIGID GAS PERMEABLE (RGP) DAILY WEAR CONTACT LE · No 7 Contact Lens Laboratory , Ltd. · Aug 29, 2003
K982904 — ESSTECH MULTI ASPHERIC (MULTIFOCAL) (HIOXIFILCON B) SOFT (HYDROPHILIC) CONTACT LENS · Les Laboratoires Blanchard · Sep 1, 1998
K013445 — OSPREY SPHERICAL AND TORIC MULTIFOCAL SOFT CONTACT LENSES · Florida Optical Engineering, Inc. · Dec 26, 2001
K050948 — PUREVISION MULTI-FOCAL (BALAFILCON A) VISIBILITY TINTED CONTACT LENS · Bausch & Lomb, Inc. · May 18, 2005
K043129 — PROCLEAR ULTRAVUE MULTIFOCAL AND PROCLEAR ULTRAVUE 2000T MULTIFOCAL TORIC (OMAFLICON A) SOFT (HYDROPHILIC CONTACT LENS) · Opti-Centre Laboratories · Jan 12, 2005
Submission Summary (Full Text)
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POLYMER TECHNOLOGY 1400 N. GOODMAN STREET • ROCHESTER, NEW YORK 14692
MAY - 6 1997
510(k) SUMMARY K970698
## SUBMITTED BY:
Polymer Technology
a division of Wilmington Partners, L.P.
1400 North Goodman Street
Rochester, NY 14692
## TRADE/PROPRIETARY NAME
BOSTON® ES™ MULTIVISION (enflufocon A) Contact Lens
## CLASSIFICATION NAME:
Contact Lens - rigid gas permeable
## COMMON/USUAL NAME:
Fluoro Silicone Acrylate Rigid Gas Permeable Contact Lens Material
## PREMARKET NOTIFICATION NUMBER:
## CONTACT PERSON:
Contact Person: Douglas J. Fortunato
Director, Regulatory Affairs
Telephone No.: (716) 338-5477
Fax No.: (716) 338-0702
E-mail Address: dfortunato@bausch.com
078
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POLYMER TECHNOLOGY 1400 N. GOODMAN STREET • ROCHESTER, NEW YORK 14692
# INDICATIONS FOR USE:
The BOSTON® MULTIVISION (enflufocon A) Contact Lens is indicated for daily wear for the correction of visual acuity in hyperopic and myopic, not-aphakic and aphakic, presbyopic patients with non-diseased eyes, who exhibit astigmatism of 2.00 diopters or less and can obtain satisfactory visual acuity. The lens provides a nominal functional add of 1.50 diopters. The lens may be disinfected using a chemical disinfecting system only.
# STATEMENT OF EQUIVALENCE:
The BOSTON ES MULTIVISION (enflufocon A) contact lens is made of the same material as BOSTON ES (enflufocon A), a daily wear fluoro silicone acrylate contact lens material as cleared under 510(k) Premarket Notification No. K943177. The United States Adopted Name (USAN) enflufocon A is unchanged. Substantial equivalence is also determined by the design equivalence to the BAUSCH & LOMB Occasions™ (polymacon) Visibility Tinted Multifocal Contact Lens as approved under PMA N16-895; and the BOSTON ENVISION aspheric single vision, back surface design as cleared under 510(k) Premarket Notification No. K942365. Equivalence in design is determined by both lens designs being aspheric, in which a series of different radius curves from center to edge of the lens are used to describe the back surface of the lens, and create the ‘add’ effect for the multifocal power.
# DEVICE DESCRIPTION:
The BOSTON ES MULTIVISION (enflufocon A) is an aspheric multifocal rigid gas permeable, fluoro silicone acrylate contact lens for daily wear. The BOSTON ES MULTIVISION (enflufocon A) contact lens provides distance and near vision through the use of its back surface design. The central portion of the lens provides the distance vision; the mid-peripheral portion provides the near vision and the far peripheral portion provides the fitting performance of the lens. The aspheric design is a series of ever increasing radius curves from the center of the lens to the periphery which provides the ‘add’ power for
TOTAL P.02
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POLYMER TECHNOLOGY 1400 N. GOODMAN STREET • ROCHESTER, NEW YORK 14692
central ellipse for distance vision, a hyperbolic curve in the mid-periphery for the near vision, and a fillet and steeper hyperbolic design in the periphery for the fitting design.
The lens parameters available are:
Chord Diameter: 7.0 to 11.5 mm (to prescription)
Center Thickness: 0.07 to 0.65 mm (varies with power and diameter
Base Curve: 5.0 to 9.0 mm in 0.01 mm steps
Power: +20.00 to -20.00 in 0.12 D increments for distance
+1.50 D nominal add
Optical Zone: To prescription
All physical, optical and chemical properties are equivalent to the BOSTON ES (enflufocon A) material as cleared in 510(k) K943177. See attached summary. The physical properties of the subject contact lens are as follows:
Oxygen Permeability: 31 x 10⁻¹¹ (cm³O₂ · cm)/(cm² · sec · mmHg) @ 35°C (standard deviation=3)
Wetting Angle: 52° ±3
Water Content: <1% (Gravimetric Method)
Index of Refraction: 1.443±0.003 (Abbe Refractometer)
Light Transmittance: 84.6% at average thickness of 0.15 mm (-3.00)
080
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POLYMER TECHNOLOGY 1400 N. GOODMAN STREET • ROCHESTER, NEW YORK 14692
## CLINICAL:
The clinical study used to support this premarket notification is the clinical study conducted on the same material in support of the spherical indication for myopia and hyperopia as reported in K943177 approved on August 25, 1994.
The study involved eleven investigational sites and 216 patients (432 eyes) for a period of three months. 217 subjects entered the study and 185 subjects completed the study. Thirty-one subjects were discontinued from the study. No subjects were discontinued from the study for adverse reactions. Subjects recruited into the study ranged in age from 18 to 67, with a mean age of 39.
Completed and discontinued patients reported consistently good visual acuities with 95.1% of acuities reported for completed eyes at 20/30 or better. During the study the average lens wearing time for completed eyes was between 13.7 and 14.2 hours per day.
## CONCLUSION:
The results from all non-clinical and clinical studies demonstrate that the BOSTON ES rigid gas permeable contact lens is safe, effective, and performs as well as or better than the predicate device.
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