K Number
K012416
Device Name
CONFOSCAN 2 CONFOCAL MICROSCOPE
Date Cleared
2001-10-26

(88 days)

Product Code
Regulation Number
886.1850
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP Authorized
Intended Use
The ConfoScan 2 Confocal Microscope is intended for use in the precise display and digital storage of images of the corneal layers (endothelium, descemet's membrane, stroma, bowman's membrane, and epithelium) and corneal components (endothelial cells, stromal keratocytes, nerve fibers, basalar and superficial cells). The microscope is also used for optical pachymetry, post-surgery interface evaluation, endothelial cell analysis, haze detection, foreign bodies, corneal dystrophies, keratoconus, keratitis, and trauma. The ConfoScan 2 Confocal Microscope is indicated for use as a diagnostic tool for observation of the cell layers of the anterior parts of the eye.
Device Description
The Nidek Technologies Srl ConfoScan 2 Confocal Microscope is a fully digital, corneal confocal microscope that allows a user to view and image human corneal layers in vivo. The confocal arrangement consists of one slit that illuminates the tissue and a second slit that filters the reflected light from unfocused layers. The user can view, magnify, measure, and photograph scparate layers of the transparent structures and tissues of the cornea. One examination records 350 different images. The ConfoScan 2 microscope is supplied with a Quartz Halogen light source and a scauning slit, suitable for performing ophthalmic examination. The system includes a 15-inch LCD S-VGA Monitor and a Personal Computer, which incorporates the dedicated NAVIS software.
More Information

Not Found

No
The summary describes a standard confocal microscope with image viewing, measurement, and analysis software. There is no mention of AI or ML in the device description, intended use, or performance studies. The "Endothelial Cell Analysis Software Validation" describes a comparison of cell density values, which is a common image analysis task and does not inherently imply AI/ML.

No
The device is described as a diagnostic tool used for observation, imaging, and analysis of corneal layers, not for treating conditions.

Yes

The 'Intended Use / Indications for Use' section explicitly states, "The ConfoScan 2 Confocal Microscope is indicated for use as a diagnostic tool for observation of the cell layers of the anterior parts of the eye."

No

The device description explicitly states it is a "fully digital, corneal confocal microscope" and lists hardware components such as a light source, scanning slit, monitor, and personal computer. While it includes software (NAVIS), it is an integral part of a hardware system.

Based on the provided information, the ConfoScan 2 Confocal Microscope is not an IVD (In Vitro Diagnostic).

Here's why:

  • IVD definition: In vitro diagnostics are tests performed on samples taken from the human body, such as blood, urine, or tissue, to detect diseases, conditions, or infections.
  • ConfoScan 2's function: The ConfoScan 2 Confocal Microscope is used for in vivo imaging and analysis of the corneal layers of the eye. It directly examines the living tissue within the patient's body, not samples taken from the body.
  • Intended Use: The intended use clearly states it's for "precise display and digital storage of images of the corneal layers" and "observation of the cell layers of the anterior parts of the eye." This describes a diagnostic imaging tool, not an in vitro test.
  • Device Description: The description confirms it "allows a user to view and image human corneal layers in vivo."

Therefore, the ConfoScan 2 Confocal Microscope falls under the category of a diagnostic imaging device, not an in vitro diagnostic device.

N/A

Intended Use / Indications for Use

The ConfoScan 2 Confocal Microscope is intended for use in the precise display and digital storage of images of the corneal layers (endothelium, descemet's membrane, stroma, bowman's membrane, and epithelium) and corneal components (endothelial cells, stromal keratocytes, nerve fibers, basalar and superficial cells). The microscope is also used for optical pachymetry, post-surgery interface evaluation, endothelial cell analysis, haze detection, foreign bodies, corneal dystrophies, keratoconus, keratitis, and trauma.

Product codes

HJO

Device Description

The Nidek Technologies Srl ConfoScan 2 Confocal Microscope is a fully digital, corneal confocal microscope that allows a user to view and image human corneal layers in vivo. The confocal arrangement consists of one slit that illuminates the tissue and a second slit that filters the reflected light from unfocused layers. The user can view, magnify, measure, and photograph scparate layers of the transparent structures and tissues of the cornea. One examination records 350 different images.

The ConfoScan 2 microscope is supplied with a Quartz Halogen light source and a scauning slit, suitable for performing ophthalmic examination. The system includes a 15-inch LCD S-VGA Monitor and a Personal Computer, which incorporates the dedicated NAVIS software.

Mentions image processing

Yes

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Confocal Microscopy

Anatomical Site

corneal layers (endothelium, descemet's membrane, stroma, bowman's membrane, and epithelium) and corneal components (endothelial cells, stromal keratocytes, nerve fibers, basalar and superficial cells) of the anterior parts of the eye.

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies

The following testing was performed on the ConfoScan 2 Confocal Microscope to demonstrate that it meets all specified requirements and is equivalent to the predicate device:

  • Electrical Safety Testing & Electromagnetic Compatibility A.
    The ConfoScan 2 Confocal Microscope was tested in accordance with EN 60601-1 and EN 60601-1-2, and was found to meet all requirements of both standards.

  • Programmable Electrical Medical Systems B.
    The ConfoScan 2 Confocal Microscope was tested in accordance with EN 60601-1-4 and was found to meet all requirements of the standard.

  • Fundamental Test Requirements and Test Methods for Ophthalmic Instruments C.
    The ConfoScan 2 Confocal Microscope was tested in accordance with ISO 15004 and was found to meet all requirements of the standard.

Light Energy Levels D.

The amount of light energy transferred to the patient during the normal examination time of one to two minutes was found to be negligible.

  • Endothelial Cell Analysis Software Validation E.
    A total of 134 samples (extracted from corneal images) were analyzed by the ConfoScan 2 Confocal Microscope to validate the resulting automatic cell density values via comparison to the results of two other commercially available specular microscopes.

Key Metrics

Not Found

Predicate Device(s)

K972953

Reference Device(s)

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information

Not Found

§ 886.1850 AC-powered slitlamp biomicroscope.

(a)
Identification. An AC-powered slitlamp biomicroscope is an AC-powered device that is a microscope intended for use in eye examination that projects into a patient's eye through a control diaphragm a thin, intense beam of light.(b)
Classification. Class II (special controls). The device, when it is intended only for the visual examination of the anterior segment of the eye, is classified as Group 1 per FDA-recognized consensus standard ANSI Z80.36, does not provide any quantitative output, and is not intended for screening or automated diagnostic indications, is exempt from the premarket notification procedures in subpart E of part 807 of this chapter subject to the limitations in § 886.9.

0

K012416

510(k) SUMMARY OF SAFETY AND EFFECTIVENESS CONFOSCAN 2 CONFOCAL MICROSCOPE

SUBMITTER INFORMATION

A.Company Name:Nidek Technologies Srl
B.Company Address:Via Regina, 88
Vigonza (Padova), Italy 35010
C.Company Phone:
Company Fax:39 49 89 35 191
39 49 62 55 84
D.Contact Person:Mr. Aldo Cocchiglia
Managing Director
Nidek Technologies Srl
E.Date Summary Prepared:October 24, 2001

DEVICE IDENTI

A.Classification Name:AC-Powered Slit-Lamp Biomicroscope
B.Trade/Proprietary Name:ConfoScan 2 Confocal Microscope
C.Device Classification:Class II (886.1850)
D.Product Code:HJO

DEVICE DESCRIPTION

The Nidek Technologies Srl ConfoScan 2 Confocal Microscope is a fully digital, corneal confocal microscope that allows a user to view and image human corneal layers in vivo. The confocal arrangement consists of one slit that illuminates the tissue and a second slit that filters the reflected light from unfocused layers. The user can view, magnify, measure, and photograph scparate layers of the transparent structures and tissues of the cornea. One examination records 350 different images.

10-24-01

1

The ConfoScan 2 microscope is supplied with a Quartz Halogen light source and a scauning slit, suitable for performing ophthalmic examination. The system includes a 15-inch LCD S-VGA Monitor and a Personal Computer, which incorporates the dedicated NAVIS software.

INTENDED USE

The ConfoScan 2 Confocal Microscope is intended for use in the precise display and digital storage of images of the corneal layers (endothelium, descemet's membrane, stroma, bowman's membrane, and epithelium) and corneal components (endothelial cells, stromal keratocytes, nerve fibers, basalar and superficial cells). The microscope is also used for optical pachymetry, post-surgery interface evaluation, endothelial cell analysis, haze detection, foreign bodies, corneal dystrophies, keratoconus, keratitis, and trauma.

SUBSTANTIAL EQUIVALENCE

The ConfoScan 2 Confocal Microscope device has the same intended use and the same fundamental scientific technology as the following predicate device:

Predicate Device510(k) Holder510(k) No.Date Cleared
ConfoScan Confocal
MicroscopeTomey CorporationK972953August 14,
1997

TECHNOLOGICAL CHARACTERISTICS

A comparison of the technological characteristics of the ConfoScan 2 Confocal Microscope and the predicate device has been performed, and the results are summarized in the table below. The results of this comparison demonstrate that the ConfoScan 2 Confocal

2

Microscope device has the same basic technological characteristics as the predicate device and is equivalent to the marketed predicate device.

CONFOCAL MICROSCOPE TECHNOLOGICAL COMPARISON
Nidek Technologies Srl
ConfoScan 2 Confocal MicroscopeTomey ConfoScan Confocal
Microscope
Predicate Device - K971953
Indications For UseThe Nidek Technologies Srl
Confoscan 2 Confocal Microscope is
indicated for use as a diagnostic tool
for observation of the cell layers of
the anterior parts of the eye.The Tomey Confoscan Confocal
Microscope is indicated for use as a
diagnostic tool for looking at the cell
layers of the anterior parts of the eye.
Corneal ContactIn normal use the front surface of the
eye does not contact the objective
lens; however, corneal contact can
occur. The ConfoScan 2 has an
automatic sensing feature which
detects if the cornea has been
touched (a warning is sounded and
the objective reverses direction).In normal use the front surface of the eye
does not contact the objective lens;
however, corneal contact can occur.
Floating Objective LensYesYes
Working Distance Between
Cornea and Objective1.98 mm0 to 10 mm (depending on lens)
FocusFixedFixed
Adjustment DirectionThe examination device is
horizontally adjusted while the
patient is sitting straight in front of
the device (automatic or manual
adjustment option).The examination device is horizontally
adjusted while the patient is sitting
straight in front of the device (manual
adjustment only).
Front Lens Area16.61mm216.61mm2
Nidek Technologies Srl
ConfoScan 2 Confocal MicroscopeTomey ConfoScan Confocal
Microscope
Predicate Device - K971953
Type Scanning ApertureSlitSlit
Light Source100W Halogen, Internal100W Halogen, External
Objective LensWater Immersion Lens Achroplan
40xWater Immersion Lens Achroplan 40x
Depth Resolution10 microns10 microns
Horizontal Resolution1 micron1 micron
Pre Sterilized LensNo. Lens disinfected according to
instructions for use.No. Lens disinfected according to
instructions for use.
Working PositionHorizontalHorizontal
Standard Magnification40x40x
Mean Magnification500x on 15" display (1024 x 768
pixels).500x on 15" display (1024 x 768 pixels).
Numerical Aperture (na)0.750.75
CCD CameraYes, (monochrome, 5 milliLux
sensitivity)Yes, (monochrome, 5 milliLux
sensitivity)
Image StorageImage directly stored in PC RAM,
then saved to a PC hard driveImage stored on VCR tape, then
transferred to a PC
Automated Endothelial Cell
Analysis SoftwareYes, the program provides the user
with a cell density (cells/mm²)Yes, the program provides the user with a
cell density (cells/mm²).
Optical PathwayTypical confocal microscope optical
path with IR and UV filters. Slit
oscillation is controlled by a stepper
motor.Typical confocal microscope optical path
with IR and UV filters. Conjugate
Scanning slits with Galvin meter controls
slit movement.
Physical LayoutThe lift table, PC, and Optical head
are integrated into one pieceThe lift table, PC, and Optical head are
three separate modules
Operating SoftwareNAVISConfo-Commander
Z-Scan Principle (Cornea
Profile Measurement)A CCD camera is used instead of the
photo multiplier to record the
scattered light from each corneal
image. This value is calculated
directly from the recorded image and
placed within a profile curve. There
is now an image correlated to each
point on the curve.An intensity profile is taken via the photo
multiplier as a standing slit is scanned
through the cornea. The Photo multiplier
records scattered light profiles of the
cornea. The values are then placed on a
graph that provides the user with a profile
curve of the cornea without a correlated
image.

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:

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PERFORMANCE EVALUATION

The following testing was performed on the ConfoScan 2 Confocal Microscope to demonstrate that it meets all specified requirements and is equivalent to the predicate device:

  • Electrical Safety Testing & Electromagnetic Compatibility A.
    The ConfoScan 2 Confocal Microscope was tested in accordance with EN 60601-1 and EN 60601-1-2, and was found to meet all requirements of both standards.

  • Programmable Electrical Medical Systems B.
    The ConfoScan 2 Confocal Microscope was tested in accordance with EN 60601-1-4 and was found to meet all requirements of the standard.

  • Fundamental Test Requirements and Test Methods for Ophthalmic Instruments C.
    The ConfoScan 2 Confocal Microscope was tested in accordance with ISO 15004 and was found to meet all requirements of the standard.

Light Energy Levels D.

The amount of light energy transferred to the patient during the normal examination time of one to two minutes was found to be negligible.

  • Endothelial Cell Analysis Software Validation E.
    A total of 134 samples (extracted from corneal images) were analyzed by the ConfoScan 2 Confocal Microscope to validate the resulting automatic cell density

5

values via comparison to the results of two other commercially available specular microscopes.

CONCLUSIONS

Nidek Technologies Srl has demonstrated through its evaluation of the ConfoScan 2 Confocal Microscope that the device is equivalent to the predicate device with respect to intended use, technological characteristics, and safety and effectiveness.

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/6/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a circular seal with the text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged around the perimeter. Inside the circle is a stylized image of three abstract human figures, possibly representing people or families, in a flowing, interconnected design.

Public Health Service

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

OCT 2 6 2001

NIDEK TECHNOLOGIES SRL c/o Ms. Carol L. Patterson Patterson Consulting Group, Inc. 21911 Erie Lane, Lake Forest, CA 92630

Re: K012416

Trade/Device Name: ConfoScan 2 Confocal Microscope Regulation Number: 21 CFR 886.1850 Regulation Name: AC-powered Slip-Lamp Biomicroscope Regulatory Class: Class II Product Code: HJO Dated: July 27, 2001 Received: July 30, 2001

Dear Ms. Patterson:

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.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such 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); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

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This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801 and additionally 21 CFR Part 809.10 for in vitro diagnostic devices), please contact the Office of Compliance at (301) 594-4613. Additionally, for questions on the promotion and advertising of your device, please contact the Office of Compliance at (301) 594-4639. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). Other general information on your responsibilities under the Act may be obtained from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/dsma/dsmamain.html

Sincerely yours,

A. Ralph Rosenthal

A. Ralph Rosenthal, M.D. Director Division of Ophthalmic and Ear, Nose and Throat Devices Office of Device Evaluation Center for Devices and Radiological Health

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INDICATIONS FOR USE

510(k) Number:K012416 (To Be Assigned By FDA)
Device Trade Name:ConfoScan 2 Confocal Microscope
Indications For Use:The ConfoScan 2 Confocal Microscope is indicated for use as a diagnostic tool for observation of the cell layers of the anterior parts of the eye.

PLEASE DO NOT WRITE BELOW THIS LINE - CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

Prescription Use
(Per 21 CFR 801.109)

Over-The-Counter Use

Tharsha L. Burke Nichols

(Division Sign-Off) Division of Ophthalmic Devices 24110 K, 01 510(k) Number .

OR

Confidential

07/23/01