AL-47 (POLYMACON) SOFT (SPHERICAL & TORIC) DAILY WEAR CONTACT LENS (CLEAR & TINTED, LATHE-CUT FROM LENS BLANK)

K973967 · Alden Optical Labs., Inc. · LPL · Dec 8, 1997 · Ophthalmic

Device Facts

• Record ID: K973967
• Device Name: AL-47 (POLYMACON) SOFT (SPHERICAL & TORIC) DAILY WEAR CONTACT LENS (CLEAR & TINTED, LATHE-CUT FROM LENS BLANK)
• Applicant: Alden Optical Labs., Inc.
• Product Code: LPL · Ophthalmic
• Decision Date: Dec 8, 1997
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.5925
• Device Class: Class 2

Intended Use

The ALDEN CLASSIC (polymacon) Spherical Soft Contact Lenses for daily wear are indicated for the correction of visual acuity in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia. The lens may be worn by persons who exhibit refractive astigmatism of 1.50 diopters or less where the astigmatism does not interfere with visual acuity. The ALDEN CLASSIC (polymacon) Toric Soft Contact Lenses for daily wear are indicated for the correction of visual acuity in aphakic and not aphakic persons with non-diseased eves with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 10 Diopters.

Device Story

ALDEN CLASSIC is a daily wear, hydrophilic soft contact lens fabricated from polymacon. In its dry state, the material is lathe-cut and polished; upon immersion in aqueous solution, it becomes soft and pliable. The lens conforms to the corneal curvature, providing a transparent optical surface to correct refractive errors. It is intended for use by patients under the guidance of an eye care professional. The lens requires maintenance in a fully hydrated state using compatible storage solutions. By focusing light rays on the retina, the device compensates for myopia, hyperopia, and astigmatism, thereby improving visual acuity for the patient.

Clinical Evidence

No clinical data provided; substantial equivalence is based on bench testing and comparison of physical/chemical properties to predicate devices.

Technological Characteristics

Material: polymacon (hydrophilic polymer). Water content: 38%. Refractive index: 1.43 (hydrated). Oxygen permeability (DK): 9 x 10^-11 Fatt units. Light transmission: >95%. Form factor: lathe-cut spherical and toric soft contact lens. Sterilization: standard industry procedures.

Indications for Use

Indicated for aphakic and non-aphakic patients with non-diseased eyes requiring correction for myopia, hyperopia, or refractive astigmatism (up to 1.50D for spherical lenses; up to 10D for toric lenses).

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

• Co Soft 38 Toric (California Optics)
• Metrolite (Metro Optics)
• BENZ-38 (K961103)

Submission Summary (Full Text)

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# 510 (k) SUMMARY OF SAFETY AND EFFECTIVENESS

This summary of 510(k) safety and effectiveness information is being submitted in accordance with the requirements of SMDA 1990 and 21 CFR 807.92.

The assigned 510(k) number is: ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------K973967 Station of the control of the control of the country of the country of the country of the country of the country of the country of the country of the country of the country o

## Applicant information:

| Date Prepared: | October 20, 1997 |
|-----------------|-----------------------------------------|
| Name: | Alden Optical Laboratories |
| Address | 13295 Broadway<br>Alden, New York 14004 |
| Contact Person: | Charles H. Creighton |
| Phone Number: | 800.253.3669 |
| Consultant: | Martin Dalsing |
| Phone Number: | 970.243.5490 |

#### Device Information:

| Device Classification: | Class II |
|------------------------|----------------------------------|
| Classification Number: | LPL |
| Trade Name: | ALDEN CLASSIC |
| Classification Name: | Lenses, Soft Contact, Daily Wear |

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#### Equivalent Devices:

The ALDEN CLASSIC (polymacon) Soft (Spherical & Toric) Daily Wear Contact Lens is substantially equivalent to predicate devices in terms of intended use and design. Predicate devices include Co Soft 38 Toric manufactured by California optics, Metrolite manufactured by Metro Optics and the BENZ-38 manufactured by Benz Research and Development.

#### Device Description:

The ALDEN CLASSIC (polymacon) Soft (Spherical & Toric) Daily Wear Contact lenses are fabricated from polymacon, which in the dry (unhydrated) state may be machined and polished. The hydrophilic nature of this material allows the lens to become soft and pliable when immersed in an aqueous solution.

In the hydrated state, the lens conforms to the curvature of the eye covering the cornea and extending slightly beyond the limbus forming a colorless, transparent optical surface. The (polymacon) soft hydrophilic contact lens has a spherical back surface. The hydrophilic properties of the lens require that it be maintained in a fully hydrated state in a solution compatible with the eve. If the lens dries out, it will become hard and appear somewhat warped; however, it will return to its proper configuration when completely rehydrated in the proper storage solution.

The hydrophilic characteristics allow aqueous solutions to enter the lens and in its fully hydrated state the lens is approximately 38% water by weight. The physical properties of the lens are:

| Refractive Index | 1.52 (dry) 1.43 (hydrated) |
|---------------------|-------------------------------------------------------------------------|
| Light Transmission: | greater than 95% T |
| Water Content | 38 % |
| Specific Gravity | 1.28 (dry) 1.18 (hydrated) |
| Oxygen Permeability | 9 X 10-11 Fatt Units (cm2/sec)(ml O2/ml x mm Hg @ 35° C), (revised Fatt |
| | method) |

## Intended Use:

The ALDEN CLASSIC (polymacon) Spherical Soft Contact Lenses for daily wear are indicated for the correction of visual acuity in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia. The lens may be worn by persons who exhibit refractive astigmatism of 1.50 diopters or less where the astigmatism does not interfere with visual acuity. The ALDEN CLASSIC (polymacon) Toric Soft Contact Lenses for daily wear are indicated for the correction of visual acuity in aphakic and not aphakic persons with non-diseased eves with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 10 Diopters.

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#### Substantial Equivalence:

The device will be manufactured according to specified process controls and a quality assurance program. The device will undergo manufacturing, packaging and sterilization procedures similar to devices currently marketed and distributed by Alden Optical Laboratories. The established safety profile (preclinical toxicology and manufacturing/chemistry data) of the device is equivalent to BENZ-38, 510(k)# K961103. Being similar with respect to indications for use, materials, physical construction and safety & effectiveness to the predicate devices, this meets the requirements per section 510(k) of the act regarding substantial equivalence and does not raise different questions of safety and effectiveness than the predicate devices identified above.

The following matrix illustrates that the production method, lens function and material of the ALDEN CLASSIC (polymacon) Soft (Spherical & Toric) Daily Wear Contact Lens (Clear & Tinted, Lath-cut from Lens Blank), are substantially equivalent to the predicate devices. In addition, the water content, polymer, DK value, refractive index, specific gravity, and light transmission are as well substantially equivalent.

| Characteristic | AL-47 (polymacon) Series | PREDICATE<br>DEVICE | |
|----------------|--------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------|------|
| 1.) | PRODUCTION<br>METHOD | Lathe-Cut | SAME |
| 2.) | LENS FUNCTION | Refractive medium that focuses light rays from near and distant objects on the retina, while compensating for refractive error, including (astigmatism) | SAME |
| 3.) | MATERIAL | Hydrophilic Polymer | SAME |
| a. | Water Content | 38% | SAME |
| b. | Polymer Content | 62% | SAME |
| c. | Polymer | polymacon | SAME |
| d. | DK Value | 9 | SAME |
| e. | Refractive Index | 1.43 (hydrated) | SAME |
| f. | Specific Gravity | 1.180 (hydrated) | SAME |
| g | Light Transmission | greater than 95% T | SAME |

#### Substantial Equivalence Matrix

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Image /page/3/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo is circular and contains the words "DEPARTMENT OF HEALTH & HUMAN SERVICES • USA" around the top half of the circle. Inside the circle is an abstract symbol that resembles an eagle or bird-like figure.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC - 8 1997

Alden Optical Laboratories, Inc. c/o Mr. Martin Dalsing 623 Glacier Drive Grand Junction, CO 81503

Re: K973967

Trade Name: Alden Classic (polymacon) Hydrophilic Contact Lens for Daily Wear (spherical, toric, lathe-cut, clear and visability tinted) Regulatory Class: II Product Code: 86 LPL Dated: October 17, 1997 Received: October 17, 1997

Dear Mr. Dalsing:

We have reviewed your Section 510(k) notification of intent to market the device referenced above and we have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to 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). 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 (Premarket Approval), 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 895. A substantially equivalent determination assumes compliance with the current Good Manufacturing Practice requirements, as set forth in the Quality System Regulation (QS) for Medical Devices: General regulation (21 CFR Part 820) and that, through periodic (QS) inspections, the Food and Drug Administration (FDA) will verify such assumptions. Failure to comply with the GMP regulation may result in regulatory action. In addition, FDA may publish further announcements concerning your device in the Federal Register. Please note: this response to your premarket notification submission does not affect any obligation you might have under sections 531 through 542 of the Act for devices under the Electronic Product Radiation Control provisions, or other Federal laws or regulations.

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#### Page 2 - Mr. Martin Dalsing

This letter will allow you to begin marketing your device as described in your 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 and additionally 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at [phone]. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers Assistance at its toll-free number [phone] or [phone] or at its internet address "http://www.fda.gov/cdrh/dsmamain.html".

Sincerely yours,

A. Ralph Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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#### ALDEN OPTICAL LABORATORIES 510(K) Premarket Notification

# INDICATIONS FOR USE STATEMENT

#### ALDEN CLASSIC (polymacon) Soft (Spherical & Toric) Daily Wear Device Name: Contact Lens (Clear & Tinted, Lath-cut from Leus Blank)

#### INDICATIONS FOR USE:

The ALDEN CLASSIC (polymacon) Spherical Soft Contact Lenses for daily wear are indicated for the correction of visual acuity in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia. The lens may be worn by persons who exhibit refractive astigmatism of 1.50 diopters or less where the astigmatism does not interfere with visual acuity.

The ALDEN CLASSIC (polymacon) Toric Soft Contact Lenses for daily wear are indicated for the correction of visual aculty in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 10 Diopters.

# (PLEASE DO OT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

| Concurrence of CDRH, Office of Device Evaluation (ODE) | |
|--------------------------------------------------------|--|
|--------------------------------------------------------|--|

| | Karen Warburton |
|--------------------------------|-----------------|
| (Division Sign-Off) | |
| Division of Ophthalmic Devices | |
| 510(k) Number | K973967 |

or

| Prescription Use | <div> <img alt="Checked" src="checkbox_checked.png"/> </div> |
|----------------------|--------------------------------------------------------------|
| (Per 21 CFR 801.109) | |

| Over-The-Counter Use | |
|----------------------|--|
|----------------------|--|

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