Medical Devices vs. Beauty Appliances - ACI Cosmetics Conference 2016 - Sharon Blinkoff Locke Lord LLP - American Conference Institute
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ACI Cosmetics Conference 2016 Medical Devices vs. Beauty Appliances Sharon Blinkoff Locke Lord LLP 200 Vesey Street, 20th Fl. New York, NY 10281 1
FEDERAL FOOD DRUG AND COSMETIC ACT (FFDCA) • The FFDCA (21 U.S.C. § 301 et seq.) is a definition driven statute that separately defines each FDA regulated product category: foods, drugs, cosmetics, dietary supplements, and biomedical devices. For our purposes, we are only interested in one definition; the definition for biomedical devices.
DRUGS • Drugs are defined as: (1) articles recognized in the official United States Pharmacopoeia, official Homeopathic Pharmacopoeia of the United States, or official National Formulary, or any supplement to any of them; (2) articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or other animals; (3) articles (other than food) intended to affect the structure or any function of the body of man or other animals; and (4) articles intended for use as a component of any article specified in clause (1), (2), or (3) of this paragraph; but does not include devices or their components, parts, or accessories. 21 U.S.C. § 321(g) (1).
COSMETICS Cosmetics are defined as: (1) articles intended to be rubbed, poured, sprinkled or sprayed on, introduced into, or otherwise applied to the human body or any part thereof, for cleansing, beautifying, promoting attractiveness, or altering the appearance; and (2) articles intended for use as a component of any such articles; except that such term shall not include soap. 21 U.S.C. §321(i).
Medical Devices The term “device” (except when used in paragraph (n) of this section and in sections 331(i), 343(f), 352(c), and 362(c) of this title) means an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component, part, or accessory, which is— (1) recognized in the official National Formulary, or the United States Pharmacopeia, or any supplement to them, (2) 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 (3) intended to affect the structure or any function of the body of man or other animals.
Device Basics • The Food and Drug Administration (FDA) has established classifications for approximately 1,700 different generic types of devices and grouped them into 16 medical specialties referred to as panels. Each of these generic types of devices is assigned to one of three regulatory classes based on the level of control necessary to assure the safety and effectiveness of the device. The three classes and the requirements which apply to them are: • Device Class and Regulatory Controls • 1. Class I with exemptions - General Controls • 2. Class II General Controls and Special Controls – 510k • 3. Class III General Controls and Premarket Approval • http://www.fda.gov/MedicalDevices/DeviceRegulationandGuidance/Overvi ew/default.htm 6
Examples of Reviewed/Approved Biomedical Devices with Cosmetic Benefits • Silk’n FX Light emitting diode device treatment of periorbital wrinkles • Hairmax Hair Growth approved 510k reviewed – Class II • Restylane – approved as a device fills lines and wrinkles professional use only - Class III PMA • Vela Smooth – Reduces thigh circumferences, reduces the appearance of cellulite – Class II • Skinovations – hair removal, acne – Class II • Syneron me – removal of unwanted hair permanent reduction in hair growth OTC indication • Dentovations Inc. South Beach smile light whitening System K 042153 - predicate Glo Science Brilliant Whitening Device – exempt • Kate Somerville skincare, LLC Elastomer, Silicone Scar deminishing – exempt 21 CFR 878.4025 7
Vela Smooth Shaper – K050397 Indications for Use – The Vela smooth Shaper is indicated for the relief of minor muscle aches and pains. Relife of muscle spams Temporary improve local blood circulation. Temporary reduction in the appearance of cellulite. Predicates - LPG therapeutic massager, heat lamp, and theramcool Device description – simulataneous application of heat through controlled RF energy and mechanical manipulation of skin 8
HairMax first cleared for male hair growth in 2007 9
Hairmax – predicate devices • Infrared lamp per 21 CFR 890.5500 lamp non-heating for promotion of hair growth • Predicate Devices • Device Trade Name Manufacturer Robi Combi Epilady 2000, LLC DermaLight Psoracomb Solitec GMBH Quantum WARP 10 Light Delivery System Quantum Devices, Inc. Lumiphase-R Opusmed Inc. TerraQuant MQ2000 Laser Therapy Device Escada International, Inc. MLT R694 Ruby Laser System Medical Laser Technologies Ltd. L600 Hair Removal A&M Technology Violet Ray Device Manufacturer unknown Vacuum Cap Evans Raydo and Wonder Brush Dr. Scott 10
Capillus 82 Laser cap hair regrowth FDA Cleared 11
Capillus 82 • Indications - The Capillus82 is indicated to promote hair growth in females who have androgenic alopecia and Ludwig-Savin Classifications of I- II; and with Fitzpatrick Classification of Skin Phototypes I to IV. • Prescription Use 12
FDA warning letters • FDA has issued warning letters to manufacturers who market devices for hair growth, spider vein removal and injectable fillers that make “structure function claims” for benefit of appearance that are not the subject of a PMA, or cleared under a 510k or otherwise registered as exempt devices. • http://www.fda.gov/Cosmetics/ComplianceEnforcement /WarningLetters/ucm081141.htm 13
Electric Micro needle pen set Electric Auto Micro Needle Pen Skin Therapy for Face, Eyes and Body - Remove Stretch Marks, Wrinkles, Scars, Acne, Cellulite, Large Pores, Blackheads, Lines, Blemishes, 10pcs of 36 Needle Cartridge. Easier to Operate. No Cord Around the Neck, Less Pain, Less Bleed and More Safety. 14
Derma Pen Auto-Microneedle Therapy System warning letter • 21 CFR 878.4820 (Dermabrasion Brush, Powered) are exempt from premarket notification. Generic devices of this type have abrasion substrates which are brushes, rasps and burrs that are intended to abrade and remove layers of the skin via shear force. • The Dermapen is an automated micro-needling device, with a disposable tip cartridge, that uses 11 micro-needles to vertically stamp the skin at high speed. The stamping action of the Dermapen’s vertical tip creates micro-injuries to the skin, stimulating new collagen production. In doing so, these micro-injuries encourage and harness the body’s innate ability to regrow and repair the skin through normal physiological processes. Dermapen is safe and as effective as a fractional laser or intense pulsed light with a significantly short recovery period. 15
Derma Pen Warning Letter – continued • Based on the above, the Derma Pen consists of a stamp of needles that is controlled by a motor in order to make multiple controlled-depth penetrations perpendicularly into the skin while the operator moves the Derma Pen across the skin surface. Unlike Class I exempt powered dermabrasion brushes, the Derma Pen is intended to achieve its clinical effect through the creation of many small puncture wounds in the skin. • At this time, the safe ranges of needle lengths, penetration depths, and speeds of the device are unknown; therefore, FDA has safety concerns regarding the potential for the needles to damage vessels and nerves. FDA previously advised your firm of these concerns, including the Agency’s determination that the Derma Pen exceeded the Class I exemption status, in its response to your firm’s pre-submission (Q140464), dated July 10, 2014. • Because the Derma Pen Auto-Microneedle Therapy System employs a different fundamental scientific technology, it exceeds the limitations described in 21 C.F.R. 878.9(b) and is not exempt from premarket notification. • For a device requiring premarket approval, the notification required by section 510(k) of the Act, [21 U.S.C. § 360(k)], is deemed satisfied when a PMA is pending before the agency, 21 C.F.R. 807.81(b). 16
Beauty Devices non-medical devices used for appearance Clarisonic Alpha Fit Cleansing Clarisonic Opal Sonic Infusion System with Anti-Aging Sea Serum 17
Thank you! Sharon Blinkoff Locke Lord LLP 200 Vesey Street, 20th Fl. New York, NY 10281 T: 212 912 2893 sharon.blinkoff@lockelord.com Attorney Advertising. Locke Lord LLP disclaims all liability whatsoever in relation to any materials or information provided. This presentation is provided solely for educational and informational purposes. It is not intended to constitute legal advice or to create an attorney-client relationship. If you wish to secure legal advice specific to your enterprise and circumstances in connection with any of the topics addressed we encourage you to engage counsel of your choice. © 2015 Locke Lord LLP 18 45127198
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