EYE SEE MULTIPURPOSE CONTACT LENS SOLUTION

K070767 · Lapis Lazuli International NV · LPN · Jul 24, 2007 · Ophthalmic

Device Facts

• Record ID: K070767
• Device Name: EYE SEE MULTIPURPOSE CONTACT LENS SOLUTION
• Applicant: Lapis Lazuli International NV
• Product Code: LPN · Ophthalmic
• Decision Date: Jul 24, 2007
• Decision: SESE
• Submission Type: Traditional
• Regulation: 21 CFR 886.5928
• Device Class: Class 2

Intended Use

The EYE SEE™ Multipurpose Contact Lens Solution is indicated for use in the daily cleaning, removal of protein deposits, rinsing, chemical (not heat) disinfection, and storage of soft (hydrophilic) contact lenses, as recommended by your eye care practitioner.

Device Story

EYE SEE™ Multipurpose Contact Lens Solution is a sterile, isotonic, buffered chemical solution used for soft contact lens care. It contains boric acid, sodium chloride, HPMC (lubricant), poloxamer 407 (surfactant), disodium edetate (chelating agent), and polyhexanide (preservative). The device is packaged in plastic bottles with controlled dropper tips. It is intended for over-the-counter use by patients to clean, disinfect, and store lenses. This submission updates the regimen from a 4-hour soak to a 10-minute express disinfection process. The solution acts chemically to remove deposits and disinfect lenses, supporting patient eye health by maintaining lens hygiene.

Clinical Evidence

No new clinical data was generated for this submission. The manufacturer references clinical study results from the previously cleared 510(k) K051104. Microbiological testing was performed to validate the 10-minute express disinfection efficacy, confirming the product met primary stand-alone criteria.

Technological Characteristics

Sterile, isotonic, buffered solution. Ingredients: boric acid, sodium chloride, HPMC, poloxamer 407, disodium edetate, purified water, polyhexanide (0.00015%). Form factor: plastic bottle with controlled dropper tip. Chemical disinfection principle. No software or electronic components.

Indications for Use

Indicated for daily cleaning, protein removal, rinsing, chemical disinfection, and storage of soft (hydrophilic) contact lenses for patients as recommended by an eye care practitioner.

Regulatory Classification

Identification

A soft (hydrophilic) contact lens care product is a device intended for use in the cleaning, rinsing, disinfecting, lubricating/rewetting, or storing of a soft (hydrophilic) contact lens. This includes all solutions and tablets used together with soft (hydrophilic) contact lenses and heat disinfecting units intended to disinfect a soft (hydrophilic) contact lens by means of heat.

Special Controls

*Classification.* Class II (Special Controls) Guidance Document: “Guidance for Industry Premarket Notification (510(k)) Guidance Document for Contact Lens Care Products.”

Predicate Devices

• EYE SEE™ Multipurpose Contact Lens Solution (K051104)
• Aquify® Multi-Purpose Solution (Ciba Vision)

Submission Summary (Full Text)

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# JUL 2 4 2007

# 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: | K070767 |
|--------------------------------|---------|
|--------------------------------|---------|

#### Applicant information:

Date Prepared:

July 5, 2007

Name: Lapis Lazuli International NV Address Damsluisweg 48 1332 ED Almer The Netherlands

Contact Person:

Phone number:

USA Consultant:

Phone number: Fax number: Email address:

MedVice Consulting, Inc. Mr. Martin Dalsing [phone] [phone] [e-mail]

Mr. Mark Berkouwer Executive Officer

[phone]

#### Device Information:

| Device Classification: | Class II |
|------------------------|--------------|
| Classification Number: | LPN 886.5928 |

Classification Name: Accessories, soft lens products Soft (hydrophilic) contact lens care products

#### Trade Name:

#### EYE SEE™ Multipurpose, Contact Lens Solution

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### Purpose of 510(k) Submission:

Change in Directions for Use.

Change from 4 hour soak to a 10 Minute Express Disinfection, will be added to the Labeling and Directions for Use of Lapis Lazuli International's previously cleared 510(k) K051104~

Lapis Lazuli International NV Co. Ltd proposes to market and sell in United States interstate commerce, The EYE SEE™ Multipurpose Contact Lens Solution with a new directions for use, the change from 4 hour soak to a 10 minute express disinfection. Data supporting the 10-minute express disinfection is contained in this submission. The EYE SEE™ Multipurpose Contact Lens Solution is the same solution as cleared in 510(k) K051104. Equivalent Devices:

The EYE SEE™ Multipurpose Contact Lens Solution is substantially equivalent in terms of its actions and indications for use to the following predicate devices:

#### PREDICATE DEVICES ~

- The EYE SEE™ Multipurpose Contact Lens Solution Manufactured by Lapis . Lazuli International NV Co. Ltd.
- The Aquify® Multi-Purpose Solution Manufactured by Ciba Vision". .

The EYE SEE™ Multipurpose Contact Lens Solution meets the guidelines set forth in FDA's May 1, 1997 Guidance for Industry; Premarket Notification 510(k) Guidance Document for Contact Lens Care Products.

#### Device Description:

The EYE SEE™ Multipurpose Contact Lens Solution is a sterile, isotonic, buffered, solution containing boric acid, sodium chloride, Hydroxypropyl Methylcellulose (HPMC) as a lubricant, poloxamer 407 as a surfactant, disodium edetate as chelating agent, purified water and preserved with polyhexanide.

The EYE SEE™ Multipurpose Contact Lens Solution is a clear, colorless solution packaged in plastic bottles with controlled dropper tips.

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### Intended Use:

The EYE SEE™ Multipurpose Contact Lens Solution is indicated for use in the daily cleaning, removal of protein deposits, rinsing, chemical (not heat) disinfection, and storage of soft (hydrophilic) contact lenses, as recommended by your eye care practitioner.

## Pre-Clinical Performance Data:

Data to demonstrate all indications: daily cleaning, rinsing, chemical (not heat) disinfecting, and storage of soft (hydrophilic) contact lenses, of the EYE SEE™ Multipurpose, Contact Lens Solution can be referenced in Lapis Lazuli 510(k) K051104 which shows all results are satisfactory. Permission to reference 510(k) K051104 is included in this 510(k).

Chemistry Testing: Reference 510(k) K051104 for all of the following chemistry testing:

- 1. Solution Compatibility
- 2. Cleaning Effectiveness
- 3. Stability
- 4. Enzymatic Cleaning Studies

Microbial Testing: Microbiological studies were conducted to demonstrate the microbial efficacy of EYE SEE™ Multipurpose Contact Lens Solution for 10 Minute Express Disinfection. This testing concluded that the product met primary stand-alone criteria.

Preservative Effectiveness with Re-challenge was conducted and met requirements for the Preservative Efficacy Test for Multi-Dos Preserved Contact Lens Care Products. This data can be referenced in 510(k) K051104.

Toxicology Testing: A series of Toxicology studies were conducted to demonstrate the safety of EYE SEE™ Multipurpose Contact Lens Solution and to demonstrate the safety of the packaging system. Results of the testing demonstrated that EYE SEE™ Multipurpose Contact Lens Solution is non-toxic and is a non-irritant. Reference 510(k) K051104

## Clinical Study:

A clinical study has been conducted, and results of this study can be referenced in the previously cleared 510(k) K051104.

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# Substantial Equivalence:

The EYE SEE™ Multipurpose, Contact Lens Solution is substantially equivalent in terms of its actions and indications for use to the following predicate devices:

- The EYE SEE™ Multipurpose, Contact Lens Solution Manufactured by . Lapis Lazuli International NV Co. Ltd.
- The Aquify® Multi-Purpose Solution Manufactured by Ciba Vision®. .

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## SUBSTANTIAL EQUIVALENCY CHART

. . . .

| Substantial<br>Equivalency | EYE SEE™<br>MULTIPURPOSE<br>SOLUTION | The Aquify® Multi-<br>Purpose Solution |
|----------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
| Manufacture | Lapis Lazuli International | Ciba Vision® |
| INTENDED<br>USE | The EYE SEE Multipurpose<br>Contact Lens Solution is<br>indicated for use in the daily<br>cleaning, removing protein<br>deposits, rinsing, chemical (not-<br>heat) disinfecting and storage of<br>soft (hydrophilic) contact<br>lenses, as recommended by your<br>eye care practitioner. | The Aquify® Multi-Purpose<br>Solution is indicated for the<br>care of soft hydrophilic contact<br>lenses. Use this product as<br>recommended by our eye care<br>practitioner to: Chemically<br>(NOT HEAT) Disinfect, Clean,<br>Rinse, Store, Remove Protein |
| Preservative | Polyhexanide 0.00015%, | Polyhexanide 0.00015%, |
| Chelating Agent | Disodium edetate | Disodium edetate |
| Lens Care<br>Regimen | Rub and Rinse<br>10 Minute Express | Rub and Rinse<br>5 Minute Express |
| Sterility Claim | Sterile | Sterile |

.

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Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

JUL 2 4 2007

Lapis Lazuli International, NV c/o Mr. Martin Dalsing Medvice Consulting, Inc. 2214 Sanford Drive Suite B7 Grand Junction, CO 81503

Re: K070767

Trade/Device Name: EYE SEE™ Multipurpose Contact Lens Solution Regulation Number: 21 CFR 886.5928 Regulation Name: Soft (hydrophilic) contact lens care products Regulatory Class: Class II Product Code: LPN Dated: July 5, 2007 Received: July 12, 2007

Dear Mr. Dalsing:

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. 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 (PMA), 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 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 801); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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This letter will allow you to begin marketing your device as described in your Section 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), please contact the Center for Devices and Radiological Health's (CDRH's) Office of Compliance at [phone]. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding postmarket surveillance. please contact CDRH's Office of Surveillance and Biometric's (OSB's) Division of Postmarket Surveillance at 240-276-3474. For questions regarding of device adverse events (Medical Device Reporting (MDR)), please contact the Division of Surveillance Systems at 240-276-3464. You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number [phone] or [phone] or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours,

M.B. Egerlums, mD

Malvina B. Eydelman, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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# INDICATIONS FOR USE STATEMENT

K070767 510(k) Number:

Device Name: EYE SEE™ Multipurpose Contact Lens Solution

#### INDICATIONS FOR USE:

The EYE SEE™ Multipurpose Contact Lens Solution is indicated for use in the daily cleaning, removal of protein deposits, rinsing, chemical (not heat) disinfection, and storage of soft (hydrophilic) contact lenses, as recommended by your eye care practitioner.

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

| | Concurrence of CDRH, Office of Device Evaluation (ODE) | |
|------------------------------------------|--------------------------------------------------------|------------------------|
| | Marc Roblay | |
| | (Division Sign-Off) | |
| | Division of Ophthalmic Ear, | |
| | Nose and Throat Devises | |
| 510(k) Number | K070767 | |
| Prescription Use<br>(Per 21 CFR 801.109) | or<br>(Optional Format 1-2-96) | Over-The-Counter Use X |