vPATCH

K223595 · Virility Medical , Ltd. · QRC · May 1, 2023 · Gastroenterology, Urology

Device Facts

• Record ID: K223595
• Device Name: vPATCH
• Applicant: Virility Medical , Ltd.
• Product Code: QRC · Gastroenterology, Urology
• Decision Date: May 1, 2023
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 876.5026
• Device Class: Class 2
• Attributes: Therapeutic

Indications for Use

The vPatch is indicated for management of premature ejaculation in males who ejaculate after intromission. It is designed to increase the time between arousal and ejaculation by delivery of short duration, low-intensity electrical stimulation to the perineal muscles and nerves during intercourse.

Device Story

vPATCH is a single-use, disposable, wearable patch applied to the perineum by the user prior to intercourse. It delivers short-duration, low-intensity electrical muscle stimulation (EMS) to perineal muscles and nerves. Stimulation induces pelvic floor muscle contractions, delaying rhythmic ejaculation contractions and increasing time between arousal and ejaculation. Device is operated by the patient (self-use) in a home environment. It features two intensity levels (High/Low) and a 15-minute maximum stimulation duration. The user selects the appropriate intensity level to manage premature ejaculation. The device is non-sterile and constructed from hydrogel, polyolefin foam, and thermoplastic elastomer.

Clinical Evidence

No clinical trials were conducted. Evidence consists of bench testing (biocompatibility, shelf-life, dimensional validation, bonding strength, liquid ingress, power performance) and a human factors validation study. The human factors study included label comprehension and self-selection testing with representative users (indicated, not indicated, and contraindicated groups) in a simulated-use format to confirm safe and effective OTC use.

Technological Characteristics

Single-use, non-sterile patch. Materials: hydrogel, polyolefin foam, thermoplastic elastomer. Principle: electrical muscle stimulation (EMS) via integrated electrodes. Energy: battery-powered. Dimensions/Form: wearable patch. Connectivity: standalone. Software: embedded firmware for stimulation control. Biocompatibility per ISO 10993-1.

Indications for Use

Indicated for management of premature ejaculation in males who ejaculate after intromission. Designed to increase time between arousal and ejaculation via perineal electrical stimulation during intercourse. For OTC use.

Regulatory Classification

Identification

A non-implanted electrical stimulation device for management of premature ejaculation is intended to be used in patients with premature ejaculation by delivery of electrical stimulation to the perineal muscles and nerves.

Special Controls

In combination with general controls of the Food Drug & Cosmetic Act, the non-implanted electrical stimulation device for management of premature ejaculation is subject to the following special controls:

*Classification.* Class II (special controls). The special controls for this device are:(1) The device must be demonstrated to be biocompatible. (2) Performance testing must demonstrate the electromagnetic compatibility, electrical safety, and thermal safety of the device. (3) Non-clinical performance testing must demonstrate that the device performs as intended under anticipated conditions of use. The following performance characteristics must be tested: (i) Mechanical performance; (ii) Electrical stimulation parameters; and (iii) Battery performance. (4) Performance testing must support shelf life by demonstrating continued device functionality over the identified shelf life. (5) Software verification, validation, and hazard analysis must be performed. (6) Labeling must include: (i) Specific instructions regarding safe placement and correct use of the device; (ii) Warning(s) against use by patients with active implanted medical devices; and (iii) A shelf life.

Predicate Devices

• vPATCH (DEN210012)

Submission Summary (Full Text)

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May 1, 2023

Virility Medical, Ltd. % Bosmat Friedman Regulatory Consultant ProMedoss, Inc. 3521 Hatwynn Rd. Charlotte, NC 28269

Re: K223595

Trade/Device Name: vPATCH Regulation Number: 21 CFR§ 876.5026 Regulation Name: Non-Implanted Electrical Stimulation Device for Management of Premature Ejaculation Regulatory Class: II Product Code: QRC Dated: April 3, 2023 Received: April 3, 2023

Dear Bosmat Friedman:

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, 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.

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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 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/combination-products/guidance-regulatoryinformation/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the quality systems (OS) 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 https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). 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 (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email ([e-mail]) or phone [phone] or 301-796-7100).

Sincerely.

# Mark J. Antonino -S

Mark J. Antonino, M.S. Assistant 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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DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration

### Indications for Use

Form Approved: OMB No. 0910-0120 Expiration Date: 06/30/2023 See PRA Statement below.

### 510(k) Number (if known)

K223595

Device Name vPATCH

Indications for Use (Describe)

The vPatch is indicated for management of premature ejaculation in males who ejaculate after intromission. It is designed to increase the time between arousal and ejaculation by delivery of short duration, low-intensity electrical stimulation to the perineal muscles and nerves during intercourse.

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)

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# 510(K) SUMMARY [as required by section 807.92(c)] vPATCH 510(k) Number K223595

#### 5.1. SUBMITTER

# Applicant's Name and Address:

Virility Medical, Ltd. 24 Hanagar St. Hod-Hasharon 4527713 Israel Phone: [phone]

### Primary Contact:

Bosmat Friedman Regulatory Affairs Consultant 3521 Hatwynn Rd. Charlotte, NC 28269 Phone: [phone] bosmat.f(@promedoss.com

#### 5.2. DEVICE

Trade Name: vPATCH

Classification: Name: Non-Implanted Electrical Stimulation Device for Management of Premature Ejaculation Product Code: QRC Regulation No: 876.5026 Class: 2 Medical Specialty: Gastroenterology/Urology Review Panel: GastroRenal, ObGyn, General Hospital, and Urology Devices (OHT3) Reproductive, Gynecology and Urology Devices (DHT3B)

#### PREDICATE DEVICE 5.3.

vPATCH, manufactured by Virility Medical, Ltd., De-Novo granted DEN210012; Product Code: ORC.

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

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#### 5.4. -DEVICE DESCRIPTION

The vPATCH is a single-use disposable patch designed to manage premature ejaculation. It contains electrodes that deliver electrical muscle stimulation (EMS) to the perineal muscles during intercourse to help the user postpone ejaculation. The patch works by delivering shortduration, low-intensity EMS to the perineal muscles and nerves during intercourse. The stimulation contracts the pelvic floor muscles, which consequently delays rhythmic contractions of ejaculation. This increases the time between arousal and ejaculation.

The vPATCH is comprised of several layers which include the cover, electrical circuit board including batteries, and adhesive electrodes. The skin-contacting materials are hydrogel, polyolefin foam, and thermoplastic elastomer (TPE).

The vPATCH is available in two intensity levels (High and Low).

#### 5.5. INDICATIONS FOR USE

The vPATCH is indicated for management of premature ejaculation in males who ejaculate after intromission. It is designed to increase the time between arousal and ejaculation by delivery of short duration, low-intensity electrical stimulation to the perineal muscles and nerves during intercourse.

* OTC use

#### SUBSTANTIAL EQUIVALENCE 5.6.

The subject and predicate devices are both single use patches applied to perinium for the management of premature ejaculation.

| Feature | Subject Device<br>vPATCH | Predicate Device<br>vPATCH (DEN210012) | Comparison to Predicate |
|---------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Reg. Number | 876.5026 | 876.5026 | Same |
| Product Code | QRC | QRC | Same |
| Indication for<br>Use | The vPATCH indicated for<br>management of premature<br>ejaculation in males who ejaculate<br>after intromission. It is designed to<br>increase the time between arousal<br>and ejaculation by delivery of short<br>duration, low-intensity electrical<br>stimulation to the perineal muscles<br>and nerves during intercourse.<br>* OTC use | The vPATCH indicated for<br>management of premature<br>ejaculation in males who ejaculate<br>after intromission. It is designed to<br>increase the time between arousal<br>and ejaculation by delivery of short<br>duration, low-intensity electrical<br>stimulation to the perineal muscles<br>and nerves during intercourse.<br>* Rx use | Same wording of indications<br>for use; The proposed<br>vPATCH has OTC indication<br>vs. Rx indication of the<br>predicate; HF testing<br>including labeling<br>comprehension and self-<br>selection support the<br>expanded indication |
| Principle of<br>Operation | Patch is applied to the perineum prior<br>to intercourse and switched on to | Patch is applied to the perineum<br>prior to intercourse and switched on | Same |

The following table provides a comparison with the predicate:

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| Feature | Subject Device<br>vPATCH | Predicate Device<br>vPATCH (DEN210012) | Comparison to Predicate |
|------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------|
| | induce stimulation | to induce stimulation | |
| Biocompatibility | The vPATCH underwent<br>cytotoxicity, sensitization and<br>irritation testing | The vPATCH underwent<br>cytotoxicity, sensitization and<br>irritation testing | Same |
| Single use | Yes | Yes | Same |
| Sterility | Not sterile | Not sterile | Same |
| Packaging<br>Configuration | Available in two package<br>configurations for high and low<br>intensities; each package type<br>contains 4 patches of the same<br>intensity. | Available in three package<br>configurations. The high and low<br>intensity patches are provided in<br>packages that include 4 patches with<br>the same intensity. The new<br>vPATCH starter kit includes one<br>low intensity patch and one high<br>intensity patch to allow the user to<br>decide which intensity is right for<br>him. | A new starter kit was<br>developed to support the OTC<br>indication and allow the user<br>to identify the correct<br>intensity for him. |
| Stimulation<br>Current | HIGH Intensity: 14.3mA LOW<br>Intensity: 9.9mA | HIGH Intensity: 14.3mA LOW<br>Intensity: 9.9mA | Same |
| Maximal<br>Stimulation<br>Duration | 15 minutes | 15 minutes | Same |

Any differences in technological characteristics do not raise different questions of safety or effectiveness.

#### 5.7. PERFORMANCE DATA

As a result of some minor device differences, the following pre-clinical tests were repeated/performed:

# Biocompatibility:

The following biocompatibility tests were repeated in accordance with FDA Guidance "Use of International Standard ISO 10993-1, "Biological evaluation of medical devices -- Part 1: Evaluation and testing within a risk management process" (September 2020) and the applicable recognized standards:

- -Cytotoxicity
- Sensitization -
- Irritation -

# Non-Clinical Performance Testing:

The following non-clinical performance tests were performed:

- Shelf-Life testing To demonstrate the packaging integrity and functionality of the -

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vPATCH is maintained over its claimed shelf-life duration

- Dimensional validation To demonstrate that critical measurements of the vPATCH are maintained and are consistent during production
- Cover bonding strength To demonstrate the suitability of the bonding strength of the vPATCH cover
- Liquid ingress protection To demonstrate the adequate level of protection of the vPATCH against liquid ingress
- Power performance To demonstrate the satisfactory power performance of the vPATCH device throughout its claimed shelf-life

### Usability Testing:

The human factors validation study was combined with a self-selection study and label comprehension study. The combined study was completed using representative users of the vPATCH from three (3) groups (Indicated, Not Indicated, Contraindicated).

The human factors validation study was conducted in a simulated-use format in which intended users performed the tasks that are necessary to use the vPATCH as intended.

Participants had access to the patch itself, the instructions for use (IFU), and any relevant accessories. The results of the study were analyzed to identify root causes of any difficulties or use errors observed during testing. After the validation study concluded, a supplemental study was conducted to gather data to corroborate a minor design change made to further improve usability of the Product.

The yPATCH has been found to be safe and effective for the intended users, uses, and use environments.

#### 5.8. CONCLUSION

The main reason for this submission is to expand the current Rx indication of the vPATCH to an OTC indication. In support of this change, the company has conducted a Human Factors study which included label comprehension and self-selection demonstrating that the intended user population are able to correctly identify themselves as intended users as well as correctly use the device without the need for guidance or intervention of a healthcare professional. With respect to technological differences, the minor modifications implemented to the device have been verified via pre-clinical testing supporting our claim that the vPATCH is as safe and effective as its predicate. The company has provided sufficient pre-clinical and usability testing to demonstrate substantial equivalency to the predicate device. Consequently, it is clear that the vPATCH device is as safe and effective as its predicate and the proposed modifications do not raise any new safety and/or effectiveness concerns.