Other-Sonic Transmission Gel

{0}------------------------------------------------ Image /page/0/Picture/0 description: The image contains the logo of the U.S. Food and Drug Administration (FDA). The FDA logo consists of two parts: the Department of Health & Human Services logo on the left and the FDA acronym along with the full name of the agency on the right. The Department of Health & Human Services logo is a stylized representation of a human figure, while the FDA part includes the acronym "FDA" in a blue square and the words "U.S. FOOD & DRUG ADMINISTRATION" in blue text. Pharmaceutical Innovations, Inc. Shirley J. Bergman Vice President 897 Frelinghuvsen Ave. NEWARK, NJ 07114 January 8, 2018 Re: K163023 Trade/Device Name: Other-Sonic TM Transmission Gel Regulation Number: 21 CFR 892.1570 Regulation Name: Diagnostic ultrasonic transducer Regulatory Class: Class II Product Code: MUI Dated: December 8, 2017 Received: December 13, 2017 Dear Ms. Bergman: 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. 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. 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); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050. {1}------------------------------------------------ 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 http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance. 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/DeviceRegulationandGuidance/) and CDRH Learn (http://www.fda.gov/Training/CDRHLearn). 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 (http://www.fda.gov/DICE) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100). Sincerely, Michael D. O'Hara For Robert A. Ochs. Ph.I Director Division of Radiological Health Office of In Vitro Diagnostics and Radiological Health Center for Devices and Radiological Health Enclosure {2}------------------------------------------------ # Indications for Use 510(k) Number (if known) K163023 Device Name Other-Sonic™ Transmission Gel Indications for Use (Describe) Other-Sonic™ Transmission Gel is intended for general use as a non-sterile transmission media for acoustically coupling a transducer to a human body surface during external therapeutic and diagnostic ultrasound imaging procedures. It is placed on the patient's skin or on the transducer prior to initiating an ultrasound examination. Type of Use (Select one or both, as applicable) | <div> <span> <span style="font-size:16px">☑</span> Prescription Use (Part 21 CFR 801 Subpart D) </span> </div> | <div> <span> <span style="font-size:16px">☐</span> Over-The-Counter Use (21 CFR 801 Subpart C) </span> </div> | |------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------| |------------------------------------------------------------------------------------------------------------------------|-----------------------------------------------------------------------------------------------------------------------| ### CONTINUE ON A SEPARATE PAGE IF NEEDED. 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Image /page/3/Picture/3 description: The image shows a logo with a flag on the left side and text on the right side. The flag has the letter "E" and a star on it. The text on the right side reads "PRESIDENT OF THE UNITED STATES HIGHEST AWARD FOR EXCELLENCE IN EXPORTING". Newark, New Jersey 07114-2195 · (973) 242-2900 · Fax: # 510(k) Summary # Other-Sonic™ Transmission Gel # I. SUBMITTER Pharmaceutical Innovations, Inc. 897 Frelinghuysen Ave. Newark, New Jersey 07114-2195 Phone: (973) 242-2900 Fax: (973) 242 0578 Contact Person: Ms. Shirley J Bergman Vice President. Date Prepared: Friday, October 21, 2016 # II. DEVICE Name of Device: Other-Sonic™ Transmission Gel Classification Name: Diagnostic ultrasonic transducer (accessory) (21 CFR 892.1570) Regulatory Class: II Product Code: MUI # III. PREDIČATE DEVIČE Device Name: Sonishield™ 100 Antimicrobial Ultrasound Gel Classification Name: Diagnostic ultrasonic transducer. (21 CFR 892.1570) Regulatory Class: II Product Code: MUI 510K Number: K151070 Additional Reference Device: Ecogel 100 Ultrasound Gel Classification Name: Diagnostic ultrasonic transducer. (21 CFR 892.1570) Regulatory Class: II Product Code: ITX 510K Number: K961757 {4}------------------------------------------------ Image /page/4/Figure/1 description: The image shows a logo with a stylized letter 'P' inside a rounded square frame. The 'P' is formed by two parallel lines with curved tops, creating a sense of depth and dimension. The logo is colored in a light blue hue, which gives it a clean and modern appearance. The overall design is simple yet distinctive, making it easily recognizable. Image /page/4/Picture/3 description: The image shows a logo with a flag on the left and text on the right. The flag has the letter 'E' and a star on it. The text reads 'PRESIDENT OF THE UNITED STATES HIGHEST AWARD FOR EXCELLENCE IN EXPORTING'. The logo appears to be an award or recognition for excellence in exporting. venue · Newark, New Jersey 07114-2195 · (973) 242-2900 · Fax: (973) 242 # IV. DEVICE DESCRIPTION Other-Sonic™ Transmission Gel is an aqueous, non-sterile ultrasound conducting medium for use during non-invasive ultrasonic medical procedures. It is placed between the ultrasound transducer and the patient, eliminating air at the contact surface while providing lubrication. This provides an acoustic pathway between the transducer and the skin. This uninterrupted pathway allows the transducer to send sound waves which enter the body, and to receive echoes from tissues and structures without unexpected interference. When the echoes are received by the scanner, it analyzes them to determine how strong they are, and how long they took to be received after transmission. That information is then processed and outputted to a display as an image which is used for diagnostic and therapeutic purposes by health care professionals. It is packaged in 5L Cubitainers and 250 mL bottles. # Major characteristics include: - Non-sensitizing, non-irritating ● - Water soluble, non-staining, and easily cleanable - . Does not contain oil or fatty matter - Does not damage the probe - pH level is 6.80 ± 0.25 @ 25°C - Resists thinning and decomposition when exposed to perspiration and body heat - Sheer thinning gel is easy to apply, but doesn't run or drip - High viscosity allows for thick application, adapting to contours and hair to minimize interference # V. INDICATIONS FOR USE The Indications for Use statement is as follows: Other-Sonic™ Transmission Gel is intended for general use as a non-sterile transmission media for acoustically coupling a transducer to a human body surface during external therapeutic and diagnostic ultrasound imaging procedures. It is placed on the patient's skin or on the transducer prior to initiating an ultrasound examination. The product is indicated for prescription use only. {5}------------------------------------------------ Image /page/5/Figure/1 description: The image shows a logo with a stylized letter 'H' inside an oval shape, all enclosed within a square border. The 'H' is formed by two parallel lines with curved tops, giving it a unique and modern look. The oval shape encircles the top part of the 'H', adding depth to the design. The entire logo is rendered in a light blue color, providing a clean and professional appearance. Image /page/5/Picture/3 description: The image shows a logo with a flag on the left and text on the right. The flag has the letter E on it and a star above it. The text on the right says "PRESIDENT OF THE UNITED STATES HIGHEST AWARD FOR EXCELLENCE IN EXPORTING". 897 Frelinghuysen Avenue · Newark, New Jersey 07114-2195 · (973) 242-2900 · Fax: (973) 242-0578 # VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH THE PREDICATE DEVICE Other-Sonic™ Transmission Gel has substantially the same technological characteristics as the predicate device, as well as the reference device. The three are compared below: | Subject | Other-Sonic™ Transmission<br>Gel | Sonishield™ 100<br>Antimicrobial Ultrasound<br>Gel | Ecogel 100<br>Ultrasound Gel | |----------------------------------------------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|--------------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------------------------------------| | Intended Use | External | External | External | | Ingredients | Salt free | Salt free | Salt free | | | Blue coloring | Dye free | Green coloring* | | | Alcohol free | Alcohol free | Alcohol free | | | Formaldehyde free | Formaldehyde free | Formaldehyde free | | | Contains fragrance | Perfume free | Perfume free | | Physical<br>Properties | Twist cap for accurate<br>dispensing<br>(Snap-top on Cubitainers) | Twist cap for accurate<br>dispensing | Twist cap for<br>accurate<br>dispensing | | | Twist-off top for quick<br>refilling. | Flip-top can for quick<br>refilling | Flip-top can for<br>quick refilling | | Chemical<br>Properties | High clarity | Very high clarity | Good clarity | | | Bacteriostatic, nonsensitizing | Hypoallergenic,<br>bacteriostatic,<br>nonsensitizing | Hypoallergenic,<br>bacteriostatic,<br>nonsensitizing | | | pH 6.80 ± 0.25 | pH 4.5 - 6.5 | pH 6.5 ± 0.75 | | | Density (g/mL) = 1.033 | Density (g/mL) = 1.009 | Density (g/mL) =<br>0.99 | | | Stabilized, high viscosity<br>formulation resists melting<br>and decomposition from<br>body heat and perspiration,<br>providing lasting<br>conductivity with zero or<br>minimal reapplication. | Very clear screen image<br>with high viscosity and<br>vacuum process. No rapid<br>melting from high<br>viscosity gel. | It has low viscosity.<br>It melts<br>immediately from<br>low viscosity | | | Viscosity 966,000 ± 483,000<br>CPS | Viscosity 80,000 - 120,000<br>CPS | Viscosity 35,000 -<br>40,000 CPS | | | Boiling Point > 200° C | Boiling point > 200° C | Boiling point 100°<br>C | | | Water soluble high MW<br>polymers | Water soluble high MW<br>polymer | Water soluble high<br>MW polymer | | | No irritation | No irritation | No irritation | | Process | Normal process | It has a rapid<br>manufacturing process | Normal process | | | Standard bottle (Cubitainers<br>for refilling) | Sonishield™ employs a<br>soft bottle for ease of use. | Standard bottle | | Subject | Other-Sonic™ Transmission<br>Gel | Sonishield™ 100<br>Antimicrobial Ultrasound<br>Gel | Ecogel 100<br>Ultrasound Gel | | Normal process | Normal process | Sonishield™ production<br>employs a closed-loop<br>system so there is no<br>pollution transmission.<br>Product is manufactured<br>very cleanly | Normal process | | Standard production area | Standard production area | Standard production area | Standard<br>production area | | Standard process<br>manufactured to release<br>specifications. | Standard process<br>manufactured to release<br>specifications. | Standard process<br>manufactured to release<br>specifications. | Standard process | | Label | Standard information | Standard information on<br>polyethylene label to<br>prevent loss of lettering | Standard<br>information | | Design | Conical cap on bottles. Snap<br>top cap on Cubitainers. | Bottle diameter designed<br>to be compatible with<br>ultrasound device. Bottle<br>cap is designed for ease of<br>opening and closing with<br>one hand. | Conical cap | | Safety | Other-Sonic™ Transmission<br>Gel label contains<br>appropriate warnings and<br>characteristics | Sonishield™ label contains<br>appropriate warnings and<br>characteristics (Latex free,<br>PVC-free) | Standard<br>information | | Environment<br>of Use | Hospital | Hospital | Hospital | | Target<br>Population | Pediatric and adult | Pediatric and adult | Pediatric and adult | | Use | Multiple Uses | Multiple uses | Multiple uses | | Material<br>(Package) | Polyethylene | Polyethylene | Polyethylene | | Patient<br>Contact<br>Materials | Probe | Probe | Probe | | Energy Type | Electricity only for the<br>ultrasound device | Electricity only for the<br>ultrasound device | Electricity only for<br>the ultrasound<br>device | {6}------------------------------------------------ Image /page/6/Picture/11 description: The image is a logo with a stylized letter 'H' inside a rounded square. The 'H' is formed by two vertical lines with a curved element connecting them at the top, resembling a stylized oval. The entire logo, including the 'H' and the square border, is outlined in blue. Image /page/6/Picture/3 description: The image shows a logo with a flag on the left and text on the right. The flag has the letter 'E' and a star on it. The text on the right reads 'PRESIDENT OF THE UNITED STATES HIGHEST AWARD FOR EXCELLENCE IN EXPORTING'. The logo appears to be an award or recognition for excellence in exporting. ghuysen Avenue · Newark, New Jersey 07114-2195 · (973) 242-2900 · Fax: (973) 242-0578 * The predicate device 510K (K151070) summary lists Ecogel 100 as not containing dye, while the Konix Ultrasound Gel (K101952) 510K summary, which also used Ecogel 100 as a predicate, lists Ecogel 100 as being dyed green. It is in fact, dyed green. {7}------------------------------------------------ Image /page/7/Picture/25 description: The image is a logo with a blue outline of a square. Inside the square is a stylized letter 'H', also in blue. The 'H' is designed with curved lines and has a three-dimensional appearance, with the left and right sides of the 'H' appearing to be slightly offset from each other. An oval shape surrounds the top portion of the 'H', adding to the logo's unique design. Image /page/7/Picture/3 description: The image shows a logo with a flag on the left side and text on the right side. The flag has the letter "E" and a star on it. The text on the right side says "PRESIDENT OF THE UNITED STATES HIGHEST AWARD FOR EXCELLENCE IN EXPORTING". ue · Newark, New Jersey 07114-2195 · (973) 242-2900 · Fax: (9 # VII. PERFORMANČE DATA The following performance data was provided in support of the substantial equivalence determination. ### Non-clinical performance Acoustic: Other-Sonic™ Transmission Gel was evaluated for its acoustic performance. Results indicate that the acoustic properties of the gel are: - 1. Virtually identical to that of human skin. - 2. Similar to other coupling gels commonly used in the United States. The acoustic properties of Other-Sonic™ Transmission Gel and Sonishield™ 100 Antimicrobial Ultrasound Gel are as follows: | Property | Other-Sonic™<br>Transmission Gel | Sonishield™ 100<br>Antimicrobial<br>Ultrasound Gel | |-------------------------------------------------------------------------|----------------------------------|----------------------------------------------------| | Sound velocity (m/sec) | 1601 ms-1 at 22.5°C | 1497 ms-1 at 30°C | | Density (kg/m3) | 1033 kg/ m3 at 22.5°C | 1023 kg/ m3 at 30°C | | Acoustic impedance (kg/m2 sec) | 1.65 MRayls at 22.5°C | 1.53 MRayls at 30°C | | Attenuation coefficient as a function of<br>frequency, a/f (dB/(cm-MHz) | 0.19 + 0.0000105 $f^{2.974}$ | 0.04 ± 0.0042 $f$ | The acoustic properties of the predicate gel and Other-Sonic™ Transmission Gel are virtually identical. Although the analysis was conducted at different temperatures, both are well within the range of temperatures encountered during clinical use (72.5°F - 80°F). Such variations in temperature do not induce more than small changes in the listed acoustic properties, too small to alter performance, or cast doubt upon the conclusions of this comparison. # Antimicrobial Effectiveness Testing: The USP <51> (Category 2) Antimicrobial Effectiveness Test passed with log reductions greater than 5 for all 14 and 28 day bacterial (Staphylococus aureus ATCC 6538, Escherichia coli ATCC 8739, Pseudomonas aeruginosa ATCC 9027) counts. Yeasts and molds (Aspergillus brasiliensis ATCC 16404, Candida albicans ATCC 10231) did not increase from initial counts, and in fact considerably decreased. # Animal tests: Biocompatibility (ISO 10993-10) testing was conducted for Skin Irritation and Skin Sensitization. Conclusions from these studies: Other-Sonic™ Transmission Gel was found to be non-sensitizing and non-irritating. # In Vitro Cytotoxicity: Cytotoxicity (ISO 10993-5:2009) testing was conducted. {8}------------------------------------------------ Image /page/8/Figure/1 description: The image is a logo featuring a stylized letter "H" enclosed within a rounded square frame. The "H" is formed by two vertical lines with curved tops, connected by an oval shape that loops over the top. The entire logo, including the frame and the letter, is outlined in a light blue color, creating a clean and simple design. Image /page/8/Picture/2 description: The image shows the text "PHARMACEUTICAL INNOVATIONS, INC." in a bold, sans-serif font. The text is a blue color, and the words are stacked on top of each other. There are two horizontal lines below the text. Image /page/8/Picture/3 description: The image shows a logo with a flag on the left and text on the right. The flag has the letter E on it and a star above it. The text on the right reads "PRESIDENT OF THE UNITED STATES HIGHEST AWARD FOR EXCELLENCE IN EXPORTING". nghuysen Avenue · Newark, New Jersey 07114-2195 · (973) 242-2900 · Fax: (973) 242-0578 Conclusion from this study: The test article meets the requirement of the test as per The International Organization for Standardization (ISO 10993-5 Biological Evaluation of Medical Devices – Part 5: Tests for the In Vitro Cytotoxicity, Reference Number ISO 10993-5:2009), and is not considered cytotoxic. # VIII. CONCLUSIONS The above-referenced comparisons of the technological and non-clinical performance characteristics indicate that the Other-Sonic™ Transmission Gel is comparable to its predicate and reference devices and certainly substantially equivalent to them and other ultrasonic coupling gels commonly used in the United States today. Web: www.pharminnovations.com - Email: info@pharminnovations.com Page 6 of 6