ERCO-RIBBON -C

K990008 · Ercons, Inc. · LKY · Feb 24, 1999 · Gastroenterology, Urology

Device Facts

• Record ID: K990008
• Device Name: ERCO-RIBBON -C
• Applicant: Ercons, Inc.
• Product Code: LKY · Gastroenterology, Urology
• Decision Date: Feb 24, 1999
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.5020
• Device Class: Class 2
• Attributes: Therapeutic

Intended Use

Erco-Ribbon ™-C is used to maintain penile rigidity in men with erectile dysfunction . It restricts blood outflow from the penis after the patient has obtained an erection (either with the aid of a vacuum pump or naturally). Men with firm but short lasting erection may use constricting device separately. If a man is impotent to a degree that he is unable to achive a natural erection, a vacuum constriction system may help him to overcome this dysfinction. Erco-Ribbon ™-C can be used for patients with following conditions: a) separately: premature ejaculation firm but short lasting erection b) as a part of a vacuum constriction system Diabetes Venous leakage Prostatectomy Hypertension Psychogenic condition Impotence due to radiation therapy Spinal cord injury

Device Story

Erco-Ribbon™-C is a penile constriction device designed to maintain rigidity by restricting venous blood outflow. The device consists of an elastic, rubber-like ribbon and a cuff-based locking mechanism with a quick-release loop. The user wraps the ribbon around the base of the penis (or a vacuum chamber) with adjustable tension and number of turns; the cuff locks the ribbon to provide controlled inward pressure. The device is intended for patient self-use. Unlike traditional solid constriction rings that require specific sizing and applicators, this multi-turn ribbon design allows for customizable pressure, reducing the risk of discomfort, numbness, or bruising associated with excessive force. The quick-release loop facilitates easy and safe removal. The device is used either independently for premature ejaculation/short-lasting erections or as an accessory to vacuum erection systems for various clinical conditions causing impotence.

Clinical Evidence

No clinical data provided; bench testing only.

Technological Characteristics

Constriction device composed of elastic, soft rubber-like material (FDA-compliant for skin contact) and an acrylic mounting tube. Features a multi-turn ribbon design with a cuff-based locking mechanism and quick-release loop. Operates via mechanical tensioning to provide inward pressure. Non-powered, manual operation.

Indications for Use

Indicated for men with erectile dysfunction, premature ejaculation, or firm but short-lasting erections. Used as a standalone device or as part of a vacuum constriction system for patients with diabetes, venous leakage, prostatectomy, hypertension, psychogenic impotence, radiation-induced impotence, or spinal cord injury.

Regulatory Classification

Identification

External penile rigidity devices are devices intended to create or maintain sufficient penile rigidity for sexual intercourse. External penile rigidity devices include vacuum pumps, constriction rings, and penile splints which are mechanical, powered, or pneumatic devices.

Special Controls

*Classification.* Class II (special controls). The devices are exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 876.9. The special control for these devices is the FDA guidance document entitled “Class II Special Controls Guidance Document: External Penile Rigidity Devices.” See § 876.1(e) for the availability of this guidance document.

Predicate Devices

• ErecAid (K841257)
• Confidence (K891125)
• VED (K901223)
• VET (K902240)
• Pos-T-Vac (K960828)
• Erco-Ribbon TM (K981343)

Submission Summary (Full Text)

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K990008

ersum22d8

## ERCONS, Inc

66 Overlook Terrace, s-te 2E New York, NY 10040 Tel. [phone] Fax [phone]

#### 510(k) SUMMARY

## for

# ERCO-RIBBON ™-- C

#### Constriction Device for Penile Rigidity

Submitter: Dr. Yakov Altshuler, Vice President

Date: Dec. 22, 1998

Trade name - Erco-Ribbon ™-C

Common name - constriction device for external penile rigidity system

Equivalence is claimed to:

| ErecAid | Osbon Medical Systems, Ltd. | K841257 |
|------------------------------------------|-----------------------------|--------------|
| Confidence | Performance, Inc. | K891125 |
| VED | Mission Pharmacal Co. | K901223 |
| VET | VET-CO, Inc. | K902240 |
| Pos-T-Vac | POS-T-VAC | K960828 |
| Erco-Ribbon TM | Ercons, Inc. | K981343 |
| Code of Federal Regulation (CFR) Number: | | Unclassified |
| Product Code: | | 78 LKY |

PATENT PENDING Erco-Ribbon ™-C CONFIDENTIAL Dec.1998

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#### Intended Use

Erco-Ribbon ™-C is used to maintain penile rigidity in men with erectile dysfunction . It restricts blood outflow from the penis after the patient has obtained an erection (either with the aid of a vacuum pump or naturally). Men with firm but short lasting erection may use constricting device separately. If a man is impotent to a degree that he is unable to achive a natural erection, a vacuum constriction system may help him to overcome this dysfinction.

Erco-Ribbon ™-C can be used for patients with following conditions: a) separately: premature ejaculation firm but short lasting erection

b) as a part of a vacuum constriction system Diabetes Venous leakage Prostatectomy Hypertension Psychogenic condition Impotence due to radiation therapy Spinal cord injury

## PATENT PENDING Erco-Ribbon ™-C CONFIDENTIAL Dec.1998

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#### DESCRIPTION

Erco-Ribbon ™-C is an improved version of Erco-Ribbon ™, using a cuff for forming a shell around the ribbon and a quick release loop for removing the constrictor. A constriction ribbon is made of elastic and soft rubber-like material with generally rectangular cross section.

For arrangement of Erco-Ribbon ™-C penile constriction device, the ribbon is wrapped with the tension by multyple turns over the proximal end of the mounting tube (or a vacuum chamber, when Erco-Ribbon ™-C is used as a part of a vacuum constriction system). Erco-Ribbon ™-C is locked by the cuff in a state with prearranged inward pressure. A quick release loop unlocks the constrictor and allows easy removal of the ribbon. The materials conform FDA regulation for devices contacting human skin. A mounting tube is made of a segment of acrylic tube.

# SUBSTANTIAL EQUIVALENCY COMPARISON

Comparison of design and performance of marketable constriction rings and Erco-Ribbon ™-C is made with consideration of the impact of device's design on its safety and effectiveness.

Considered marketable Predicate devices and Erco-Ribbon ™-C are constriction devices with the same intended use, but have different technological characteristics.

#### PATENT PENDING Erco-Ribbon ™-C CONFIDENTIAL Dec.1998

3

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#### Predicate devices:

To provide sufficient inward pressure on erected penis, one or more of constriction rings have to be placed at the edge of an open end of the vacuum chamber.

Rings are molded of natural or synthetic rubber with different durometer numbers, usually in the range of 30 to 60 and are manufactured in large, medium and small sizes. To provide acceptable inward pressure, selection for individual users is based on size, durometer and a number of constriction rings used together. Despite high cost due to a number of expensive molds, there is no way to provide smooth control of the pressure which happens to be excessive and causes discomfort, numbness, bruises. Placement of rings presents certain technical difficulties. Recognizing this problem, special cone-shaped applicators are added to the system. Applicators facilitate the problem, but complicate the system and increase its cost.

Discomfort and pain may be caused by twisting of doubled rings during their transfer onto the penis and because of intertwining with pubic hair. Removal of constriction ring from erected penis could be painful too, especially when two or more rings are used together. In this case after removal of the first ring the penis is still engorged, as the remaining ring prevents blood outflow.

#### PATENT PENDING Erco-Ribbon ™-C CONFIDENTIAL Apr,1998

4

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Erco-Ribbon ™-C:

With the constrictor of given properties and dimensions, the user may prearrange desirable pressure by changing the tension and number of turns during wrapping. The present design radically reduces major technical difficulties of constriction ring associated with its placement on the vacuum chamber. A multyturn constriction ribbon is much easier to apply than a solid constriction ring as the force necessary to extend multyturn constrictor is much lower than for solid ring.

#### SUMMARY:

Erco-Ribbon ™-C has the same intended use as Predicate devices. Technological differences of Erco-Ribbon ™-C provide superior safety and performance.

Erco-Ribbon ™-C is substantially equivalent to constriction devices that have been marketed for many years.

PATENT PENDING Erco-Ribbon ™-C CONFIDENTIAL Dec.1998

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

FEB 2 4 1999

Yakov Altshuler, Ph.D. Vice President ERCONS, Inc. 66 Overlook Terrace, Suite 2E New York, NY 10040

Re: K990008 Erco-Ribbon™ -C, Accessory to Vacuum Erection Device Dated: December 23, 1998 Received: January 4, 1999 Unclassified/Procode: 78 LKY

Dear Dr. Altshuler:

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 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, 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.

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 requlation (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/dsma/dsmamain.html".

Sincerely yours,

signature

Capt. Daniel G. Schultz, M.D. Acting Director, Division of Reproductive, Abdominal, Ear, Nose and Throat, and Radiological Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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K990008

510(k) Number

Page 1 of 1

Device Name: Erco-Ribbon ™ -C

#### Indications for use:

Erco-Ribbon ™ - C is used to maintain penile rigidity in men with erectile dysfunction. It restricts blood outflow from the penis after the patient has obtained an erection (either with the aid of a vacuum pump, or naturally). Men with firm but short lasting erection may use constricting device separately. If a man is impotent to a degree that he is unable to achieve a natural erection, a vacuum constriction system may help him to overcome this dysfunction.

Erco-Ribbon ™ - C can be used for patients with following conditions:

- a) separately:
premature ejaculation,

firm but short lasting erection.

b) as a part of a vacuum constriction system:

Diabetes

Venous leakage

Prostatectomy

Hypertension

Psychogenic impotence

Impotence due to radiation therapy

Spinal cord injury

1

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

Prescription Use **__** OR Over-The-Counter Use

(Per 21 CFR 8 ***_*****_**) (Division Sign-Off)

Division of Reproductive, Abdominal, ENT,

4990008

and Radiological Devic

510(k) Number_