According to FDA, there is no such thing as a "cosmetic claim" for a device.
A cosmetic product has to meet the following criteria:
The Federal Food, Drug, and Cosmetic Act (FD&C Act) defines cosmetics by their intended use, as "articles intended to be rubbed, poured, sprinkled, or sprayed on, introduced into, or otherwise applied to the human body...for cleansing, beautifying, promoting attractiveness, or altering the appearance"
In other words, you can make "cosmetic claims" for a cream, ointment, powder, liquid etc, but not a device.
According to FDA, the definition of a device is:
A medical device is defined within the Food Drug & Cosmetic Act as "...an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including a component part, or accessory which is: recognized in the official National Formulary, or the United States Pharmacopoeia, or any supplement to them, intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or intended to affect the structure or any function of the body of man or other animals, and which does not achieve any of it's primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of any of its primary intended purposes."
Years ago I had a non-US client who had had a run-in with FDA over a plastic mask with slot for magnets which were supposed to be placed at the same locations as acupuncture sites. The manufacturer claim was that the mask would cause a lifting effect - same as many cosmetics. He firmly believed that the cosmetic intent freed him from having to get the device cleared, but that little clause in the device definition about affecting the structure in the device definition put it firmly in the jurisdiction of CDRH. FDA insisted in seeing a cleared 510(k) before allowing it to be marketed. He was willing initially, but dropped it after seeing the cost of testing and clearance.
There are some ugly warning letters on the FDA website and I warn my clients who I think might be trying to take the low road that once a warning letter is on the internet (I call it the "Hall of Shame"), a google search of the name of the CEO will forever after turn up that letter. That is usually enough to deter them from marketing a product that isn't properly cleared.
Good luck!
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Jean Bigoney PHD, RAC
Managing Member
Nu Device Consulting LLC
Murphy NC
United States
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Original Message:
Sent: 17-Aug-2017 11:38
From: LAURA HOSHUE
Subject: Identifying a predicate device for different anatomical sites
Ginger,
Again, I could not even begin to understand the nature of the complexity of trying to file for this device without your help, as well as others and your very informational, constructive feedback. I thank you again for the wealth of information. You are quite precise in all that you have stated and in your assessment. :)
They are trying to not mention the LED as a feature, but wish to make cosmetic claims post "clearance" (if that happens), claims that are cosmetic in nature only, but if mentioned in the 510(k), mention LED as simply an illumination source (turns on/lights up when inside the vagina). So does it matter if the claims made post clearance are purely cosmetic even though we mention in the 510(k) that it is just there to illuminate when in use? They are trying hard to make several claims, refusing to do any clinical studies and want the product out there before the predicate which is only available in UK and Canada, and under FDA review to date.
The push-back I am getting is "Well, what does FDA care if our claims are purely cosmetic even when we mention that the lights are simply there to "light" up?" Claims like a more supple vagina, more attractive vagina, etc. I have advised that claims of boosting collagen are not encouraged.
I am at my wit's end....
Thanks,
Laura
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Laura HoShue
Regulatory Compliance Specialist
Las Vegas, Nevada
USA
Original Message:
Sent: 17-Aug-2017 10:15
From: Ginger Glaser
Subject: Identifying a predicate device for different anatomical sites
You've got about 3 different issues here, honestly.
First - split predicates. Yes, they are possible. However, their typical use is in situations such as using one for the "indication for use" or "intended use" and another for the technology. However, you always have to, in addition , demonstrate that your use does not raise new clinical risks as compared to the predicate. I must admit I am struggling with how treating acne and trying to "tighten" vaginal tissue could possibly have similar risks. Plus, you should search into that acne treatment, as I suspect they had some type of clinical data supporting their use before getting clearance.
Second - OTC. OTC doesn't necessarily rely on a predicate. There are plenty of products that have "gone" OTC simply by demonstrating their safety in the hands of consumers without physician instruction. This is often done by conducting usability or clinical studies. Once again, I tend to doubt that something this novel will be able to make that shift without some type of clear study - particularly if they are trying to go the route of making some of the claims you listed in a previous post (many of which I think FDA would reject out of hand).
Please don't take this wrong (because I know you are trying hard to get them on the right path), but it sounds more and more like someone in this company wants to have one of these "shyster products" that gets sold on late night TV or something. The space in which they want to play is 1) very complex, 2)sits in a very conservative CDRH branch and 3) is replete with litigation if something goes wrong (feel free to google vaginal mesh, morcellators for fibroids, birth control devices etc if you aren't aware of that). None of this bodes well for a largely unproven technology that seems to want to skirt the FDA oversight process to a great degree.
My advise to you would be to be very clear on the requirements to the company, and very clear on the device intent in your FDA filings, lest you spend way too much of the rest of your life giving depositions in the eventual legal proceedings.
g-
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Ginger Glaser RAC
Vice-President, Engineering
MN
Original Message:
Sent: 16-Aug-2017 18:17
From: LAURA HOSHUE
Subject: Identifying a predicate device for different anatomical sites
Team,
The device we are working on does not have a cleared, already marketed predicate. To date, there are laser devices for the vagina that are non-OTC and, LED devices for treating acne. Can we use a combination of devices as predicates? The vaginal rejuvenation device with LED (new device), OTC and some aspects of the OTC device for acne treatment using LED? I know this is a stretch, but how can I explain to my colleagues and management, that this will NOT be accepted?
Thanks,
Laura
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Laura HoShue
Regulatory Compliance Specialist
Las Vegas, Nevada
USA
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