Originated by Kenji Watanabe of Japan but registered in 2002 by Peter Ruh of Ohio on his behalf, this cultivar is of unidentified parentage. It is a medium size hosta about 14 inches high by 29 inches wide with dark green foliage. The leaves are ovate, moderately cupped, slightly twisted, slightly wavy and very shiny on top with petioles that have red stripes. White, striped, bell shape flowers with translucent edges bloom in September on scapes 7 to 18 inches tall. Its seed pods are green with a narrow red stripe.

According to the registration materials: "...heavy flower set; flowers arc to the ground; last to bloom in the Ruh garden..."

An article  by Warren I. Pollock about changes to the International Code for the Nomenclature of Cultivated Plants in The Hosta Journal (2006 Vol. 37 No. 1) says, "The proper names are now H. 'Mikawa-no-yuki' instead of 'Mikawa-no-Yuki', 'Otome-no-ka' instead of 'Otome-no-Ka' and 'Seto-no-aki' instead of 'Seto-no-Aki'...'Mikawa-no-yuki' which means "snow of Mikawa"..."

Mikiko Lockwood in an article on The Hosta Library titled, A Little About Japanese Hosta Terms defines the term otome as maiden, 'Otome Gibōshi' or H. venusta.