GPA (hexafocon A) Rigid Gas Permeable Contact Lenses
K253822 · Zhuhai Fitlens Medical Technology Co., Ltd. · HQD · Mar 27, 2026 · Ophthalmic
Device Facts
Record ID
K253822
Device Name
GPA (hexafocon A) Rigid Gas Permeable Contact Lenses
Applicant
Zhuhai Fitlens Medical Technology Co., Ltd.
Product Code
HQD · Ophthalmic
Decision Date
Mar 27, 2026
Decision
SESE
Submission Type
Traditional
Regulation
21 CFR 886.5916
Device Class
Class 2
Indications for Use
The GPA (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters. The GPA-AT (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters. The GPA-M, GPA-PN and GPA-PD (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters. The GPA-PDT, GPA-MT, and GPA-PNT (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters and are presbyopic requiring add power of up to +4.00 diopters. The GPA-K (hexafocon A) Rigid Gas Permeable Contact Lens may be prescribed in otherwise non-diseased eyes that require a rigid gas permeable lens for the management of irregular corneal conditions such as; keratoconus, pellucid marginal degeneration or following penetrating keratoplasty or refractive (e.g. LASIK) surgery. Eyecare practitioners may prescribe the lenses for frequent/planned replacement wear, with cleaning, disinfection and scheduled replacement. When prescribed for frequent/planned replacement wear, the lens may be cleaned and disinfected using a chemical (not heat) lens care system.
Device Story
Lathe-manufactured rigid gas permeable (RGP) contact lenses; material hexafocon A; blue-tinted with optional UV absorber. Configurations include spherical, toric, multifocal, and keratoconus-specific designs. Prescribed by eyecare practitioners for daily wear; frequent/planned replacement. Patient cleans/disinfects lenses using chemical (non-heat) systems. Lenses correct refractive error or manage irregular corneal surfaces; improves visual acuity for patients with myopia, hyperopia, astigmatism, or presbyopia; provides physical correction for corneal irregularities.
Clinical Evidence
No clinical data. Bench testing only; manufacturing verification confirmed adherence to ANSI Z80.20 tolerances. Biocompatibility testing (ISO 10993-5, 10993-11, 10993-23) confirmed non-cytotoxicity, no systemic toxicity, and no acute ocular irritation. Bioburden testing confirmed <100 CFU per lens.
Indicated for daily wear correction of refractive error (myopia, hyperopia, astigmatism) in aphakic/non-aphakic persons with non-diseased eyes; also indicated for management of irregular corneal conditions (keratoconus, pellucid marginal degeneration, post-penetrating keratoplasty, post-refractive surgery).
Regulatory Classification
Identification
A rigid gas permeable contact lens is a device intended to be worn directly against the cornea of the eye to correct vision conditions. The device is made of various materials, such as cellulose acetate butyrate, polyacrylate-silicone, or silicone elastomers, whose main polymer molecules generally do not absorb or attract water.
Boston XO® (hexafocon A) and Boston XO2® (hexafocon B) Rigid Gas Permeable Contact Lens (K171404)
Submission Summary (Full Text)
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FDA U.S. FOOD & DRUG ADMINISTRATION
March 27, 2026
Zhuhai Fitlens Medical Technology Co., Ltd.
% Bret Andre
Principal Consultant
Andre Vision and Device Research
6119 Canter Lane
West Linn, OR 97068
Re: K253822
Trade/Device Name: GPA (hexafocon A) Rigid Gas Permeable Contact Lenses
Regulation Number: 21 CFR 886.5916
Regulation Name: Rigid Gas Permeable Contact Lens
Regulatory Class: Class II
Product Code: HQD
Dated: November 21, 2025
Received: February 27, 2026
Dear Bret Andre:
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 (the 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 available 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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K253822 - Bret Andre
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Additional information about changes that may require a new premarket notification are provided in the FDA guidance documents entitled "Deciding When to Submit a 510(k) for a Change to an Existing Device" (https://www.fda.gov/media/99812/download) and "Deciding When to Submit a 510(k) for a Software Change to an Existing Device" (https://www.fda.gov/media/99785/download).
Your device is also subject to, among other requirements, the Quality Management System Regulation (QMSR) (21 CFR Part 820), which includes, but is not limited to, ISO 13485 clause 7.3 (Design controls), ISO 13484 clause 8.3 (Nonconforming product), and ISO 13485 clause 8.5 (Corrective and preventative action). Please note that regardless of whether a change requires premarket review, the QMSR requires device manufacturers to review and approve changes to device design and production (ISO 13485 clause 7.3 and 21 CFR 820.70) and document changes and approvals in the device master record (21 CFR 820.181).
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 (reporting of medical device-related adverse events) (21 CFR Part 803) for devices or postmarketing safety reporting (21 CFR Part 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reporting-combination-products); good manufacturing practice requirements as set forth in the Quality Management System Regulation (QMSR) (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR Part 4, Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR Parts 1000-1050.
All medical devices, including Class I and unclassified devices and combination product device constituent parts are required to be in compliance with the final Unique Device Identification System rule ("UDI Rule"). The UDI Rule requires, among other things, that a device bear a unique device identifier (UDI) on its label and package (21 CFR 801.20(a)) unless an exception or alternative applies (21 CFR 801.20(b)) and that the dates on the device label be formatted in accordance with 21 CFR 801.18. The UDI Rule (21 CFR 830.300(a) and 830.320(b)) also requires that certain information be submitted to the Global Unique Device Identification Database (GUDID) (21 CFR Part 830 Subpart E). For additional information on these requirements, please see the UDI System webpage at https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/unique-device-identification-system-udi-system.
Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR 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-devices/medical-device-safety/medical-device-reporting-mdr-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/medical-devices/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.
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K253822 - Bret Andre
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See the DICE website (https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).
Sincerely,
J Angelo Green -S
J. Angelo Green, Ph.D.
Assistant Director
DHT1A: Division of Ophthalmic Devices
OHT1: Office of Ophthalmic, Anesthesia, Respiratory, ENT, and Dental Devices
Office of Product Evaluation and Quality
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: 07/31/2026
See PRA Statement below.
Submission Number (if known)
K253822
Device Name
GPA (hexafocon A) Rigid Gas Permeable Contact Lenses
Indications for Use (Describe)
The GPA (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters.
The GPA-AT (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters.
The GPA-M, GPA-PN and GPA-PD (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters.
The GPA-PDT, GPA-MT, and GPA-PNT (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters and are presbyopic requiring add power of up to +4.00 diopters.
The GPA-K (hexafocon A) Rigid Gas Permeable Contact Lens may be prescribed in otherwise non-diseased eyes that require a rigid gas permeable lens for the management of irregular corneal conditions such as; keratoconus, pellucid marginal degeneration or following penetrating keratoplasty or refractive (e.g. LASIK) surgery.
Eyecare practitioners may prescribe the lenses for frequent/planned replacement wear, with cleaning, disinfection and scheduled replacement. When prescribed for frequent/planned replacement wear, the lens may be cleaned and disinfected using a chemical (not heat) lens care system.
Type of Use (Select one or both, as applicable)
☑ Prescription Use (Part 21 CFR 801 Subpart D)
☐ Over-The-Counter Use (21 CFR 801 Subpart C)
CONTINUE ON A SEPARATE PAGE IF NEEDED.
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# 510 (k) SUMMARY
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: K253822
## I. SUBMITTER
Date Prepared: November 21, 2025
Name: Zhuhai Fitlens Medical Technology Co., Ltd.
Address: Building 6, No. 129, Dingxing Road, Tangjiawan Town, High-tech Zone, Zhuhai, Guangdong, 519080, P.R. China
Contact Person: Grace Wang
Regulatory Director
Phone number: 0756-3380040
Consultant: Bret Andre
Andre Vision and Device Research
6119 Canter Ln.
West Linn, OR 97068
Phone number: (503) 372-5226
## II. DEVICE
Trade Name: GPA (hexafocon A) Rigid Gas Permeable Contact Lenses
Common Name: Rigid gas permeable contact lens
Classification Name: Rigid gas permeable contact lens. (21 CFR 886.5916)
Regulatory Class: Class II
Product Code: HQD
~Reason for Submission~ New Device
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# III. PREDICATE DEVICE
The GPA (hexafocon A) Rigid Gas Permeable Lenses for daily wear are substantially equivalent to the following predicate devices:
- “RIGID GAS PERMEABLE CONTACT LENS”
By POLYMER TECHNOLOGY
510(k) number; K000795
Product Code: HQD
- “Boston XO® (hexafocon A) and Boston XO2® (hexafocon B) Rigid Gas Permeable Contact Lens”
By Bausch + Lomb Inc.
510(k) number; K171404
Product Code: HQD
# IV. DEVICE DESCRIPTION
The GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are lathe manufactured from the lens blank material hexafocon A, which is blue-tinted for visibility and may include an ultraviolet (UV) light absorber. The contact lens material name hexafocon A has been adopted by the United States Adopted Names (USAN) Council.
The GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are a family of rigid gas permeable contact lenses available in the following design configurations:
| Model | Description |
| --- | --- |
| GPA-A | Rigid gas permeable contact lens with double aspherical design on both the front and back surfaces. |
| GPA-K | Rigid gas permeable contact lens with double aspherical design on both the front and back surfaces, specifically designed for keratoconus. |
| GPA-M | Progressive multifocal rigid gas permeable contact lens with double aspherical design on both the front and back surfaces. |
| GPA-PN | Multifocal rigid gas permeable contact lens with an aspherical back surface and a concentric multi-zone front surface where the center zone is for near vision, specifically designed for presbyopia correction. |
| GPA-PD | Multi-focal rigid gas permeable contact lens with an aspherical back surface and a concentric multi-zone front surface where the center zone is for distance vision, specifically designed for presbyopia correction. |
| GPA-AT | Rigid gas permeable contact lens with double toric design on both the front and back surfaces. |
| GPA-MT | Progressive multifocal rigid gas permeable contact lens with a toric back surface and an aspherical front surface. |
| GPA-PNT | Multifocal rigid gas permeable contact lens with a toric back surface and a concentric multi-zone front surface where the center zone is for near vision, specifically designed for correcting presbyopia in patients with large corneal astigmatism. |
| GPA-PDT | Multi-focal rigid gas permeable contact lens with an aspherical back surface and a concentric multi-zone front surface where the center zone is for distance vision, specifically designed for correcting presbyopia in patients with large corneal astigmatism. |
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The GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are in the following lens parameters:
| Parameter | Abbr. | Range (mm) | | | | | Step (mm) | Tolerance |
| --- | --- | --- | --- | --- | --- | --- | --- | --- |
| | | GPA-A | GPA-K | GPA-M | GPA-PN | GPA-PD | | |
| BC radius /mm | BC | 6.50~9.50 | 4.50~7.50 | 6.50~9.50 | 6.50~9.50 | 6.50~9.50 | 0.05 | ± 0.05 mm |
| Total diameter /mm | TD | 8.50~11.50 | 7.00~11.00 | 8.00~12.00 | 8.00~12.00 | 8.00~12.00 | 0.10 | ± 0.10mm |
| Spherical power /D | SPH | -20.00~+20.00 | -20.00~+20.00 | -20.00~0.00 | -20.00~+6.00 | -20.00~+6.00 | 0.25 | ± 0.12 (0 to <= 5D) ± 0.18 (5 to <= 10.0D) ± 0.25 (10 to <= 15D) ± 0.37 (15 to <= 20D) ± 0.50 (over 20D) |
| Additional power /D | Add | N/A | N/A | -5.00~+5.00 | 0~+4.00 | 0~+4.00 | 0.25 | ± 0.38D |
| Center thickness /mm | CT | 0.11~0.60 | 0.11~0.60 | 0.11~0.60 | 0.11~0.60 | 0.11~0.60 | - | ± 0.02 mm |
| Optional back toric design | - | GPA-AT | N/A | GPA-MT | GPA-PNT | GPA-PDT | - | - |
| Optional back toric diopters /D | TOR | 0.00~6.00 | N/A | 0.00~6.00 | 0.00~6.00 | 0.00~6.00 | 0.25 | ± 0.25 (0 to <= 2D) ± 0.37 (2 to <= 4D) ± 0.50 (over 4D) |
| Surface Appearance | - | Lenses should be clear with no surface defect | | | | | | |
The physical properties of the GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are as follows:
| | Hexafocon A Rigid Gas Permeable Contact Lens |
| --- | --- |
| Refractive Index | 1.415 |
| Modulus (MPa) | 1269 |
| Hardness (Shore D) | 81 |
| Specific Gravity | 1.27 |
| Oxygen Permeability (Dk) | 100 x 10-11(cm2/sec) (ml O2/ml x mm Hg @ 35°C) |
| Color Additive(s) | D&C Green #6 |
GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are distributed in a dry state, without immersion in solution. The primary packaging consists of a polycarbonate plastic screw-top vial equipped with a lens clamp to secure the product during transit. All accompanying documentation—including the case, packing slip, and invoice—identifies lens specifications: base curve, dioptric power, cylindrical power, cylindrical axis, additional power, diameter, central thickness, color, and lot number.
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V. INDICATIONS FOR USE
The GPA (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters.
The GPA-AT (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters.
The GPA-M, GPA-PN and GPA-PD (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters.
The GPA-PDT, GPA-MT, and GPA-PNT (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters and are presbyopic requiring add power of up to +4.00 diopters.
The GPA-K (hexafocon A) Rigid Gas Permeable Contact Lens may be prescribed in otherwise non-diseased eyes that require a rigid gas permeable lens for the management of irregular corneal conditions such as; keratoconus, pellucid marginal degeneration or following penetrating keratoplasty or refractive (e.g. LASIK) surgery.
Eyecare practitioners may prescribe the lenses for frequent/planned replacement wear, with cleaning, disinfection and scheduled replacement. When prescribed for frequent/planned replacement wear, the lens may be cleaned and disinfected using a chemical (not heat) lens care system.
VI. COMPARISON OF TECHNOLOGICAL CHARACTERISTICS WITH PREDICATE DEVICE
The GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are substantially equivalent to the predicate device (cleared under K000795) in terms of the following:
- Intended use – daily wear contact lenses
- Indication for use – refractive correction
- Classification – Lenses, Rigid Gas Permeable, Daily Wear (21 CFR 886.5916)
- FDA material group – group # 3 fluoro silicone acrylate
- USAN material (hexafocon A)
- Production method – lathe cut
The GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are substantially equivalent to the predicate device (cleared under K171404) in terms of the following:
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- Intended use - daily wear contact lenses
- Indication for use - refractive correction & therapeutic use (irregular cornea)
- Classification - Lenses, Rigid Gas Permeable, Daily Wear (21 CFR 886.5916)
FDA material group - group # 3 fluoro silicone acrylate
USAN material (hexafocon A)
Production method - lathe cut
The following matrix illustrates the production method, lens function and material characteristics of the GPA (hexafocon A) Rigid Gas Permeable Contact Lenses, as well as the predicate devices.
| | GPA (hexafocon A) Rigid Gas Permeable Contact Lenses | Rigid Gas Permeable Contact Lens | Boston XO® (hexafocon A) and Boston XO2® (hexafocon B) Rigid Gas Permeable Contact Lens |
| --- | --- | --- | --- |
| | Subject Device | Predicate Device (K000795) | Predicate Device (K171404) |
| Classification | Class II Lenses, Rigid Gas Permeable, Daily Wear 21 CFR 886.5916 | Class II Lenses, Rigid Gas Permeable, Daily Wear 21 CFR 886.5916 | Class II Lenses, Rigid Gas Permeable, Daily Wear 21 CFR 886.5916 |
| Product Code | HQD | HQD | HQD |
| FDA Group # | Group # 3 Fluoro Silicone Acrylate | Group # 3 Fluoro Silicone Acrylate | Group # 3 Fluoro Silicone Acrylate |
| Material (USAN) | hexafocon A | hexafocon A | hexafocon A; hexafocon B |
| Production Method | Lathe-Cut | Lathe-Cut | Lathe-Cut |
| Intended Use | Daily Wear | Daily Wear | Daily Wear |
| Water Content (%) | <1% | <1% | <1% |
| UV Absorber Available | Yes | Yes | Yes |
| | Indications for Use |
| --- | --- |
| GPA and GPK Rigid Gas Permeable Contact Lenses (subject device) | The GPA (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters.The GPA-AT (hexafocon A) Rigid Gas Permeable Contact Lens is indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters.The GPA-M, GPA-PN and GPA-PD (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 0.75 diopters.The GPA-PDT, GPA-MT, and GPA-PNT (hexafocon A) Rigid Gas Permeable Contact Lenses are indicated for daily wear for the correction of refractive error in aphakic and not aphakic persons with non-diseased eyes with myopia or hyperopia and/or possesses refractive astigmatism not exceeding 6.00 diopters and are presbyopic requiring add power of up to +4.00 diopters.The GPA-K (hexafocon A) Rigid Gas Permeable Contact Lens may be prescribed in otherwise non-diseased eyes that require a rigid gas permeable lens for the management of irregular corneal conditions such as; keratoconus, pellucid marginal degeneration or following penetrating keratoplasty or refractive (e.g. LASIK) surgery.Eyecare practitioners may prescribe the lenses for frequent/planned replacement wear, with cleaning, disinfection and scheduled replacement. When prescribed for frequent/planned replacement wear, the lens may be cleaned and disinfected using a chemical (not heat) lens care system. |
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| | |
| --- | --- |
| Rigid Gas Permeable Contact Lens Predicate Device (K000795) | The BOSTON XO contact lens material is indicated for daily wear for the correction of refractive ametropia (myopia, hyperopia, astigmatism and presbyopia) in aphakic and not-aphakic persons with non-diseased eyes. The lens may be disinfected using a chemical disinfection system only. |
| Boston XO® (hexafocon A) and Boston XO2® (hexafocon B) Rigid Gas Permeable Contact Lens Predicate Device (K171404) | BOSTON XO® (hexafocon A) Contact Lenses are indicated for daily wear for the correction of refractive ametropia (myopia, hyperopia, astigmatism and presbyopia) in aphakic and non aphakic persons with non-diseased eyes. Also, the lenses may be prescribed in otherwise non-diseased eyes that require a rigid contact lens for the management of irregular corneal conditions such as keratoconus, pellucid marginal degeneration, or following penetrating keratoplasty or refractive (e.g. LASIK surgery).Furthermore, eyes suffering from certain ocular surface disorders may benefit from the physical protection, aqueous hydrated environment and the saline bath provided by scleral lens designs. Boston XO Scleral Lens designs for daily wear are indicated for therapeutic use for the management of irregular and distorted corneal surfaces where the subject:1. cannot be adequately corrected with spectacle lenses2. requires a rigid gas permeable contact lens surface to improve vision3. is unable to wear a corneal rigid gas permeable lens due to corneal distortion or surface irregularitiesCommon causes of corneal distortion include but are not limited to corneal infections, trauma, tractions as a result of scar formation secondary to refractive surgery (e.g. LASIK or radial keratotomy) or corneal transplantation. Causes may also include corneal degeneration (e.g. keratoconus, keratoglobus, pellucid marginal degeneration, Salzmann's nodular degeneration) and corneal dystrophy (e.g., lattice dystrophy, granular corneal dystrophy, Reis-Bucklers dystrophy, Cogan's dystrophy).The Boston XO Scleral Lens designs for daily wear are also indicated for therapeutic use in eyes with ocular surface disease (e.g. ocular Graft-versus-Host disease, Sjögren's syndrome, dry eye syndrome and Filamentary Keratitis), limbal stem cell deficiency (e.g. Stevens-Johnson syndrome, chemical radiation and thermal burns), disorders of the skin (e.g. atopy, ectodermal dysplasia), neurotrophic keratitis (e.g. Herpes simplex, Herpes zoster, Familial Dysautonomia), and corneal exposure (e.g. anatomic, paralytic) that might benefit from the presence of an expanded tear reservoir and protection against an adverse environment. When prescribed for therapeutic use for a distorted cornea or ocular surface disease, the Boston Scleral Lenses may concurrently provide correction of refractive error. The lenses may be disinfected using a chemical disinfection (not heat) system only. |
# VII. PERFORMANCE DATA
$\sim$ Non-Clinical Studies $\sim$
Non-clinical testing to demonstrate the safety and effectiveness of contact lenses manufactured from hexafocon A has been addressed by reference to previous 510(k) clearances.
Additionally, the following testing was performed on finished GPA (hexafocon A) Rigid Gas Permeable Contact Lenses:
Bench Testing—manufacturing verification testing was conducted to demonstrate the ability of Zhuhai Fitlens Medical Technology Co., Ltd. to manufacture lenses, on a repeatable basis, from hexafocon A supplied lens blanks to a variety of prescribed parameters. All lenses were manufactured to established finished product specifications within the ANSI Z80.20 tolerance.
Bioburden Testing—bioburden testing conducted on hexafocon A rigid gas permeable lenses manufactured at Zhuhai Fitlens Medical Technology Co., Ltd. demonstrated that the colony forming units (CFU) per lens was within the established acceptance criteria of less
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than 100 CFU per lens.
Biocompatibility Testing—biocompatibility studies were conducted on finished gas permeable contact lenses produced at the Zhuhai Fitlens Medical Technology Co., Ltd. facility. The following biocompatibility/toxicology tests were conducted in accordance with Good Laboratory Practice (GLP):
- In-Vitro Cytotoxicity: Cytotoxicity testing was performed in accordance with ISO 10993-5 with results indicating that extracts from finished lenses are not cytotoxic.
- Systemic Toxicity: The finished lenses meet the requirements of the systemic injection test in accordance with ISO 10993-11, and extracts from finished lenses did not induce acute systemic toxicity.
- Acute Ocular Irritation: Acute ocular irritation testing was performed in accordance with ISO 10993-23, and extracts from finished lenses did not induce ocular irritation.
~ Clinical Studies ~
Finished contact lenses manufactured from hexafocon A were previously cleared by the United States Food and Drug Administration (FDA). Based on recommendations in the FDA guidance titled Class II Daily Wear Contact Lenses - Premarket Notification [510(k)] Guidance Document, clinical studies are not required for this 510(k) premarket notification.
VIII. CONCLUSIONS
Validity of Scientific Data
Laboratories under Good Laboratory Practice regulations conducted biocompatibility studies following scientific protocols. The data were determined to be scientifically valid under 21 CFR 860.7.
Substantial Equivalence
Information presented in this premarket notification establishes that the GPA (hexafocon A) Rigid Gas Permeable Contact Lenses for daily wear are as safe and effective as the predicate devices when used in accordance with the labeled directions for use and for the proposed indications.
Risks and Benefits
The risks of the GPA (hexafocon A) Rigid Gas Permeable Contact Lenses are the same as those normally attributed to the wearing of rigid gas permeable (RGP) daily wear contact lenses. The benefits to the patient are the same as those for other RGP contact lenses.
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Learn the FDA Browser
Two short videos show you everything — or skip straight to the written tutorial if you'd rather read. You can reopen this any time from the Tutorial button in the top bar.
Part 1 — Search, results, and everyday workflows 16 min
Part 2 — Embeddings: the galaxy map 3 min
1. Search: exact and fuzzy
Type a phrase like "coronary artery calcification" into the search box. You get two kinds of results. Exact results match the literal phrase — prefix searches work ("coronary artery calcificati") but suffix searches do not. Fuzzy results match on the meaning and intent of your phrase rather than the exact words, and are sorted by relevance score. Hover over the Exact or Fuzzy badge on any row to see exactly why it matched.
Use the checkboxes above the results to narrow: SaMD keeps only software-only devices, AI / ML keeps only devices with AI.
Exact vs. fuzzy search: what's the difference?
Exact matches on the literal phrase (prefix search works, suffix does not). Fuzzy matches on the meaning and intent of the phrase rather than the exact words. Hover over the badge on any row to see why it matched.
You search "coronary artery calcification" and want only software devices with AI. What two filters do you apply?
Narrow by SaMD (software-only devices), then narrow by AI/ML (devices with AI).
2. The results table
Scroll right in the results table. The intended use is extracted for you — no need to open the PDF. The device story gives a high-level snapshot of what the device does and how it's used. The AI Performance sub-table shows each output name, acceptance criteria, observed values, and development/test dataset descriptions — the same format Innolitics uses for regulatory strategy outputs, and the fastest high-level fingerprint of an AI device. It is AI-generated but has been very reliable in practice.
Where do you find a device's intended use without opening the PDF?
Scroll right in the search results table. The intended use column is extracted for you; no need to dig into the 510(k) summary PDF.
What does the AI Performance sub-table show, and why is it useful?
Output name, acceptance criteria, observed values, development dataset description, and test dataset description. It's the same format we use for regulatory strategy output and Fast 510(k) input, and the fastest high-level fingerprint of an AI device. AI-generated but reliable in practice.
3. Judging fuzzy relevance
Fuzzy results trail off in relevance as you scroll. Use three signals to decide how far down to go: the fuzzy badge explanations, the intended use column, and whether your target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, you're past the relevant zone. A top hit with a low score (~0.4) and a stretched explanation is a hint the closest predicates are far away — the project may be headed for De Novo. Note the fuzzy search is a pattern match: it doesn't handle negation ("not") well, and hardware devices can appear — filter by SaMD/AI ML to cut them.
How do you judge how far down fuzzy search results to go?
Use the relevancy signals: the fuzzy badge explanations, the intended use column, and whether the target output (e.g., Cobb angle) still appears in the AI Performance sub-table. Once it stops appearing, results are trailing off in relevancy.
4. Device detail page: chat and citations
Click a device name to open its detail page: device facts on the left, a chat window on the right. Ask something like "Describe the training data". The answer carries little citation bubbles — click one to jump to the highlighted passage in the source PDF, so you can verify every AI answer against the document. There's also a Download PDF button for sharing.
How do you verify an AI chat answer on the device detail page?
Click the citation bubbles to jump to the relevant highlight in the source document.
Reading rule for every project: how many summaries do you read in full?
At least the three most relevant 510(k) or De Novo summaries, in full. After that, use targeted chat questions to confirm your memory quickly. The tool supports this professional habit — it doesn't replace it.
5. Side-by-side comparison
Select multiple rows in the results table (aim for under ~10), then open the PDF Viewer tab. Ask one question — it goes to all selected devices in parallel, each with citations. This is the fastest way to compare and contrast devices: training data, PCCP scope, how they handled adding new scanners, and so on.
What does the side-by-side PDF viewer mode do?
Select multiple devices, open the PDF viewer tab, and ask one question (e.g., "Describe the training data"). It queries all selected devices simultaneously with citations, so you can compare and contrast quickly.
6. Collections
With rows selected, go to the Collections tab and create a labeled collection (e.g., "Cobb Angle Project"). Reload that selection any time — before a client call, pull up the collection and ask questions across all of its devices at once.
How do you save a set of selected devices for later use?
Select the rows, go to the Collections tab, and create a labeled collection (e.g., "Cobb Angle Project"). You can reload the selection anytime and carry it into the PDF viewer and other tabs that support selections.
7. Product codes and the regulations tree
Click a product code in the results to jump to it in the regulations tree — identification text, sibling product codes, and devices you can open in a PDF viewer on the right. Click a regulation number to see its identification, special controls, and related product codes. You can also search by product code or regulation number at the top of the tree. Always read the special controls if any exist for your device — it broadens your search and sharpens pre-kickoff research.
What can you do from the regulations tree view?
Browse product codes and regulation numbers, read the identification text and special controls, browse sibling product codes, open device PDFs on the right, and search by product code or regulation number at the top of the tree.
8. Chart view
Click Show Chart and segment by regulation number (or product code) to see which regulations dominate your result set. Clicking a regulation takes you into the regulations tree. Great for spotting that most matches are, say, hardware laparoscopic devices — a cue to go back and filter.
How do you see which regulations dominate a search result set?
Click "Show Chart" and segment by Regulation Number. Clicking a regulation takes you to the regulations tree.
9. The predicate graph
Open the Predicates tab for a family-tree view of predicate relationships. Click a node to trace its parents and children; selections from search carry over pre-selected. Commonly predicated devices are worth reading — a lot of people predicated them for a reason. The visual lineage is also handy on client calls, e.g. to show how a predicate family evolved and justify why your predicate still holds.
In the predicate graph, why are commonly predicated devices worth reading?
A lot of people predicated them for a reason. Clicking a node traces parents and children, and selections from search carry over pre-selected.
10. Embeddings: the galaxy map
The Embeddings tab plots every matching document in a 2-D "galaxy map" where semantically similar devices cluster together. Hover or click clusters to explore, and let AI label the clusters for you. Embeddings beat product codes for grouping: two devices can carry different product codes (LLZ vs. QIH) yet do the same thing — the embedding captures the meaning of the intended use and device story. This is also exactly how retrieval-augmented generation (RAG) works under the hood, and it makes a great visual on client calls.
Try it yourself
Head to the search page and work through a few of these AI/ML fuzzy searches to build intuition: perivascular fat on CT · aortic valve calcification opportunistic screening on noncontrast CT · breast cancer prediction on digital pathology slides · autism detection · gestational age prediction · a hearing aid that can also detect a pulse · foundation model based analysis of ECG · large language models · penetration test. Watch how the relevance scores, intended use, and AI Performance tables tell you when results stop being meaningful.